scholarly journals Dog ownership and cardiovascular risk factors: a nationwide prospective register-based cohort study

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e023447
Author(s):  
Mwenya Mubanga ◽  
Liisa Byberg ◽  
Agneta Egenvall ◽  
Johan Sundström ◽  
Patrik Karl Erik Magnusson ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Cohort Study ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Employment Status ◽  
Lipid Lowering ◽  
Cross Sectional ◽  
Dog Ownership ◽  
Dog Owners

ObjectiveTo study the association between dog ownership and cardiovascular risk factors.DesignA nationwide register–based cohort study and a cross-sectional study in a subset.SettingA cohort of 2 026 865 participants was identified from the Register of the Total Population and linked to national registers for information on dog ownership, prescribed medication, hospital admissions, education level, income and country of birth. Participants were followed from 1 October, 2006, to the end of the study on 31 December, 2012, assessing medication for a cardiovascular risk factor, emigration and death. Cross-sectional associations were further assessed in 10 110 individuals from the TwinGene study with additional adjustment for professional level, employment status, Charlson comorbidity index, disability and tobacco use.ParticipantsAll Swedish residents aged 45–80 years on 1 October, 2006.Main outcome measuresInitiation of medication for hypertension, dyslipidaemia and diabetes mellitus.ResultsAfter adjustment for confounders, the results indicated slightly higher likelihood of initiating antihypertensive (HR, 1.02; 95% CI, 1.01 to 1.03) and lipid-lowering treatment (HR, 1.02; 95% CI, 1.01 to 1.04) in dog owners than in non-owners, particularly among those aged 45–60 years and in those owning mixed breed or companion/toy breed dogs. No association of dog ownership with initiation of treatment for diabetes was found in the overall analysis (HR, 0.98; 95% CI, 0.95 to 1.01). Sensitivity analyses in the TwinGene cohort indicated confounding of the association between dog ownership and prevalent treatment for hypertension, dyslipidaemia and diabetes mellitus, respectively, from factors not available in the national cohort, such as employment status and non cardiovascularchronic disease status.ConclusionsIn this large cohort study, dog ownership was associated with a minimally higher risk of initiation of treatment for hypertension and dyslipidaemia implying that the previously reported lower risk of cardiovascular mortality among dog owners in this cohort is not explained by reduced hypertension and dyslipidaemia. These observations may suffer from residual confounding despite access to multiple important covariates, and future studies may add valuable information.

Cardiovascular risk stratification in primary care patients with arterial hypertension: Results from the Swiss Hypertension Cohort Study (HccH)

2019 ◽  
Vol 26 (17) ◽  
pp. 1843-1851 ◽  
Author(s):  
Anja Handschin ◽  
Stefanie Brighenti-Zogg ◽  
Jonas Mundwiler ◽  
Stéphanie Giezendanner ◽  
Claudia Gregoriano ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Primary Care ◽  
Cohort Study ◽  
Cardiovascular Risk ◽  
Risk Stratification ◽  
Arterial Hypertension ◽  
Cardiovascular Risk Factors ◽  
Organ Damage ◽  
Primary Care Patients

Aims Few data are available on cardiovascular risk stratification in primary care patients treated for arterial hypertension. This study aimed at evaluating the cardiovascular risk profile of hypertensive patients included into the Swiss Hypertension Cohort Study according to the 2013 European Society of Hypertension/European Society of Cardiology Guidelines. Methods The Swiss Hypertension Cohort Study is a prospective, observational study conducted by the Centre for Primary Health Care of the University of Basel from 2006 to 2013. Patients with a diagnosis of arterial hypertension (office blood pressure measurement ≥140/90 mmHg) were enrolled. Office blood pressure measurement, cardiovascular risk factors, subclinical organ damage, diabetes mellitus, and established cardiovascular and renal disease were recorded at baseline and at an annual interval during routine consultations by general practitioners in Switzerland. Results In total, 1003 patients were eligible for analysis (55.6% male, mean age: 64.0 ± 13.2 years). At baseline, 78.5% of patients presented with either more than three additional cardiovascular risk factors, diabetes mellitus or subclinical organ damage, while 44.4% of patients had a high or very high overall cardiovascular risk. Cardiovascular risk factors and information about diabetes mellitus, established cardiovascular disease and renal disease were recorded mostly completely, whereas substantial gaps were revealed regarding the assessment of subclinical organ damage. Conclusion The present findings demonstrate that the majority of primary care patients with arterial hypertension bear a substantial number of additional cardiovascular risk factors, subclinical and/or established organ damage. This emphasizes the need for continuous cardiovascular risk stratification and adequate treatment of arterial hypertension in Switzerland.

scholarly journals Optimal BMI cut-off values for predicting diabetes, hypertension and hypercholesterolaemia in a multi-ethnic population

2012 ◽  
Vol 16 (3) ◽  
pp. 453-459 ◽  
Author(s):  
Kee Chee Cheong ◽  
Ahmad F Yusoff ◽  
Sumarni M Ghazali ◽  
Kuang H Lim ◽  
Sharmini Selvarajah ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Population Based ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Receiver Operating Characteristic Curves ◽  
Gender Specific

AbstractObjectiveTo determine the optimal cut-offs of BMI for Malaysian adults.DesignPopulation-based, cross-sectional study. Receiver operating characteristic curves were used to determine the cut-off values of BMI with optimum sensitivity and specificity for the detection of three cardiovascular risk factors: diabetes mellitus, hypertension and hypercholesterolaemia. Gender-specific logistic regression analyses were used to examine the association between BMI and these cardiovascular risk factors.SettingAll fourteen states in Malaysia.SubjectsMalaysian adults aged ≥18 years (n 32 703) who participated in the Third National Health and Morbidity Survey in 2006.ResultsThe optimal BMI cut-off value for predicting the presence of diabetes mellitus, hypertension, hypercholesterolaemia or at least one of these cardiovascular risk factors varied from 23·3 to 24·1 kg/m2 for men and from 24·0 to 25·4 kg/m2 for women. In men and women, the odds ratio for having diabetes mellitus, hypertension, hypercholesterolaemia or at least one cardiovascular risk factor increased significantly as BMI cut-off point increased.ConclusionsOur findings indicate that BMI cut-offs of 23·0 kg/m2 in men and 24·0 kg/m2 in women are appropriate for classification of overweight. We suggest that these cut-offs can be used by health professionals to identify individuals for cardiovascular risk screening and weight management programmes.

Prevalence of cardiovascular risk factors among 28,000 employees

VASA ◽  
2017 ◽  
Vol 46 (3) ◽  
pp. 203-210 ◽  
Author(s):  
Martin Scheerbaum ◽  
Constantin Langenbach ◽  
Petra Scheerbaum ◽  
Franziska Heidemann ◽  
Henrik C. Rieß ◽  
...  
Keyword(s):  
Risk Factors ◽  
Regression Analysis ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Vascular Diseases ◽  
Lipid Lowering ◽  
Anthropometric Measures ◽  
Cross Sectional ◽  
Screening Programs ◽  
The Mean

Abstract. Background: Cardiovascular diseases are the leading cause of death in Germany. The knowledge of causal risk factors and their distribution is of utmost importance to design screening programs. Probands and methods: In this cross-sectional study design we used STROBE criteria to achieve the highest comparability possible. Anthropometric measures (height and weight), total cholesterol, glucose level, and blood pressure were measured. Probands’ history was collected by using a standardized questionnaire. The data was age- and gender-adjusted for the working population 16 to 70 years of age, derived from the micro census, the 1 %-sample census of the German statistical office. For each study year weight factors were calculated. Logistic regression analysis was conducted regarding the cardiovascular risk factors: smoking, arterial hypertension, diabetes, hypercholesterolemia, and obesity. Results: Between 2006 and 2015 a total of 28,293 employees took part in the ongoing company screenings. The mean age was 42.3 years for both sexes (median: 43 years). The mean body mass index (BMI) was 25.6 kg/m2 (men: 26.5 kg/m2, women: 24.7 kg/m2). A history of hypertension was present in 16 % of the employees (men: 17.8 %, women: 13.8 %). Of the respondents 2 % suffered from diabetes (men: 2.4 %, women: 1.6 %). Lipid-lowering drugs were taken by 2.8 % of all employees (3.6 % men and 1.9 % women). 23.3 % of the men and women indicated to be active smokers. In the regression analysis obesity was associated with a four times higher risk of hypertension and a three times higher risk of elevated glucose levels, thus manifesting as main contributor for vascular diseases. Meanwhile the risk for obesity was 140 % higher in probands who are former smokers. Conclusions: We regard obesity as the number one cardiovascular risk which should be assessed by various medical, legislative, and socio-economic actions to limit future mortality and health-care costs in Germany.

PO497 Dog Ownership And Cardiovascular Risk Factors: A Nationwide Register-Based Cohort Study

Global Heart ◽  
2018 ◽  
Vol 13 (4) ◽  
pp. 483
Author(s):  
M. Mubanga ◽  
L. Byberg ◽  
A. Egenvall ◽  
J. Sundström ◽  
P.K. Magnusson ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Dog Ownership

scholarly journals Age-Dependent Disparities in the Prevalence of Single and Clustering Cardiovascular Risk Factors: A Cross-Sectional Cohort Study in Middle-Aged and Older Adults

2020 ◽  
Vol Volume 15 ◽  
pp. 161-169 ◽  
Author(s):  
Pawel Macek ◽  
Marek Zak ◽  
Malgorzata Terek-Derszniak ◽  
Malgorzata Biskup ◽  
Przemyslaw Ciepiela ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Cohort Study ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Middle Aged ◽  
Cross Sectional ◽  
Age Dependent

scholarly journals LIPID ABNORMALITY IN HYPERTENSIVE SUDANESE PATIENTS IN SHENDI LOCALITY, SUDAN

2015 ◽  
Vol 3 (6) ◽  
pp. 1-6
Author(s):  
Eltigani ◽  
Barri ◽  
Khalid Hussein Bakheit ◽  
Haghamad Allzain ◽  
Hijazi Mohamed Ahmed ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Strong Predictor ◽  
Cross Sectional Study ◽  
Low Density Lipoproteins ◽  
Sectional Study ◽  
Cross Sectional ◽  
Age Limits

Hypertension is commonly associated with other cardiovascular risk factors, such as obesity, diabetes, and dyslipidaemia. The presence of these cardiovascular risk factors and the resulting endothelial dysfunction may play a role in the pathophysiology of hypertension. Dyslipidaemia, a strong predictor of cardiovascular disease.  This cross-sectional study was conducted at Shendi locality from February 2011 to July 2012. The patients underwent a clinical assessment, which included history (a questionnaire) and clinical examination. 100 hypertensive patients. The age limits was 40 to 60 years. There was sharp and definite increase in the percentage of patients having >200mg/dl total cholesterol after four years of diabetes mellitus from (28-34%) to (41%). There was a sharp increase in the percentage of patients having >150mg/dl of low density lipoproteins after 6 years of diabetes mellitus from(8-9%)  to (14.2%). There was also an increase in the percentage of patients having <160mg/dl of triglycerides after four years of diabetes mellitus from 53% to 61% of diabetes.

scholarly journals Factores de riesgo cardiovascular según género en el Programa "Muévete Corazón" de Barranquilla, 2011 / Cardiovascular risk factors according to the gender in the “MuéveteCorazón” program, in Barranquilla city

2014 ◽  
Vol 14 (1) ◽  
pp. 21-28 ◽  
Author(s):  
Yaneth Erazo Beltrán ◽  
Mirary Mantilla Morrón ◽  
Miguel alberto Urina Triana
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Abdominal Perimeter ◽  
Factores De Riesgo ◽  
Las Mujeres

Objetivo: Determinar cuáles son los factores de riesgo asociados al género. Materiales y Métodos: Se realizó un estudio descriptivo transversal en 566 personas afiliadas a una institución prestadora de salud en la ciudad de Barranquilla e inscritas  en el programa “Muévete Corazón” en el periodo comprendido de marzo a diciembre del 2011. Se indagó sobre la edad, sexo y los factores de riesgo cardiovascular, sedentarismo, consumo de tabaco, hipertensión, índice de masa corporal (IMC), perímetro abdominal y diagnóstico de diabetes mellitus tipo 2. Se estimaron los odds ratios (OR) de tener más de 3 y ≥4 factores de riesgo cardiovasculares en comparación con no tener factores de riesgo según el sexo. Resultados: De las 566 personas, el 73,1% fueron mujeres, con una media de edad de 63,4±13,6 años. El 62,7% tenía entre dos y tres factores de riesgo. Se encontró que las mujeres tienen mayor probabilidad de presentar de 1 a 3 y más de cuatro a factores de riesgo cardiovascular [OR 6,81 (IC 95% 2,2-22,1)] y [OR 17,0 (IC 95% 5,0-61,9)], respectivamente. Conclusión: Fue mayor la presencia de tres o más factores de riesgo en el sexo femenino, animando a implementar intervenciones eficaces para la prevención de las enfermedades cardiovasculares.Objective: To determinate what are the risk factors related to the gender. Materialsand methods: It was made a cross sectional study with 566 people affiliated to ahealth provider institution in Barranquilla city and registered in the “Muévete Corazón”program, in the period from March to December of 2011. It was inquired about the age,sex and the cardiovascular risk factors, sedentarism, snuff use, hypertension, bodymass index (BMI), abdominal perimeter, and diagnosis of diabetes mellitus type 2. It

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