Gielerak Grzegorz, Krzesiński Paweł, Piotrowicz Katarzyna, Murawski Piotr, Skrobowski Andrzej, Stańczyk Adam, Galas Agata, Uziębło-Życzkowska Beata, Kaźmierczak-Dziuk Anna, Maksimczuk Joanna, Miernik-Podleśko Sylwia, Grzęda Monika, Sopolińska Emilia, Kiliszek Marek, Wojda Lidia
Department of Cardiology and Internal Medicine, Military Institute of Medicine, Warsaw, Poland.
Cardiol Res Pract. 2020 May 18;2020:3973526. doi: 10.1155/2020/3973526. eCollection 2020.
The MIL-SCORE (Equalization of Accessibility to Cardiology Prophylaxis and Care for Professional Soldiers) program was designed to assess the prevalence and management of cardiovascular risk factors in a population of Polish soldiers. We aimed to describe the prevalence of cardiovascular risk factors in the MIL-SCORE population with respect to age. This observational cross-sectional study enrolled 6440 soldiers (97% male) who underwent a medical history, physical examination, and laboratory tests to assess cardiovascular risk. Almost half of the recruited soldiers were past or current smokers (46%). A sedentary lifestyle was reported in almost one-third of those over 40 years of age. The prevalence of hypertension in a subgroup over 50 years of age was almost 45%. However, the percentage of unsatisfactory blood pressure control was higher among soldiers below 40 years of age. The prevalence of overweight and obese soldiers increased with age and reached 58% and 27%, respectively, in those over 50 years of age. Total cholesterol was increased in over one-half of subjects, and the prevalence of abnormal low-density lipoprotein cholesterol was even higher (60%). Triglycerides were increased in 36% of soldiers, and low high-density lipoprotein cholesterol and hyperglycemia were reported in 13% and 16% of soldiers, respectively. In the >50 years of age subgroup, high and very high cardiovascular risk scores were observed in almost one-third of soldiers. The relative risk assessed in younger subgroups was moderate or high. The results from the MIL-SCORE program suggest that Polish soldiers have multiple cardiovascular risk factors and mirror trends seen in the general population. Preventive programs aimed at early cardiovascular risk assessment and modification are strongly needed in this population.
MIL-SCORE（职业军人心脏病预防与护理可及性均等化）项目旨在评估波兰军人人群中心血管危险因素的患病率及管理情况。我们旨在描述MIL-SCORE人群中心血管危险因素的患病率与年龄的关系。这项观察性横断面研究纳入了6440名军人（97%为男性），他们接受了病史采集、体格检查及实验室检测以评估心血管风险。近一半的招募军人过去或现在吸烟（46%）。近三分之一40岁以上的军人报告有久坐不动的生活方式。50岁以上亚组中高血压患病率近45%。然而，40岁以下军人中血压控制不佳的比例更高。超重和肥胖军人患病率随年龄增加，50岁以上人群中分别达到58%和27%。超过一半的受试者总胆固醇升高，异常低密度脂蛋白胆固醇的患病率甚至更高（60%）。36%的军人甘油三酯升高，分别有13%和16%的军人报告有低高密度脂蛋白胆固醇血症和高血糖。在50岁以上亚组中，近三分之一的军人有高或非常高的心血管风险评分。在较年轻亚组中评估的相对风险为中度或高度。MIL-SCORE项目的结果表明，波兰军人有多种心血管危险因素，反映了一般人群中所见的趋势。该人群强烈需要旨在早期心血管风险评估和干预的预防项目。
