Máchová L, Janout V, Cízek L, Beska F, Lorenc J, Koutná J
Ustav preventivního lékarství LF UP, Olomouc.
Cas Lek Cesk. 2004;143(2):90-3.
Cardiovascular diseases and cancers are responsible for almost 80% of the total mortality in the Czech Republic. For their prevention, identification of risk factors becomes indispensable. Presented article analyses frequency of risk factors in the population of Sumperk district on the bases of the first and second preventive oncological check-ups.
Diagnoses have been unified according to the International Classification of Diseases. For data analysis SPSS statistical software has been used. Frequency of obesity, hypertension, hyperglycemia, hypercholesterolemia, hyperuricemia and smoking has been assessed in subjects during their first and second preventive check-ups. In the course of the first check-up 49,426 subjects have been examined, out of them 22,857 males (46.2%) and 26,569 females (53.8%). 40,386 subjects participated in the second check-up (18,378 males and 22,008 females). The assessment of the frequency of the individual risk factors has been done on the bases of the examination results.
Total incidence of obesity was lower in males comparing to the data from the population of 6 districts of the Czech republic (MONICA). Due to the treatment of subjects, there was a mild decrease of prevalence of the systolic hypertension in the second check-up in comparison with the first one. In comparison with MONICA project, the incidence of hypertension was more than twice higher. No difference in frequency of hyperglycemia in males and females was found. In both genders, high prevalence of hypercholesterolemia (about 70%) was found. Between two check-ups, decrease of hypercholesterolemia prevalence was observed. It corresponds with the existing trend in the Czech population. Decrease of smoking prevalence has been observed in the second check-up mainly in males and less in females. In comparison with MONICA project, there was a higher smoking prevalence in males and a lower one in females.
在捷克共和国,心血管疾病和癌症导致的死亡人数几乎占总死亡人数的80%。为预防这些疾病,识别风险因素变得不可或缺。本文基于首次和第二次预防性肿瘤检查,分析了苏姆佩尔克地区人群中风险因素的出现频率。
诊断依据国际疾病分类进行统一。数据分析使用了SPSS统计软件。在首次和第二次预防性检查期间,对肥胖、高血压、高血糖、高胆固醇血症、高尿酸血症和吸烟的出现频率进行了评估。在首次检查过程中,共检查了49426名受试者,其中男性22857名(46.2%),女性26569名(53.8%)。40386名受试者参加了第二次检查(男性18378名,女性22008名)。根据检查结果对各风险因素的出现频率进行了评估。
与捷克共和国6个地区人群(MONICA)的数据相比,男性肥胖的总发病率较低。由于对受试者进行了治疗,第二次检查时收缩期高血压的患病率与第一次相比略有下降。与MONICA项目相比,高血压的发病率高出两倍多。未发现男性和女性高血糖出现频率存在差异。在男性和女性中,均发现高胆固醇血症的患病率较高(约70%)。在两次检查之间,观察到高胆固醇血症患病率有所下降。这与捷克人群的现有趋势相符。在第二次检查中,吸烟患病率有所下降,主要是男性,女性下降较少。与MONICA项目相比,男性吸烟患病率较高,女性较低。