{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T23:04:53Z","timestamp":1784761493707,"version":"3.55.0"},"reference-count":39,"publisher":"FapUNIFESP (SciELO)","issue":"8","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Resumo: O objetivo foi investigar os fatores associados \u00e0 presen\u00e7a de hipotens\u00e3o ortost\u00e1tica em 14.833 indiv\u00edduos de 35-74 anos. Estudo transversal realizado com os dados da linha de base (2008-2010) do Estudo Longitudinal de Sa\u00fade do Adulto (ELSA-Brasil). O teste postural foi realizado ap\u00f3s repouso de 20 minutos na posi\u00e7\u00e3o supina e ado\u00e7\u00e3o ativa da postura ortost\u00e1tica. A press\u00e3o arterial foi medida em supino e aos tr\u00eas minutos de ortostase com aparelho oscilom\u00e9trico (HEM 705 CP, Omron, S\u00e3o Paulo, Brasil). A hipotens\u00e3o ortost\u00e1tica foi definida por queda \u2265 20mmHg na press\u00e3o arterial sist\u00f3lica e\/ou queda \u2265 10mmHg na press\u00e3o arterial diast\u00f3lica. As covari\u00e1veis analisadas foram sexo, faixa et\u00e1ria, ra\u00e7a\/cor, escolaridade, estado nutricional, circunfer\u00eancia da cintura, altera\u00e7\u00e3o no \u00edndice tornozelo braquial, velocidade de onda de pulso, press\u00e3o arterial sist\u00f3lica e diast\u00f3lica, hipertens\u00e3o, diabetes, uso de anti-hipertensivos, colesterol, triglic\u00e9rides, sorologia para a doen\u00e7a de Chagas, ocorr\u00eancia de sintomas e varia\u00e7\u00e3o de frequ\u00eancia card\u00edaca no teste postural, relato de doen\u00e7a card\u00edaca, infarto agudo do mioc\u00e1rdio (IAM)\/revasculariza\u00e7\u00e3o e acidente vascular cerebral. A hipotens\u00e3o ortost\u00e1tica foi significativamente associada \u00e0 maior faixa et\u00e1ria, OR = 1,83 (IC95%: 1,14-2,95); altera\u00e7\u00e3o no \u00edndice tornozelo braquial, OR = 2,8 (IC95%: 1,13-6,88), IAM\/revasculariza\u00e7\u00e3o, OR = 1,70 (IC95%: 1,01-2,87); relato de doen\u00e7a card\u00edaca, OR = 3,03 (IC95%: 1,71-5,36); press\u00e3o arterial sist\u00f3lica aumentada, OR = 1,012 (IC95%: 1,006-1,019); sorologia positiva para a doen\u00e7a de Chagas, OR = 2,29 (IC95%: 1,23-4,27) e ocorr\u00eancia de sintomas na mudan\u00e7a postural, OR = 20,81 (IC95%: 14,81-29,24). A presen\u00e7a de hipotens\u00e3o ortost\u00e1tica pode ser alerta de potencial comprometimento cardiovascular, e, portanto, uma ferramenta de rastreamento e preven\u00e7\u00e3o.<\/jats:p>","DOI":"10.1590\/0102-311x00123718","type":"journal-article","created":{"date-parts":[[2019,8,16]],"date-time":"2019-08-16T13:26:39Z","timestamp":1565961999000},"source":"Crossref","is-referenced-by-count":4,"title":["Fatores associados \u00e0 hipotens\u00e3o ortost\u00e1tica em adultos: estudo ELSA-Brasil"],"prefix":"10.1590","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1176-903X","authenticated-orcid":false,"given":"Ana Paula Costa","family":"Velten","sequence":"first","affiliation":[{"name":"Universidade Federal do Esp\u00edrito Santo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6723-5678","authenticated-orcid":false,"given":"Isabela","family":"Bense\u00f1or","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9308-7445","authenticated-orcid":false,"given":"Juliana Bottoni de","family":"Souza","sequence":"additional","affiliation":[{"name":"Universidade Federal do Esp\u00edrito Santo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0987-368X","authenticated-orcid":false,"given":"Jos\u00e9 Geraldo","family":"Mill","sequence":"additional","affiliation":[{"name":"Universidade Federal do Esp\u00edrito Santo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1007\/s10286-011-0119-5","article-title":"Consensus statement on the definition of orthostatic hypotension, neurally mediated syncope and the postural tachycardia syndrome","volume":"21","author":"Freeman R","year":"2011","journal-title":"Clin Auton Res"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1111\/joim.12021","article-title":"Syndromes of orthostatic intolerance a hidden danger","volume":"273","author":"Fedorowski A","year":"2013","journal-title":"J Intern Med"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1097\/MJT.0b013e31828bfb7f","article-title":"A review of the etiology, asssociated comorbidities, and treatment of orthostatic hypotension","volume":"20","author":"Perlmuter LC","year":"2013","journal-title":"Am J 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