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Cited by 64Indigenous Health and EducationCardiovascular Health and Risk FactorsBlood Pressure and Hypertension Studies

Effects of a traditional lifestyle on the cardiovascular risk profile: the Amondava population of the Brazilian Amazon. Comparison with matched African, Italian and Polish populations

Pavan, Lucia, Casiglia, Edoardo, Braga, Laura M. Carvalho, Winnicki, Mikolaj, Puato, Massimo, Pauletto, Paolo, Pessina, Achille C.·1999·Journal of Hypertension
DOI 10.1097/00004872-199917060-00005
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Abstract

OBJECTIVE: To determine the relationships between lifestyle and cardiovascular risk factors among the Brazilian Amondava, one of the world's most isolated populations. DESIGN: Cross-sectional, population-based study. Four age- and sex-matched samples from Brazil Africa, Italy and Poland, representing different levels of modernization, were compared. Body weight, height, blood pressure, serum cholesterol and glycaemia were measured, and a standard questionnaire administered. Data concerning dietary habits and physical activity were collected. A personal socio-economic score was calculated, on the basis of type of economy, level of formal education, type of occupation, type of habitat, availability of piped water and electricity, main source of income, housing conditions, availability of radio, television or personal computer, knowledge of a second language, and organized health facilities. SETTING: Primary epidemiological screening, at an institution. RESULTS: Among the Amondava blood pressure was always <140/90 mm Hg, it did not increase with age and was not correlated with any other variable; 46.6% of subjects had systolic blood pressure <100 mm Hg. Blood pressure among the Amondava (109.6+/-11.1/69.5+/-6.4 mm Hg) was on average lower (P<0.0001) than in all other samples. Among the Amondava, the concentration of total cholesterol was always <200 mg/dl, i.e. similar to that of Africans whose diet included large amounts of vegetable foodstuffs; 90% had glycaemia (<80 mg/dl), and their mean value was the lowest (55.1+/-14.9 mg/dl) of all the groups. CONCLUSIONS: In addition to a possible genetic predisposition not analysed in this study, a traditional lifestyle (no contact with civilization, diet based on complex carbohydrates and vegetables, high energy expenditure) may protect against the development of hypertension, hypercholesterolaemia, and diabetes.

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Crossref · 10.1097/00004872-199917060-00005

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  • Among populations with traditional healthy lifestyle behaviors, the prevalences of obesity, dyslipidemia, hypertension, and diabetes mellitus are far less than in industrialized populations, even after adjustment for age.

    “Among populations with traditional healthy lifestyle behaviors, the prevalences of obesity, dyslipidemia, hypertension, and diabetes mellitus are far less than in industrialized populations, even after adjustment for age.49 -52”

    From Beyond Established and Novel Risk Factors: Lifestyle Risk Factors for Cardiovascular Disease (2008) · cites this paper as [50]

  • Large disparities in both the prevalence of established risk factors and the rates of cardiovascular events in genetically similar populations both over time and across regions confirm that genetic effects are subordinate to lifestyle and environmental influences.

    “large disparities in both the prevalence of established risk factors and the rates of cardiovascular events in genetically similar populations both over time and across regions confirm that genetic effects are subordinate to lifestyle and environmental influences.50 -52,57-59”

    From Beyond Established and Novel Risk Factors: Lifestyle Risk Factors for Cardiovascular Disease (2008) · cites this paper as [50]

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Authors
Pavan, L., Casiglia, E., Braga, L. M. C., Winnicki, M., Puato, M., Pauletto, P., & Pessina, A. C.
Affiliations
University of Padua (IT)
Corresponding author
Casiglia, Edoardo
ORCID
Venue
Journal of Hypertension
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
1999-06
Volume
17
Issue
6
Pages
749-756
ISSN
0263-6352 (ISSN-L)
DOI
10.1097/00004872-199917060-00005
OpenAlex
W2084849098
Cited by
64
References
33
Citations by year
2025: 1 · 2024: 1 · 2023: 2 · 2022: 3 · 2020: 1 · 2019: 1 · 2018: 1 · 2016: 2 · 2015: 5 · 2014: 2 · 2013: 4 · 2012: 3
FWCI
3.67
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Hypertension (publishedVersion)
  • PubMed (publishedVersion)
  • ArTS Archivio della ricerca di Trieste (University of Trieste https://www.units.it/) (submittedVersion)
  • Padua Research Archive (University of Padova) (submittedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Indigenous Health and Education
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
Keywords
traditional way of life, cardiovascular risk factors, isolated populations, blood pressure, hypertension, serum cholesterol, hypercholesterolemia, glycemia, diabetes mellitus, dietary habits, physical activity, energy expenditure, socioeconomic status, modernization, complex carbohydrates, vegetable diet
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Blood Pressure, Brazil, Cardiovascular Diseases, Child, Cholesterol, Cross-Sectional Studies, Feeding Behavior, Humans, Indians, South American, Life Style, Middle Aged, Poland, Population Surveillance, Retrospective Studies, Risk Factors, Social Class, South Africa

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