Dumitrescu Andreea, Vitcu Gabriela Mut, Stoica Svetlana, Susa Septimiu Radu, Stoicescu Emil Robert
Neoclinic Concept SRL, Calea Dorobantilor 3, 300134 Timisoara, Romania.
Department of Kinetotherapy, Faculty of Physical Education and Sport, West Univestity of Timisoara, 300223 Timisoara, Romania.
Biomedicines. 2024 Sep 2;12(9):1989. doi: 10.3390/biomedicines12091989.
: Cardiovascular disease (CVD) remains a major public health issue worldwide, disproportionately affecting socioeconomically disadvantaged populations due to the social determinants of health (SDOHs). In Western Romania, these populations are particularly vulnerable to CVD. This study aims to investigate the prevalence and impact of cardiovascular risk factors (CVRFs) among socioeconomically disadvantaged individuals in Western Romania and identify the primary CVRFs contributing to the high incidence of CVD within this population. : A retrospective observational design was employed, utilizing data from the medical records of 1433 eligible individuals. The inclusion criteria were based on Eurostat's EU-SILC benchmarks, focusing on severe material deprivation, at-risk-of-poverty rates, and low work intensity. Data on demographics, familial and personal medical history, smoking status, blood pressure, glucose, cholesterol, triglycerides, and HbA1c levels were collected. : Of the 1433 subjects, 34.75% were male, with a median age of 52 years. Significant conditions included diabetes (7.39%), coronary disease (3.83%), arterial hypertension (35.58%), and dyslipidemia (21.28%). Median ages were higher for those with diabetes (65 vs. 51 years, < 0.0001), coronary disease (64 vs. 51 years, < 0.0001), arterial hypertension (65 vs. 43 years, < 0.0001), and dyslipidemia (66 vs. 47 years, < 0.0001). BMI (Body Mass Index) classifications showed 33.77% were overweight, 21.21% obese, and 15.07% morbidly obese. Smokers were younger than non-smokers (48 vs. 54 years, < 0.0001). : The findings highlight the significant prevalence of CVRFs among socioeconomically disadvantaged populations in Western Romania. Socioeconomically disadvantaged populations exhibit a significantly higher prevalence of cardiovascular risk factors such as diabetes, impaired glucose regulation, hypertension, and dyslipidemia compared to their before known status.
心血管疾病（CVD）仍是全球主要的公共卫生问题，由于健康的社会决定因素（SDOHs），对社会经济弱势群体的影响尤为严重。在罗马尼亚西部，这些人群尤其容易患心血管疾病。本研究旨在调查罗马尼亚西部社会经济弱势群体中心血管危险因素（CVRFs）的患病率及其影响，并确定导致该人群心血管疾病高发的主要CVRFs。
采用回顾性观察设计，利用1433名符合条件个体的病历数据。纳入标准基于欧盟统计局的欧盟收入和生活条件统计（EU-SILC）基准，重点关注严重物质匮乏、贫困风险率和低工作强度。收集了人口统计学、家族和个人病史、吸烟状况、血压、血糖、胆固醇、甘油三酯和糖化血红蛋白（HbA1c）水平的数据。
在1433名受试者中，34.75%为男性，中位年龄为52岁。主要疾病包括糖尿病（7.39%）、冠心病（3.83%）、动脉高血压（35.58%）和血脂异常（21.28%）。糖尿病患者（65岁对51岁，P<0.0001）、冠心病患者（64岁对51岁，P<0.0001）、动脉高血压患者（65岁对43岁，P<0.0001）和血脂异常患者（66岁对47岁，P<0.0001）的中位年龄较高。体重指数（BMI）分类显示，33.77%超重，21.21%肥胖，15.07%病态肥胖。吸烟者比非吸烟者年轻（48岁对54岁，P<0.0001）。
研究结果突出了罗马尼亚西部社会经济弱势群体中CVRFs的显著患病率。与之前已知情况相比，社会经济弱势群体中糖尿病、血糖调节受损、高血压和血脂异常等心血管危险因素的患病率显著更高。
