Global Journal of Medical Research, F: Diseases, Volume 23 Issue 2

Table 3: Relationship between blood variables and age with BMI and waist circumference in Barreiras, Bahia, Brazil, 2020 Glucose BMI GFR IL6 CRP Vitamin D Age Correlation Coefficient* 0.339 -0.246 -0.492 0.076 0.088 -0.022 p-value 0.008 0.056 < 0.001 0.581 0.502 0.868 Waist circumference Correlation Coefficient* 0.044 0.752 -0.009 0.151 0.300 -0.029 p-value 0.738 < 0.001 0.944 0.272 0.019 0.823 BMI Correlation Coefficient* 0.005 - 0.043 0.183 0.421 -0.034 p-value 0.972 0.744 0.181 0.001 0.793 IL6 Correlation Coefficient* -0.181 0.183 -0.298 - 0.351 -0.198 p-value 0.191 0.181 0.027 0.009 0.148 Ferritin Correlation Coefficient* 0.301 0.005 -0.001 -0.092 -0.096 0.191 p-value 0.020 0.970 0.994 0.503 0.462 0.141 * Spearman correlation coefficient; body mass index (BMI); Glomerular filtration rate (GFR); Interleukin 6 (IL6); C - reactive protein (CRP) It is observed that the increase in blood glucose directly influences the increase in cardiovascular risk (p = 0.027), as exemplified in table 4. Table 4: Association between blood glucose and cardiovascular risk in Barreiras, Bahia, Brazil, 2020 Normal Glucose p-value Changed Cardiovascular risk 0.027* Low 7 (77.8%) 2 (22.2%) Intermediary 6 (50%) 6 (50%) High 11 (28.9%) 27 (71.1%) Very high 0 (0%) 2 (100%) * Chi-square test. IV. D iscussion This study was conducted in the municipality of Barreiras, a medium-sized city in the state of Bahia, 863 km from the capital. It has an area of 7,538 km², with an estimated population of 153,831 inhabitants, and is considered the twelfth largest population, economic, political, and cultural center of Bahia (15) . Its population is predominantly non-white and mixed. It is the gateway to health services through primary care or the regional hospital that serves the entire western region of Bahia. Although abdominal circumference provides independent and additive information to the body mass index (BMI), the hypertensive effect of weight gain was well recorded (2) . Excessive body adiposity, especially visceral adiposity, is a significant risk factor for BP elevation, which may be responsible for 65 to 75% of cases of hypertension (2) . Weight loss reduces BP, even without reaching the desired body weight. For overweight or obese individuals, weight loss is an essential recommendation in treating AH (2) . All participants had a waist circumference above 80 cm in diameter in the sample studied. Those with higher waist circumference also had higher weight and a higher BP, thus confirming that individuals with higher weight also had more elevated BP. In addition to being overweight, the mean BMI (27±5) and waist circumference (95.3±9.4) were above the recommended, corroborating the obesity of the studied population. However, it was impossible to establish a direct relationship between obesity and a sedentary lifestyle since the frequency of physical exercise practiced by the study participants was not evaluated; only the 33 Year 2023 Global Journal of Medical Research Volume XXIII Issue II Version I ( D ) F © 2023 Global Journals Inflammatory Markers and Risk Factors in Hypertensive Patients: A Cross-Sectional Study practice of any physical activity was verified. Nor can a relationship be established with the sex of the patients, although the highest proportion was female (55.7%).