Epidemiology of the main risk factors and total cardiovascular risk among Vologda citizens aged 35-64-years

• Main Authors: A. I. Popugaev, A. M. Kalinina, S. A. Shalnova, A. D. Deev, A. V. Kontsevaya, V. S. Nechaev, R. A. Kasimov, N. V. Ryzhkova
• Format: Article
• Language: Russian
• Published: «SILICEA-POLIGRAF» LLC 2008-12-01
• Series: Кардиоваскулярная терапия и профилактика
• Subjects: cardiovascular disease epidemiology; risk factors; total cardiovascular risk; prevention; need for prevention; primary healthcare; health motivation
• Online Access: https://cardiovascular.elpub.ru/jour/article/view/1694
• ISSN: 1728-8800; 2619-0125

Aim. To assess the prevalence of main risk factors (RFs) of cardiovascular disease (CVD), total CVD risk, and the need for preventive counselling in primary healthcare, with 35-64-year-old Vologda population as an example.Material and methods. The standard epidemiological examination of a representative sample of 35-64-year-old Vologda City population included: interview, blood pressure measurement, anthropometry, electrocardiography (ECG) at rest, blood lipid profile, glucose and creatinine level measurement. Total CVD risk was stratified by the National Society of Cardiology scale (2008). In total, 1483 people were examined (response rate 82,4%).Results. Effort angina was diagnosed in 9,0%, ischemic ECG - in 3,5%, arterial hypertension - in 42,3%, smoking - in 32,4%, overweight and obesity - in 59,6%, hypercholesterolemia - in 11,0%, hypoalphacholesterolemia - in 13,3%, hypertriglyceridemia - in 24,8%, hyperglycemia - in 2,0%, at least 2 metabolic syndrome components - in 31,2%, frequent stressful events - in 20,9%, clinically manifested anxiety - in 11,7%, and depression - in 9,6%. Only in 3,2%, total additional CVD risk was not elevated, in 22,7% it was low, in 23,0% - moderate, in 31,3% - high, and in 19,8% - very high.Conclusion. Among 35-64-year-old Vologda citizens, there is an unmet demand for medical preventative help and targeted RF correction, including 94 000 preventative consultations and risk reduction programs.