The prevalence of cardiovascular risk factors and cardiovascular disease among primary care patients in Poland: results from the LIPIDOGRAM2015 study

被引:30
作者
Jozwiak, Jacek J. [1 ]
Studzinski, Krzysztof [2 ]
Tomasik, Tomasz [2 ]
Windak, Adam [2 ]
Mastej, Miroslaw [3 ]
Catapano, Alberico L. [4 ,5 ]
Ray, Kausik K. [6 ]
Mikhailidis, Dimitri P. [7 ]
Toth, Peter P. [8 ,9 ]
Howard, George [10 ]
Lip, Gregory Y. H. [11 ,12 ,13 ]
Tomaszewski, Maciej [14 ]
Charchar, Fadi J. [15 ]
Sattar, Naveed [16 ]
Williams, Bryan [17 ,18 ]
MacDonald, Thomas M. [19 ]
Nowak, Dariusz [20 ]
Skowron, Lukasz [21 ]
Kasperczyk, Slawomir [22 ]
Banach, Maciej [23 ]
机构
[1] Univ Opole, Dept Family Med & Publ Hlth, Fac Med, Oleska 48, PL-45052 Opole, Poland
[2] Jagiellonian Univ Med Coll, Dept Family Med, Bochenska 4, PL-31061 Krakow, Poland
[3] Mastej Med Ctr, Stasz 21, PL-38200 Jaslo, Poland
[4] Univ Milan, Dept Pharmacol Sci, Milan, Italy
[5] Multimed IRCCS, Milan, Italy
[6] Imperial Coll, Dept Primary Care & Publ Hlth, Imperial Ctr Cardiovasc Dis Prevent, London, England
[7] UCL, Royal Free Hosp, Dept Clin Biochem, London, England
[8] Johns Hopkins Univ, Sch Med, Cicarrone Ctr Prevent Cardiovasc Dis, Baltimore, MD USA
[9] CGH Med Ctr, Sterling, IL USA
[10] Sch Publ Hlth Alabama, Dept Biostat, Birmingham, AL USA
[11] Univ Liverpool, Liverpool Ctr Cardiovasc Sci, Liverpool, Merseyside, England
[12] Liverpool Heart & Chest Hosp, Liverpool, Merseyside, England
[13] Aalborg Univ, Dept Clin Med, Aalborg Thrombosis Res Unit, Aalborg, Denmark
[14] Univ Manchester, Div Cardiovasc Sci, Fac Biol Med & Hlth, Manchester, Lancs, England
[15] Federat Univ Australia, Sch Hlth & Life Sci, Ballarat, Vic, Australia
[16] Univ Glasgow, Inst Cardiovasc & Med Sci, Glasgow G128TA, Lanark, Scotland
[17] UCL, NIHR Univ Coll London, Biomed Res Ctr, London, England
[18] Univ Coll London Hosp NHS Fdn Trust, London, England
[19] Univ Dundee, Ninewells Hosp & Med Sch, MEMO Res, Dundee DD1 9SY, Scotland
[20] Municipal Hosp, Mickiewicza 12, PL-42200 Czestochowa, Poland
[21] Mil Inst Med, Dept Gastroenterol Endocrinol & Internal Dis, Szaserow 128, PL-04141 Warsaw, Poland
[22] Med Univ Silesia, Fac Med Sci Zabrze, Dept Biochem, Jordana 19, PL-41808 Katowice, Poland
[23] Med Univ Lodz, Dept Hypertens, Rzgowska 281-289, PL-93338 Lodz, Poland
关键词
Cardiovascular disease; Cardiovascular risk factors; Hypertension; Hypercholesterolaemia; Diabetes mellitus; Obesity; Primary health care; Poland; GLOBAL BURDEN; POPULATION; GUIDELINES; MANAGEMENT; ASSUMPTIONS; OBESITY;
D O I
10.1016/j.atherosclerosissup.2021.01.004
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Background and aim: To estimate the prevalence of cardiovascular (CV) disease and CV risk factors among Polish patients. Methods: A nationwide cross-sectional study, LIPIDOGRAM2015, was carried out in Poland in the 4th quarter of 2015 and 1st and 2nd quarters of 2016; 438 primary care physicians enrolled 13,724 adult patients that sought medical care in primary health care practices. Results: Nearly 19% of men and approximately 12% of women had cardiovascular disease (CVD). Over 60% of the recruited patients had hypertension (HTN), 80% had dyslipidaemia and <15% of patients were diagnosed with diabetes (DM). All of these disorders were more frequent in men. In 80% of patients the waist circumference exceed norm for the European population. Less than half of the patients were current smokers or had smoked in the past. Patients with CVD had significantly higher blood pressure and glucose levels but lower low density lipoprotein-cholesterol level. Conclusions: The prevalence of CVD and CV risk factors among patients in Poland is high. CVD is more common in men than in women. The most common CV risk factors are excess waist circumference, dyslipidaemia and HTN. Family physicians should conduct activities to prevent, diagnose early and treat CVD in the primary health care population. (c) 2021 Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http:// creativecommons.org/licenses/by-nc-nd/4.0/).
引用
收藏
页码:E15 / E24
页数:10
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