Family and Community Medicine Department, College of Medicine, Taibah University, Medina, Saudi Arabia.
Medical Laboratories Technology Department, College of Applied Medical Sciences, Taibah University, Medina, Saudi Arabia.
Front Public Health. 2021 Oct 4;9:658243. doi: 10.3389/fpubh.2021.658243. eCollection 2021.
Cardiovascular diseases (CVD) are the most common cause of death and disability worldwide. Saudi Arabia, one of the middle-income countries has a proportional CVD mortality rate of 37%. Knowledge about CVD and its modifiable risk factors is a vital pre-requisite to change the health attitudes, behaviors, and lifestyle practices of individuals. Therefore, we intended to assess the employee knowledge about risk of CVD, symptoms of heart attacks, and stroke, and to calculate their future 10-years CVD risk. An epidemiological, cross-sectional, community-facility based study was conducted. The women aged ≥40 years who are employees of Taibah University, Al-Madinah Al-Munawarah were recruited. A screening self-administrative questionnaire was distributed to the women to exclude those who are not eligible. In total, 222 women met the inclusion criteria and were invited for the next step for the determination of CVD risk factors by using WHO STEPS questionnaire: It is used for the surveillance of non-communicable disease risk factor, such as CVD. In addition, the anthropometric measurements and biochemical measurements were done. Based on the identified atherosclerotic cardiovascular disease (ASCVD) risk factors and laboratory testing results, risk calculated used the Framingham Study Cardiovascular Disease (10-year) Risk Assessment. Data were analyzed using GraphPad Prism 7 software (GraphPad Software, CA, USA). The result showed the mean age of study sample was 55.6 ± 9.0 years. There was elevated percentage of obesity and rise in abdominal circumference among the women. Hypertension (HTN) was a considerable chronic disease among the participants where more than half of the sample had it, i.e., 53%. According to the ASCVD risk estimator, the study participants were distributed into four groups: 63.1% at low risk, 20.2% at borderline risk, 13.5% at intermediate risk, and 3.2% at high risk. A comparison between these categories based on the CVD 10-year risk estimator indicated that there were significant variations between the low-risk group and the intermediate and high-risk groups ( = 0.02 and = 0.001, respectively). The multivariate analysis detected factors related to CVD risk for women who have an intermediate or high risk of CVD, such as age, smoking, body mass index (BMI), unhealthy diet, blood pressure (BP) measurements, and family history of CVD ( < 0.05). The present study reports limited knowledge and awareness of CVD was 8.6 that is considered as low knowledge. In conclusion, the present study among the university sample in Madinah reported limited knowledge and awareness of CVD risk. These findings support the need for an educational program to enhance the awareness of risk factors and prevention of CVD.
心血管疾病(CVD)是全球范围内最常见的死亡和残疾原因。沙特阿拉伯是一个中等收入国家,其 CVD 死亡率的比例为 37%。了解 CVD 及其可改变的危险因素是改变个人健康态度、行为和生活方式实践的重要前提。因此,我们旨在评估员工对 CVD 风险、心脏病发作和中风症状的了解程度,并计算他们未来 10 年的 CVD 风险。进行了一项流行病学、横断面、以社区为基础的研究。招募了年龄≥40 岁的泰巴大学(Al-Madinah Al-Munawarah)的女员工。向女性分发了一份筛查自我管理问卷,以排除不符合条件的人。共有 222 名女性符合纳入标准,并邀请她们使用世界卫生组织 STEPS 问卷确定 CVD 危险因素:该问卷用于监测 CVD 等非传染性疾病危险因素。此外,还进行了人体测量和生化测量。根据确定的动脉粥样硬化性心血管疾病(ASCVD)危险因素和实验室检测结果,使用弗雷明汉研究心血管疾病(10 年)风险评估来计算风险。使用 GraphPad Prism 7 软件(GraphPad Software,CA,USA)分析数据。结果显示,研究样本的平均年龄为 55.6±9.0 岁。女性中肥胖和腰围增加的比例较高。高血压(HTN)是参与者中相当常见的慢性病,超过一半的样本有高血压,即 53%。根据 ASCVD 风险估算器,研究参与者分为四组:63.1%低风险,20.2%边界风险,13.5%中风险,3.2%高风险。根据 CVD 10 年风险估算器对这些类别进行比较表明,低风险组与中风险和高风险组之间存在显著差异(=0.02 和=0.001)。多变量分析检测到与女性 CVD 风险相关的因素,如年龄、吸烟、体重指数(BMI)、不健康饮食、血压(BP)测量值和 CVD 家族史(<0.05)。本研究报告称,CVD 知识和意识有限,为 8.6,被认为是低知识。总之,本研究在麦地那的大学样本中报告称,对 CVD 风险的知识和意识有限。这些发现支持需要开展教育计划,以提高对危险因素的认识和预防 CVD。