Saber Fatemeh, Ezadbakhsh Nasrin, Tarrahi Mohammad J
Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences Isfahan, Iran.
Student Research Committee, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2024 Jul 29;13:265. doi: 10.4103/jehp.jehp_584_23. eCollection 2024.
Cardiovascular diseases are among the leading causes of death worldwide. Lack of accurate estimation of the risk factors associated with these diseases can impair the designing of effective interventions in this field; the present study aimed to investigate the risk factors attributable to cardiovascular diseases in males and females visiting comprehensive health service centers in 2018.
This cross-sectional study is part of the national health transformation plan shaped in response to the emerging epidemic of noncommunicable diseases. In the present study, 6,331 participants aged 30 years and older were randomly and census selected from comprehensive urban and rural health service centers in Naein County, in Isfahan, Iran, respectively. The data were collected using the electronic health record from the IraPEN program in two sections: demographic information and the prevalence of cardiovascular disease risk factors. They were then analyzed with Statistical Package for the Social Sciences (SPSS) 24 software using descriptive statistics, Chi-square test, one-way ANOVA, and logistic regression.
The participants' mean age was 55.09 ± 16.11 years. The main risk factor was insufficient consumption of fruits and vegetables while smoking was a negligible risk factor. Low physical activity, diabetes, hypertension, hypercholesterolemia, and high body mass index were more prevalent in females than in males, whereas smoking was more frequently reported in males ( < 0.001). Risk factors such as age, gender, education level, place of residence, and marital status, played a significant role in determining CVD risk factors.
More than half of Iranian adults had one or older cardiovascular disease-related risk factors, and the prevalence of such factors was higher in females than in males. Given the importance of gender differences in cardiovascular disease-related health habits, it is necessary to reduce the majority of these diseases in society, especially in women, by controlling modifiable risk factors.
心血管疾病是全球主要死因之一。缺乏对与这些疾病相关风险因素的准确评估会影响该领域有效干预措施的设计;本研究旨在调查2018年前往综合健康服务中心的男性和女性中,心血管疾病的风险因素。
这项横断面研究是国家健康转型计划的一部分,该计划是针对新出现的非传染性疾病疫情而制定的。在本研究中,分别从伊朗伊斯法罕省纳因县的城乡综合健康服务中心随机抽取并普查了6331名30岁及以上的参与者。数据通过IraPEN项目的电子健康记录分两部分收集:人口统计学信息和心血管疾病风险因素的患病率。然后使用社会科学统计软件包(SPSS)24软件进行描述性统计、卡方检验、单因素方差分析和逻辑回归分析。
参与者的平均年龄为55.09±16.11岁。主要风险因素是水果和蔬菜摄入不足,而吸烟是可忽略不计的风险因素。女性中低体力活动、糖尿病、高血压、高胆固醇血症和高体重指数比男性更普遍,而男性吸烟的报告频率更高(<0.001)。年龄、性别、教育水平、居住地点和婚姻状况等风险因素在确定心血管疾病风险因素方面发挥了重要作用。
超过一半的伊朗成年人有一个或多个与心血管疾病相关的风险因素,且这些因素在女性中的患病率高于男性。鉴于心血管疾病相关健康习惯中性别差异的重要性,有必要通过控制可改变的风险因素来减少社会中这些疾病的大多数,尤其是在女性中。