Consumo de sal, estilos de vida, y exceso de peso en pacientes hipertensos atendidos en un servicio de Cardiología de un hospital ecuatoriano de especialidades
Palabras clave:
Exceso de peso, Obesidad, Antropometría, Encuestas dietéticas, Riesgo cardiovascular, Sal, SedentarismoResumen
Introducción: En la adultez se arrastran los hábitos alimentarios adquiridos en las edades tempranas de la vida que se reflejarán (se quiera o no) en el estado de salud del sujeto. En consecuencia, el estado de salud en las edades adultas está ligado directamente al consumo de alimentos y los estilos de vida adquiridos en la niñez. Objetivo: Determinar las asociaciones entre el consumo de sal, los estilos de vida, y el riesgo cardiovascular (RCV) de los pacientes atendidos en la consulta de Cardiología de un hospital ecuatoriano de especialidades. Locación del estudio: Hospital “Dr. Abel Gilbert Pontón”, sito en la ciudad de Guayaquil (Provincia de Guayas, República del Ecuador). Diseño del estudio: Transversal, analítico. Serie de estudio: Cuatrocientos cuatro pacientes (Mujeres: 63.1%; Edad promedio: 53.5 ± 13.5 años; Edad ≥ 60 años: 36.1%). Métodos: A los pacientes participantes se les realizó una evaluación antropométrica orientada al reconocimiento del exceso de peso y el RCV, un cuestionario dietético dirigido a establecer la cuantía del ingreso corriente de sal común, y un interrogatorio estructurado acerca de los estilos de vida y la práctica de ejercicio físico. Resultados: El exceso de peso (IMC ≥ 25 Kg.m-2) afectó al 61.6% de la serie de estudio. Por el contrario, el 90.1% presentó valores del ICT > 0.5. De acuerdo con la actividad física, los sujetos encuestados se distribuyeron como sigue: Leve: 77.5%; Moderada: 20.8%; Intensa: 1.7%; respectivamente. El consumo de sal añadida a los alimentos una vez preparados fue referido por el 83.2% de los encuestados. Fue prevalente el consumo de alimentos conocidos como fuentes ocultas de sal: Embutidos y enlatados: 67.8%; Pan: 93.1%. Conclusiones: En los pacientes atendidos en un Servicio hospitalario de Cardiología predominan el exceso de peso, la obesidad abdominal, la poca actividad física, y el consumo desproporcionado de sal. Estos hallazgos colocan a los sujetos examinados en riesgo incrementado de daño cardiovascular. Urge intervenir los factores antes mencionados, a fin de reducir el RCV, y mejorar el pronóstico de la evolución de la enfermedad hipertensiva.Citas
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