scholarly journals The role of three lifestyle risk factors in reducing educational differences in ischaemic heart disease mortality in Europe

2016 ◽  
Vol 27 (2) ◽  
pp. 203-210 ◽  
Author(s):  
Ivana Kulhánová ◽  
Gwenn Menvielle ◽  
Rasmus Hoffmann ◽  
Terje A Eikemo ◽  
Margarete C Kulik ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Heart Disease ◽  
Ischaemic Heart Disease ◽  
Physical Inactivity ◽  
Important Risk Factor ◽  
Educational Inequalities ◽  
Educational Differences ◽  
Lower Socioeconomic ◽  
European Populations

Abstract Background: Ischaemic heart disease (IHD) is one of the leading causes of death worldwide with a higher risk of dying among people with a lower socioeconomic status. We investigated the potential for reducing educational differences in IHD mortality in 21 European populations based on two counterfactual scenarios—the upward levelling scenario and the more realistic best practice country scenario. Methods: We used a method based on the population attributable fraction to estimate the impact of a modified educational distribution of smoking, overweight/obesity, and physical inactivity on educational inequalities in IHD mortality among people aged 30–79. Risk factor prevalence was collected around the year 2000 and mortality data covered the early 2000s. Results: The potential reduction of educational inequalities in IHD mortality differed by country, sex, risk factor and scenario. Smoking was the most important risk factor among men in Nordic and eastern European populations, whereas overweight and obesity was the most important risk factor among women in the South of Europe. The effect of physical inactivity on the reduction of inequalities in IHD mortality was smaller compared with smoking and overweight/obesity. Although the reduction in inequalities in IHD mortality may seem modest, substantial reduction in IHD mortality among the least educated can be achieved under the scenarios investigated. Conclusion: Population wide strategies to reduce the prevalence of risk factors such as smoking, and overweight/obesity targeted at the lower socioeconomic groups are likely to substantially contribute to the reduction of IHD mortality and inequalities in IHD mortality in Europe.

Abstract P210: People With Both Heart Disease and Arthritis are Twice as Likely to Have Multiple Heart Disease Risk Factors Than People With Heart Disease Alone

2011 ◽  
Vol 4 (suppl_1) ◽  
Author(s):  
Louise Murphy ◽  
Julie Bolen ◽  
Kurt Greenlund ◽  
Nora Keenan
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Heart Disease ◽  
Physical Inactivity ◽  
Disease Risk ◽  
Behavioral Risk ◽  
Biological Risk ◽  
Biological Risk Factor ◽  
Heart Disease Risk Factors ◽  
Heart Disease Risk

Purpose: Arthritis and heart disease (HD) are common co-occurring conditions which may have implications for preventive efforts. Among people with heart disease (HD), we examined the association between HD risk factors and the presence of arthritis. Methods: The study sample comprised adults aged ≥18 years with HD (n=5,493) in the 2007 and 2008 National Health Interview Survey, a nationally representative survey of civilian, non-institionalized persons in the United States. We estimated the association between cardiovascular/heart disease risk factors among people with HD by arthritis status using multivariable adjusted odds ratios (OR) and 95% confidence intervals (CI); odds ratios were adjusted for age, sex, education and race/ethnicity. HD risk factors were analyzed individually and categorized: 1) biological risk factors (hypertension, high cholesterol and diabetes), 2) behavioral risk factors (current smoking, obesity, physical inactivity) and 3) multiple risk factors (≥2 of biological and behavioral combined). Results: People with HD and arthritis were more than twice as likely to have ≥ 1 biological risk factor (OR=2.5; 95% CI=2.1-2.8) than those with HD alone. Hypertension was the most common biological risk factor for both groups and respondents with both conditions were two times as likely to report hypertension (OR=2.2; 95% CI=2.0-2.6) than HD alone. The OR for the association between arthritis status and the presence of ≥1 behavioral risk factor was OR=1.3 (95%CI = 1.1- 1.5). The most common behavioral risk factor was physical inactivity, which was 40% higher among people with both HD and arthritis compared with those with HD alone (OR=1.4; 95% CI=1.2-1.6). Last, people with HD and arthritis were twice as likely to report ≥2 risk factors than those with HD only (OR=2.1; 95% CI=1.8 - 2.4). Conclusion: Multiple HD risk factors, especially biological, are common among people with HD and arthritis. Biological risk factors such as hypertension are modifiable and can be prevented and managed through interventions such as physical activity. We found that people with both HD and arthritis were more likely to be physically inactive suggesting that the pain and physical limitations associated with arthritis may be a barrier to physical activity.

scholarly journals Quantification of positive family history as a risk factor for ischaemic heart disease

2020 ◽  
Author(s):  
Basit Iqbal
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Heart Disease ◽  
Family History ◽  
Myocardial Ischemia ◽  
Ischaemic Heart Disease ◽  
South Asian ◽  
Genetic Basis ◽  
Asian Population ◽  
South Asian Population

ABSTRACTObjectiveThere is very little research regarding quantification of family history as a risk factor for ischaemic heart disease. This is especially so in the South Asian population, which tends to suffer from ischaemic heart disease at a much younger age, even after environmental and dietary factors are accounted for. This indicates a likely genetic basis. The aim of this study was to quantify family history as a risk factor.MethodsIt is a retrospective, cross-sectional study. Patients with family history and hypertension as the only cardiac risk factors were recruited in the study along with control subjects. Myocardial perfusion scintigraphy was used for the detection of myocardial ischemia.Results114 patients had hypertension and family history as the only risk factors. 64 of these patients had myocardial ischemia. 102 control patients were also recruited, of whom only 26 suffered from myocardial ischemia. The odds-ratio was thus calculated to be 3.69 (95% CI: 1.54-9.28, p=0.001).ConclusionsThese findings suggest a strong genetic basis for ischemic heart disease in the South Asian population. This needs to be taken into consideration when such patients present with non-specific cardiac symptoms.

Raised Plasma Homocysteine: An Emerging Risk Factor for Ischaemic Heart Disease

1970 ◽  
Vol 19 (2) ◽  
pp. 87-93
Author(s):  
MS Kabir ◽  
AAS Majumder ◽  
AW Chowdhury ◽  
SA Haque ◽  
AQM Reza ◽  
...  
Keyword(s):  
Risk Factor ◽  
Heart Disease ◽  
Ischaemic Heart Disease ◽  
Plasminogen Activator ◽  
Research Work ◽  
Vascular Diseases ◽  
Plasminogen Activator Inhibitor ◽  
Plasma Homocysteine ◽  
Type I ◽  
Activator Inhibitor Type

Only one half to two thirds of atherosclerotic vascular diseases can be explained by classical risk factors like smoking, diabetes mellitus, hypertension, dyslipidaemia, family history of premature atherosclerotic vascular diseases, physical inactivity, obesity etc. Some other variables appear to contribute to the development of atherosclerotic vascular diseases which include estrogen deficiency, lipoprotein (a), plasma fibrinogen, plasminogen-activator inhibitor type I, endogenous tissue plasminogen activator (tPA), C-reactive protein and homocysteine. Over the last several years, investigators undertook extensive research work, in home and abroad, to determine the contribution of plasma homocysteine in the pathogenesis of atherosclerotic vascular diseases. So far the research work indicates, raised plasma homocysteine appears to be a potential risk factor for ischaemic heart disease.   doi: 10.3329/taj.v19i2.3158 TAJ 2006; 19(2): 87-93

scholarly journals Analysis of Sociodemographic and Clinical Factors Associated with Hospitalized Stroke Patients of Bangladesh

1970 ◽  
Vol 6 (1) ◽  
pp. 19-23 ◽  
Author(s):  
AM Hossain ◽  
NU Ahmed ◽  
M Rahman ◽  
MR Islam ◽  
G Sadhya ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Ischaemic Heart Disease ◽  
Low Income ◽  
Heart Diseases ◽  
Previous History ◽  
Stroke Patients ◽  
College Hospital ◽  
Cross Sectional ◽  
History Of

A hospital based cross sectional study was carried out to analyze prevalence of risk factors for stroke in hospitalized patient in a medical college hospital. 100 patients were chosen using purposive sampling technique. Highest incidence of stroke was between the 6th and 7th decade. Patients came from both urban (54%) and rural (46%) areas and most of them belong to the low-income group (47%). In occupational category; service holder (28%) and retired person (21%) were the highest groups. Most of the study subjects were literate (63%). CT scan study revealed that the incidence of ischaemic stroke was 61% and haemorrhagic stroke 39%. Analysis indicated hypertension as major risk factor for stroke (63%) and major portion of the patients (42.85%) were on irregular or no treatment. Twenty four percent of the patients had heart diseases and out of 24 patients 45.83% were suffering from ischaemic heart disease. The present study detected diabetes in 21% patients. Fifty three percent of the study subjects were smoker, 39% patients had habit of betelnut chewing. Out of 26 female patients, only 23% had history of using oral contraceptives. Majority of the patients were sedentary workers (46%). Thirty seven percent of the stroke patients were obese. Among the stroke patients 9% had previous history of stroke and 3% had TIA respectively. Most of the patients (21%) were awake while they suffered from stroke and the time of occurrence was mostly in the afternoon (46%). This study found that hypertension, cigarette smoking, ischaemic heart disease and diabetes mellitus are the major risk factors prevalent in our community while other risk factors demand further study. Key words: stroke; risk factors; hospitalized patients; Bangladesh. DOI: 10.3329/fmcj.v6i1.7405 Faridpur Med. Coll. J. 2011;6(1): 19-23

Relationships Between the Menopause and Risk Factors for Ischaemic Heart Disease

1985 ◽  
Vol 64 (s130) ◽  
pp. 43-47 ◽  
Author(s):  
Olof Lindquist ◽  
Calle Bengtsson ◽  
Leif Lapidus
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Ischaemic Heart Disease
Sign in / Sign up

Export Citation Format

Share Document