Ben Romdhane Habiba, Skhiri Hajer, Bougatef Souha, Gharbi Donia, Ben Alaya Nissaf, Achour Noureddine
Laboratoire de recherche en épidémiologie et prévention des maladies cardiovasculaires en Tunisie, Institut National de Santé Publique.
Tunis Med. 2005 May;83 Suppl 5:8-13.
To assess the Cardiovascular risk factors trend in community based surveys.
Two population surveys were conducted in 1996-97 and 2000-01 in the Ariana region among 7608 adults 35-70 years aged. The surveys were based on: 1--a questionnary, 2--an anthropometrical and physical examination, 3--a biological investigation, and 4--an ECG registration for the second cohort.
Relative to the first survey, the prevalence of hypertension, diabetes, hypercholesterolemia didn't change significantly while borderline cholesterol increased on both genders, tobacco smoking decreased and ex-smokers increased on men. In both genders, hypertension and diabetes prevalence is low before 50 years but it increased after this age. Risk factors association is common: about 35% have more than two risk factors. This association is more common on women and diabetes-hypertension is the most frequent.
These two surveys integrated in a global surveillance program has contributed to assess the CVDs burden and to identify priorities and intervention relevant to epidemiological region context.
评估基于社区调查的心血管危险因素趋势。
1996 - 1997年和2000 - 2001年在阿丽亚娜地区对7608名35 - 70岁的成年人进行了两项人群调查。调查基于：1. 一份问卷；2. 一次人体测量和体格检查；3. 一项生物学调查；4. 对第二组人群进行心电图记录。
与第一次调查相比，高血压、糖尿病、高胆固醇血症的患病率没有显著变化，而临界胆固醇在男女两性中均有所增加，男性吸烟率下降，戒烟者增加。在两性中，50岁之前高血压和糖尿病患病率较低，但在此年龄之后有所上升。危险因素关联很常见：约35%的人有两种以上危险因素。这种关联在女性中更常见，糖尿病 - 高血压是最常见的。
这两项纳入全球监测计划的调查有助于评估心血管疾病负担，并确定与流行病学区域背景相关的优先事项和干预措施。
