Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.
Institute for Expertise, Professional Rehabilitation and Employment of Persons with Disabilities, Osijek, Croatia.
Cent Eur J Public Health. 2024 Mar;32(1):16-24. doi: 10.21101/cejph.a7709.
Cardiovascular diseases are the leading global cause of death. Due to the disparities in cardiovascular risk factors between rural and urban populations, this study aims to assess the differences in the prevalence of risk factors in urban and rural areas of eastern Croatia.
The cross-sectional study included 280 participants (140 from urban and 140 from rural areas) registered at studied general practice offices. Methods included e-health records, questionnaire, physical examination methods, and blood sampling for laboratory tests.
The most common risk factors among participants were elevated total cholesterol (83.6%), elevated LDL cholesterol (81.8%), increased body mass index (75.0%), increased waist-hip ratio (82.9%), increased waist circumference (63.2%), and arterial hypertension (70.1%). The rural participants had a significantly higher prevalence of arterial hypertension (p = 0.023), increased body mass index (p = 0.004), increased waist circumference (p = 0.004), increased waist-hip ratio (p < 0.001), and increased LDL cholesterol (p = 0.029), while the urban participants had a significantly higher prevalence of insufficient physical activity (p < 0.001).
In the examined sample, the prevalence of cardiovascular risk factors is generally high. Participants from rural areas are significantly more susceptible to cardiovascular risk factors than participants from urban areas.
心血管疾病是全球首要死因。由于城乡人群心血管危险因素存在差异,本研究旨在评估克罗地亚东部城乡地区危险因素的流行情况。
这是一项横断面研究,共纳入 280 名参与者(城市 140 名,农村 140 名),均登记在研究的全科诊所。方法包括电子健康记录、问卷调查、体格检查和血液采样进行实验室检查。
参与者中最常见的危险因素包括总胆固醇升高(83.6%)、低密度脂蛋白胆固醇升高(81.8%)、体重指数增加(75.0%)、腰臀比增加(82.9%)、腰围增加(63.2%)和高血压(70.1%)。农村参与者的高血压患病率显著更高(p = 0.023)、体重指数增加(p = 0.004)、腰围增加(p = 0.004)、腰臀比增加(p < 0.001)和低密度脂蛋白胆固醇增加(p = 0.029),而城市参与者的体力活动不足患病率显著更高(p < 0.001)。
在所检查的样本中,心血管危险因素的流行率普遍较高。与城市参与者相比,农村参与者更容易受到心血管危险因素的影响。