Capuano V, D'Arminio T, Bambacaro A, Lanzara C, D'Antonio V
U.O. Cardiologia ed UTIC, Ospedale di Mercato San Severino, ASL SA2, Mercato San Severino, SA.
Ital Heart J Suppl. 2001 Nov;2(11):1201-8.
The purpose of the VIP Project was to verify the distribution of coronary risk factors and the treatment of high risk subjects among the population in an area of Irno Valley in South Italy.
In this study, people aged 25-74 years were randomly enrolled from the electoral register and were then visited and subjected to blood venous drawing. The project consisted of three phases: identification and classification of high risk subjects; treatment; follow-up (after 5 and 10 years). In this paper all data gathered during the first control (1998-1999) are reported. Data refer to 1200 subjects (600 men and 600 women).
The prevalences of risk factors were the following: hypercholesterolemia (serum cholesterol > or = 240 mg/dl): men 13.6%, women 18.6%; hypertriglyceridemia (serum triglycerides > or = 170 mg/dl): men 33.6%, women 17.9%; hyperglycemia (blood glucose > or = 126 mg/dl): men 11.2%, women 10.4%. The mean levels of systolic blood pressure were: men 132.6 mmHg and women 132.15 mmHg; diastolic blood pressure: men 83.97 mmHg and women 82.86 mmHg. Male subjects with hypertension (> 159/94 mmHg) were 29.1% while female subjects were 28.9%. The prevalence of smokers was 43% for men and 21.7% for women.
Data show some important aspects (especially when they are compared with Montecorvino Rovella Project, an epidemiologic research on cardiovascular risk factors also carried out in the Province of Salerno in 1988-1989): there is a reduction of cholesterolemia and of prevalence of hypercholesterolemia; smokers are decreasing but there is an increase in female smokers; doctors treat men more efficaciously than women; in the female population, aged 45 to 54 years, there is an increase, in unacceptable proportions, in cardiovascular risk factors.
VIP项目的目的是核实意大利南部伊尔诺山谷地区人群中冠状动脉危险因素的分布情况以及高危人群的治疗情况。
在本研究中，从选民登记册中随机选取年龄在25至74岁之间的人群，然后对其进行走访并采集静脉血。该项目包括三个阶段：高危人群的识别与分类；治疗；随访（5年和10年后）。本文报告了首次对照（1998 - 1999年）期间收集的所有数据。数据涉及1200名受试者（600名男性和600名女性）。
危险因素的患病率如下：高胆固醇血症（血清胆固醇≥240mg/dl）：男性为13.6%，女性为18.6%；高甘油三酯血症（血清甘油三酯≥170mg/dl）：男性为33.6%，女性为17.9%；高血糖（血糖≥126mg/dl）：男性为11.2%，女性为10.4%。收缩压的平均水平为：男性132.6mmHg，女性132.15mmHg；舒张压：男性83.97mmHg，女性82.86mmHg。患有高血压（>159/94mmHg）的男性受试者为29.1%，女性受试者为28.9%。吸烟者的患病率男性为43%，女性为21.7%。
数据显示了一些重要方面（尤其是与蒙特科尔维诺罗韦拉项目相比时，该项目是1988 - 1989年在萨勒诺省进行的一项关于心血管危险因素的流行病学研究）：胆固醇血症和高胆固醇血症的患病率有所降低；吸烟者数量在减少，但女性吸烟者数量在增加；医生对男性的治疗比对女性更有效；在45至54岁的女性人群中，心血管危险因素的比例出现了不可接受的增长。
