Abstract P166: Distribution of Cardiovascular Risk Factors in ESMaestras: A Cohort Study of 97,174 Mexican Women
Introduction: The ESMaestras study (Estudio de Seguimiento la Salud de las Maestras) is an effort to prospectively study the health effects of dietary and lifestyle factors in Mexico, a country undergoing a fast-paced nutritional and epidemiologic transition. Understanding risk factors for disease in this minimally studied population may provide insights on lifestyle-disease relations in other populations.
Methods: We evaluated the cross-sectional distribution of cardiovascular risk factors in the baseline evaluation of the ESMaestras cohort study, an ongoing prospective study among 97,174 female teachers living in 12 different states in Mexico. In 2008, participants responded to a detailed questionnaire on lifestyle factors, diet and medical conditions that was sent and received by school district administration. Diet was assessed using a semi-quantitative food frequency questionnaire validated in a similar Mexican population.
Results: Median age of participants was 44 years [(10th, 90th percentile) 33, 52] and 17.3% were postmenopausal. Median BMI was 26.7 [(10th, 90th percentile) 22.2, 33.6] and 66.4% were overweight or obese. Median moderate/vigorous recreational physical activity was 1 hr/week [(10th, 90th percentile) 0, 6.0]. Only 9.7% participants were current smokers and among them 21.5% reported smoking more than 5 cigarettes per day. Most participants reported alcohol consumption (62%) but daily consumption was very low (1.2% consumed ≥0.5 drink/day). Median (10th, 90th percentile) intake of fish was 0.98 servings/week (0.28, 3.3), of red meat 4.1 servings/week (1.3, 9.9), of fruits and vegetables 5.3 servings/day (1.8, 12.2) and of sugar-sweetened beverages 1.2 (0.3, 3.6). The prevalence of self-reported, treated conditions was 12.1% for hypertension, 4.3% for diabetes and 11.6% for elevated cholesterol.
Conclusion: In this relatively young population of Mexican women we observed a high prevalence of some risk factors for cardiovascular disease. Adequate systematic follow-up with repeated evaluation of risk factors in this population may prove to be informative about lifestyle factor and cardiovascular disease relations in Latin-American women.
- © 2012 by American Heart Association, Inc.