Al Alwan Ibrahim, Badri Motasim, Al-Ghamdi Maram, Aljarbou Alanoud, Alotaibi Hessa, Tamim Hani
College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh.
Int J Health Sci (Qassim). 2013 Jan;7(1):3-13. doi: 10.12816/0006015.
Cardiovascular disease (CVD) is a leading cause of death worldwide. CVD-related mortality can be substantially reduced by modifying risk factors.
In this cross-sectional study conducted in King Abdulaziz Medical City, Riyadh, we estimated and compared prevalence of self-reported risk factors for CVD among physicians and a comparative group of non-physician health workers. We postulated that prevalence of CVD risk factors would be significantly lower in physicians. Participants filled in a structured self-administered questionnaire on CVD risk factors.
The study included 200 participants (100 respondents each group). Participants in the two groups were of similar age (P = 0.46) and Body Mass Index (BMI) P = 0.11. There was no statistical difference in smoking, frequency and length of physical exercise per week (P = 0.53, 0.57, 0.47 respectively). Diet habits showed daily intake of more protein, less fat and highly processed food, and similar vegetables, fruit and carbohydrate among physicians. Health status (presence of hypertension, diabetes, or dyslipidemia, or other diseases) didn't differ between the two groups. Physicians showed a significantly higher familial cardiovascular risk, with mothers and siblings having more dyslipidemia, but there was no significant difference in parental dyslipidemia, diabetes or hypertension.
These findings indicate that high awareness of CVD and associated risk factors alone is not enough to prevent their occurrence. Programs to routinely screen these risk factors and improve the lifestyle of physicians are needed.
心血管疾病(CVD)是全球主要的死亡原因。通过改变风险因素可大幅降低与心血管疾病相关的死亡率。
在利雅得阿卜杜勒阿齐兹国王医疗城进行的这项横断面研究中,我们估计并比较了医生与非医生卫生工作者对照组中自我报告的心血管疾病风险因素的患病率。我们推测医生中心血管疾病风险因素的患病率会显著更低。参与者填写了一份关于心血管疾病风险因素的结构化自填问卷。
该研究纳入了200名参与者(每组100名受访者)。两组参与者年龄相似(P = 0.46),体重指数(BMI)也相似(P = 0.11)。在吸烟、每周体育锻炼的频率和时长方面无统计学差异(分别为P = 0.53、0.57、0.47)。饮食习惯方面,医生每日摄入更多蛋白质、更少脂肪和高加工食品,蔬菜、水果和碳水化合物的摄入量相似。两组的健康状况(是否患有高血压、糖尿病、血脂异常或其他疾病)无差异。医生的家族心血管风险显著更高,母亲和兄弟姐妹患血脂异常的情况更多,但父母的血脂异常、糖尿病或高血压情况无显著差异。
这些发现表明,仅对心血管疾病及相关风险因素有较高认知不足以预防其发生。需要开展常规筛查这些风险因素并改善医生生活方式的项目。