Sanchez Robert J, Khalil Lisette
Pfizer, Inc. 360 W Washington Ave, #804, Madison, WI 53703, USA.
WMJ. 2005 Aug;104(6):24-9.
This study reports the results of initial statewide health screenings of the Badger Heart Program (BHP), which aims to increase the cardiovascular health awareness and health status of women living in Wisconsin.
In May 2004, the BHP provided cardiovascular disease risk screenings to women in 4 geographic areas throughout Wisconsin. Screening participants were informed of their results and counseled on issues concerning diet, exercise, smoking cessation, medications, and/or visiting their primary health care professional. Data collected included total cholesterol, high-density lipoproteins, low-density lipoproteins (LDL), triglycerides, blood pressure (BP), blood glucose measurements, height and weight, along with a brief survey of medical history, family history, smoking status, and current medication use. After the screening, participants were asked to volunteer for an opt-in 6-month educational program.
A total of 318 women participated. The majority screened were Caucasian (95.9%) with an average age of 58 years (standard deviation [SD] = 13.2). Participants' blood pressure and LDL goals were determined from the risk profile assessment. According to national guidelines, an optimal blood pressure goal of < 140/90 was recommended for the majority of the participants (294 [92.5%]), while an optimal blood pressure goal of < 120/80 was recommended for only 24 (7.5%) participants. An optimal LDL value <100 was recommended for 48 (15.4%) participants, an LDL goal of <130 was recommended for 106 (33.3%), and an LDL goal of less than <160 was recommended for 157 (50.5%) participants. Of screened participants, 35% were not at BP goal, 32.4% were not at LDL goal, and 53.5% were not at both goals.
While the number of participants who were at BP and/or LDL goal is higher than what is generally reported in the literature, there is still opportunity for significant improvement. A follow-up analysis including re-screening of individuals aimed at measuring the improvements in CVD profile post educational interventions will occur in November.
本研究报告了獾心项目(BHP)首次全州范围健康筛查的结果,该项目旨在提高威斯康星州女性的心血管健康意识和健康状况。
2004年5月,BHP在威斯康星州的4个地理区域为女性提供了心血管疾病风险筛查。向筛查参与者告知了她们的结果,并就饮食、运动、戒烟、药物治疗和/或拜访其初级医疗保健专业人员等问题提供了咨询。收集的数据包括总胆固醇、高密度脂蛋白、低密度脂蛋白(LDL)、甘油三酯、血压(BP)、血糖测量值、身高和体重,以及一份关于病史、家族史、吸烟状况和当前用药情况的简短调查问卷。筛查后,要求参与者自愿参加一个为期6个月的选择加入式教育项目。
共有318名女性参与。筛查的大多数为白种人(95.9%),平均年龄为58岁(标准差[SD]=13.2)。根据风险状况评估确定参与者的血压和LDL目标。根据国家指南,大多数参与者(294名[92.5%])的最佳血压目标建议为<140/90,而只有24名(7.5%)参与者的最佳血压目标建议为<120/80。48名(15.4%)参与者的最佳LDL值建议<100,106名(33.3%)参与者的LDL目标建议<130,157名(50.5%)参与者的LDL目标建议<160。在接受筛查的参与者中,35%未达到血压目标,32.4%未达到LDL目标,53.5%两者均未达到目标。
虽然达到血压和/或LDL目标的参与者数量高于文献中通常报道的数量,但仍有显著改善的空间。11月将进行后续分析,包括对个体进行重新筛查,以测量教育干预后心血管疾病状况的改善情况。