Al-Dahi Salem, Al-Khashan Hesham, Al Madeer Mohamed Abdullah Mashhour, Al-Saif Khaled, Al-Amri Mohamed Dhafer Salih, Al-Ghamdi Othman, Al-Helali Nabil, Selim Mohie, Mishriky Adel Mounir
Armed Forces Hospital, Western Region, Jeddah, Kingdom of Saudi Arabia.
Mil Med. 2013 Mar;178(3):299-305. doi: 10.7205/MILMED-D-12-00079.
To measure the risk factors for cardiovascular disease (CVD) among militaries in the Kingdom of Saudi Arabia and to assess their Framingham CVD risk.
A nationwide survey included 10,500 active military personnel selected by multistage stratified random sampling representing various ranks in the army forces of 5 regions. The study used the World Health Organization STEPwise approach to chronic disease risk factor surveillance (STEPS) in the design of data collection tool. Data included demographic and health behavior information; physical assessment; and anthropometric, random blood glucose, serum cholesterol, and triglycerides measurements.
The response rate was 97.4%. The results showed that 9.1% of the sample population had 10% or higher Framingham 10-year office-based CVD risk score, with a mean of 4.5. The risk varied by region, armed force, crowding index, waist-hip ratio, total cholesterol, and triglycerides. Multivariate analysis identified crowding index, physical inactivity, and military rank as independent predictors, apart from Framingham predictors.
The prevalence of CVD risk factors is high among militaries in the Kingdom of Saudi Arabia, with an associated high 10-year CVD Framingham risk. The military health services must implement intervention programs to reduce these risks, with follow-up of the participants with identified CVD risk.
测量沙特阿拉伯王国军队中心血管疾病（CVD）的风险因素，并评估其弗明汉心血管疾病风险。
一项全国性调查纳入了10500名现役军人，通过多阶段分层随机抽样选取，代表5个地区陆军部队的不同军衔。该研究在设计数据收集工具时采用了世界卫生组织慢性病风险因素监测逐步方法（STEPS）。数据包括人口统计学和健康行为信息、体格检查以及人体测量、随机血糖、血清胆固醇和甘油三酯测量。
应答率为97.4%。结果显示，9.1%的样本人群弗明汉10年基于办公室的心血管疾病风险评分达到或高于10%，平均分为4.5。风险因地区、武装部队、拥挤指数、腰臀比、总胆固醇和甘油三酯而异。多变量分析确定，除弗明汉预测因素外，拥挤指数、身体活动不足和军衔为独立预测因素。
沙特阿拉伯王国军队中心血管疾病风险因素的患病率较高，10年弗明汉心血管疾病风险也相应较高。军队卫生服务部门必须实施干预计划以降低这些风险，并对已确定有心血管疾病风险的参与者进行随访。
