RELATIONSHIP BETWEEN CARDIOVASCULAR RISK AND LUNG FUNCTION IN INDUSTRIAL WORKERS
Palavras-chave:
Waist-hip ratio, Cardiovascular risk, Lung function, Industrial workersResumo
Introduction: Obesity is considered a pandemic disease because it is highly prevalent in developed and developing countries and is associated with respiratory disorders. The waist-to-hip ratio (WHR) is not only an indicator of obesity but is also considered a cardiovascular risk factor. Objective: To relate cardiovascular risk to lung function in industrial workers. Methods: This was a cross-sectional analytical study involving workers in a construction materials industry. The sample consisted of 143 workers. The WHR was calculated by dividing the waist circumference by the hip circumference, and respiratory function was measured by spirometry. Workers were stratified according to WHR (low and high risk). Results: Forty-one (28.7%) of the industrial workers were at high risk, of whom 25 were female. Age was higher in workers with high cardiovascular risk. Peak expiratory flow (PFE) ((∆=0,55 L/s, p<0,001), forced vital ((∆=0,65 L, p<0,001), %CVFpredita ((∆=14%, p<0,001), forced expiratory volume in the first second (VEF1) ((∆=0,55 L, p<0,001), %VEF1predito ((∆=11,18%, p<0,001) were higher in low-risk workers. There was a direct correlation between RCQ and PFE (r=0,26 p<0,001), FVC (r=0.22 p-0.009) and TEF (r= -0.19 p=0.021), while it was inverse for %FEV(1) (predicted) (r=0.35, p<0.001) and the VEF(1) /FVC ratio (r= -0.19, p=0.024). Conclusion: Lung function was better in workers with low cardiovascular risk. However, a direct relationship was observed between WHR and PEF, FVC, and TEF, and an inverse relationship when it came to %FEV(predicted) and the FEV(1) /FVC ratio. For prevention and promotion of cardiorespiratory health, we suggest encouraging weight control, improving dietary quality, and increasing physical activity levels.
Referências
- Narciso J, Silva AJ, Rodrigues V, Monteiro MJ, Almeida A, Saavedra R, Costa AM. Behavioral, contextual and biological factors associated with obesity during adolescence: A systematic review. PLoS One. 2019 Apr 8;14(4):e0214941..
- Roghayeh Molani Gol, Maryam Rafraf, Association between abdominal obesity and pulmonary function in apparently healthy adults: A systematic review, Obesity Research & Clinical Practice, Volume 15, Issue 5, 2021, Pages 415-424, ISSN 1871-403X.
- Alireza, Esteghamati., Mostafa, Mousavizadeh., Sina, Noshad., Saeed, Shoar., Omid, Khalilzadeh., Manouchehr, Nakhjavani. Accuracy of anthropometric parameters in identification of high-risk patients predicted with cardiovascular risk models. The American Journal of the Medical Sciences, (2013).;346(1):26-31.
- Machado PAN, Sichieri R. Relação cintura-quadril e fatores de dieta em adultos. Rev Saúde Pública [Internet]. 2002Apr;36(2):198–204.
- GRAHAM, B. L.; STEENBRUGGEN, I.; MILLER, M. R.; BARJAKTAREVIC, I. Z. et al. Standardization of spirometry 2019 update. An official American thoracic Society and European respiratory Society technical statement. American Journal of Respiratory and Critical Care Medicine, 200, n. 8, p. e70-e88, 2019.
- Stanojevic S, Kaminsky DA, Miller MR, Thompson B, Aliverti A, Barjaktarevic I, Cooper BG, Culver B, Derom E, Hall GL, Hallstrand TS, Leuppi JD, MacIntyre N, McCormack M, Rosenfeld M, Swenson ER. ERS/ATS technical standard on interpretive strategies for routine lung function tests. Eur Respir J. 2022 Jul 13;60(1):2101499.
- Knudson RJ, Lebowitz MD, Holberg CJ, Burrows B. Changes in the normal maximal expiratory flow-volume curve with growth and aging. Am Rev Respir Dis. 1983 Jun;127(6):725-34. doi: 10.1164/arrd.1983.127.6.725.
