1983年至2002年间考纳斯中年人群主要心血管危险因素的变化趋势。

Trends in main cardiovascular risk factors among middle-aged Kaunas population between 1983 and 2002.

作者信息

Domarkiene Stanislava, Tamosiūnas Abdonas, Reklaitiene Regina, Sidlauskiene Doma, Jureniene Kristina, Margeviciene Lile, Buivydaite Kristina, Kazlauskaite Migle

机构信息

Institute of Cardiology, Kaunas University of Medicine, Sukileliu 17, 3007 Kaunas, Lithuania.

出版信息

Medicina (Kaunas). 2003;39(12):1193-9.

PMID:14704508

Abstract

OBJECTIVE OF THE STUDY

To evaluate dynamics in prevalence of main risk factors of cardiovascular diseases among middle-aged Kaunas population between 1993 and 2002.

MATERIAL AND METHODS

Four independent surveys in 1983-1984, 1986-1987, 1992-1993, and 2001-2002 were carried out in random samples of men and women aged 35-64 involving 2413, 1762, 1231 and 1403 persons respectively. The risk factors were defined within the framework of the WHO MONICA study (Multinational Monitoring of Trends and Determinants in Cardiovascular Disease).

RESULTS

During the 19 years the mean values of systolic blood pressure decreased among men. Among women decreased both mean values of systolic and diastolic blood pressure, however the prevalence of hypertension has decreased only among women by 11.9%, with no significant changes among men. The prevalence of overweight decreased among men, and the prevalence of obesity declined among women. Among women the body mass index decreased as well. No changes in the prevalence of hypercholesterolemia among men (80.7%) as well as among women (82.7%) have been detected, meanwhile the mean of total cholesterol among men increased from 5.9 mmol/l to 6.1 mmol/l and among women - from 6.09 mmol/l to 6.31 mmol/l (p<0.001). The prevalence of smoking has increased by 7.2% among women and didn't change among men.

IN CONCLUSION

The decreasing trends in the prevalence of some risk factors have been estimated in Kaunas middle-aged population during 1983-2002 years. However the profile of cardiovascular disease risk factors is still rather high. Programs or strategies targeted to control levels of main cardiovascular disease risk factors are urgently needed.

摘要

研究目的

评估1993年至2002年间考纳斯中年人群中心血管疾病主要危险因素的流行趋势变化。

材料与方法

于1983 - 1984年、1986 - 1987年、1992 - 1993年以及2001 - 2002年分别开展了四项独立调查，随机抽取年龄在35 - 64岁的男性和女性样本，样本量分别为2413人、1762人、1231人和1403人。危险因素是在世界卫生组织MONICA研究（心血管疾病趋势和决定因素多国监测）框架内定义的。

结果

在这19年中，男性收缩压均值下降。女性收缩压和舒张压均值均下降，但高血压患病率仅在女性中下降了11.9%，男性中无显著变化。男性超重患病率下降，女性肥胖患病率下降。女性的体重指数也有所下降。未检测到男性（80.7%）和女性（82.7%）高胆固醇血症患病率的变化，同时男性总胆固醇均值从5.9 mmol/l升至6.1 mmol/l，女性从6.09 mmol/l升至6.31 mmol/l（p<0.001）。女性吸烟率上升了7.2%，男性吸烟率无变化。