Geographic and Sociodemographic Disparities in Cardiovascular Risk in Burkina Faso: Findings from a Nationwide Cross-Sectional Survey

Background: While it is apparent that old age is associated with multiple health concerns, the extent of its multiplicity and burden is often not clear. It was intended to find out self-reported health concerns for one month and cardiovascular risk factors in middle and older adults. Methods: In the cross-sectional survey, attendees of a Healthy Ageing Conference were approached with a semi-structured questionnaire about their health concerns and cardiovascular risks. Risk of a cardiovascular event in 10 years based on QRISK3 was calculated. Results: A considerable proportion of older adults had a range of physical symptoms, depressive mood state and memory problems. Mean number of health problems reported were 4.8±3.3 (male 4.4±3.1 and female 5.0±4.3). Cardiovascular risk was high, mean QRISK3 score for males were 22.2% (±14.4), and for females 10.3% (±6.6) (p<0.05). On average, the heart age was increased by 7.9±6.2 years (8.6±6.6 years for males and 5.0±3.3 for females). The relative risk of participants was 2.1 for males and 1.5 for females for heart attack or stroke within the ten years, compared to healthy persons. The symptoms and risk factors were elicited easily, and the process probably facilitated improving the awareness about the health concerns holistically. The survey also identified issues related to the engagement of older adults in the existing health care systems. Conclusions: The results suggested that questionnaire-based health screening in a community can identify a range of health concerns and identify multi-morbidity in general and cardiovascular risks in particular. This process may help to focus on the appropriate public health awareness and intervention programmes required in the community.

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SUBCLINICAL HYPOTHYROIDISM;

The Professional Medical Journal ◽

10.29309/tpmj/2013.20.01.621 ◽

2012 ◽

Vol 20 (01) ◽

pp. 023-029

Author(s):

MOHAMMAD ASIF ◽

ATIF ULLAH ◽

MUHAMMAD AKRAM

Keyword(s):

Chronic Kidney Disease ◽

Renal Function ◽

Cardiovascular Risk ◽

Subclinical Hypothyroidism ◽

Renal Mass ◽

Medical Institute ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Endocrine Abnormality ◽

Reduced Renal Function

Chronic kidney disease (CKD) is characterized by progressive destruction of renal mass with irreversible sclerosis andloss of nephrons.Various metabolic, hematological and endocrine abnormalities are known to occur in CKD. Subclinical hypothyroidismis an important endocrine abnormality associated with a greater cardiovascular risk, atherosclerosis and an important factor forprogression of renal disease in such patients. Objective: To calculate the frequency of subclinical hypothyroidism in predialysis CKDpatients. Design: Cross sectional survey. Setting: Pathology Department Post Graduate Medical Institute, Lahore. Period: 06 months(June 2011 to Dec 2011). Results: 210 patients were included in the study. Serum creatinine. TSH and FT4 were measured and therelevant data was entered in predesigned proforma. 19.5 % of CKD population had subclinical hypothyroidism with slightly increasedpreponderance in females as compared to males and also increased frequency as the stage of CKD increased. Subclinicalhypothyroidism is more common in CKD population. Conclusions: Increased frequency of subclinical hypothyroidism was found inpatients with reduced renal function not on dialysis. 19.5% of CKD population on conservative management had labortary evidence ofthyroid dysfunction.

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Prevalence and Associated Factors of Hypertension Among Adults living in the City of Bandundu, Republic Democratic Republic of the Congo. A Population-Based Cross-Sectional Study.

10.21203/rs.3.rs-144209/v1 ◽

2021 ◽

Author(s):

Ferdinand Mukoso ◽

Aliocha Nkodila ◽

François Lepira ◽

Pascal Bayauli ◽

Yves Lubenga ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Sleep Duration ◽

Subclinical Atherosclerosis ◽

Statistical Significance ◽

Epidemiological Data ◽

Cluster Sampling ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Factors Associated

Abstract Background and aim: In limited resource settings, reliable epidemiological data generated from hypertension high risk geographical areas or people is a prerequisite for the planning of proven and effective interventions. The aim of the present survey was to assess the prevalence, awareness, control and factors associated with hypertension in adults living in the port City of Bandundu, located in the southwestern part of DRC.Methods: a cross-sectional survey using a modified WHO STEPwise questionnaire for data collection during face-to face interviews was conducted from 1st May to 30th October 2018. A multistage cluster sampling method was used and inclusion criteria were age ≥18 years and informed consent. Information on demographic parameters, behavioral lifestyles, anthropometric and blood pressure (BP) measurements was obtained. Hypertension was defined as an average of two BP ≥ 140/90 mmHg or self-reported history of antihypertensive medication use. Independent factors associated with hypertension were identified using logistic regression analysis. P<0.05 defined the level of statistical significance. Results: The prevalence of hypertension was 34,5% (Women 36,6 %). Older age (p<0.001), subclinical atherosclerosis (p= 0.021), sleep duration <8 hours (p<0.002), diabetes mellitus (p<0.001), and obesity (p= 0.009) emerged as main cardiovascular risk factors associated with hypertension.Conclusion: Hypertension was characterized by a high prevalence, low rate of awareness and suboptimal BP control, high cardiovascular risk and associated sleep duration and obesity as modifiable risk factors.

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Prevalence and clustering of cardiovascular risk factors: a cross-sectional survey among Nanjing adults in China

BMJ Open ◽

10.1136/bmjopen-2017-020530 ◽

2018 ◽

Vol 8 (6) ◽

pp. e020530 ◽

Cited By ~ 5

Author(s):

Xin Hong ◽

Qing Ye ◽

Jing He ◽

Zhiyong Wang ◽

Huafeng Yang ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Cardiovascular Risk Factors ◽

Cross Sectional Survey ◽

Cross Sectional

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Associations of tobacco smoking with body mass distribution; a population-based study of 65,875 men and women in midlife

BMC Public Health ◽

10.1186/s12889-019-7807-9 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Sidsel Graff-Iversen ◽

Stephen Hewitt ◽

Lisa Forsén ◽

Liv Grøtvedt ◽

Inger Ariansen

Keyword(s):

Cardiovascular Risk ◽

Smoking Status ◽

Health Indicators ◽

Population Based ◽

Lower Percentage ◽

Body Region ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Men And Women ◽

Never Smokers

Abstract Background Studies indicate an effect of smoking toward abdominal obesity, but few assess hip and waist circumferences (HC and WC) independently. The present study aimed to assess the associations of smoking status and volume smoked with HC and WC and their ratio in a population with low prevalence of obesity together with high prevalence of smoking. Methods We used cross-sectional survey data from 11 of a total 19 Norwegian counties examined in 1997–99 including 65,875 men and women aged 39–44 years. Analysis of associations were adjusted for confounding by socioeconomic position, health indicators, and additionally for BMI. Results Compared with never-smokers, when adjusting for confounders and in addition for BMI, mean HC remained lower while mean WC and waist-hip-ratio (WHR) were higher in current smokers. The finding of a lower HC and higher WHR level among smokers was consistent by sex and in strata by levels of education and physical activity, while the finding of higher WC by smoking was less consistent. Among current smokers, BMI-adjusted mean HC decreased whereas WC and WHR increased by volume smoked. Compared with current smokers, former smokers had higher BMI-adjusted HC, lower WHR and among women WC was lower. Conclusions The main finding in this study was the consistent negative associations of smoking with HC. In line with the hypothesis that lower percentage gluteofemoral fat is linked with higher cardiovascular risk, our results suggest that smoking impacts cardiovascular risk through mechanisms that reduce the capacity of fat storage in the lower body region.

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May Measurement Month 2018: an analysis of blood pressure screening campaign results from Poland

European Heart Journal Supplements ◽

10.1093/eurheartj/suaa041 ◽

2020 ◽

Vol 22 (Supplement_H) ◽

pp. H108-H111

Author(s):

Piotr Jankowski ◽

Maciej Banach ◽

Jolanta Małyszko ◽

Mirosław Mastej ◽

Andrzej Tykarski ◽

...

Keyword(s):

Blood Pressure ◽

Cardiovascular Risk ◽

Multiple Imputation ◽

Alcohol Intake ◽

Antihypertensive Drugs ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Raising Awareness ◽

Treatment Of Hypertension ◽

Global Initiative

Abstract Hypertension remains the most important cardiovascular risk factor in Poland. May Measurement Month is a global initiative organized by the International Society of Hypertension aimed at raising awareness of hypertension and the need for blood pressure (BP) screening and demonstrating the potential of the opportunistic BP measurements. An opportunistic cross-sectional survey of volunteers aged ≥18 was carried out in 146 sites in May 2018. Blood pressure was measured in 6450 subjects (mean age: 41 ± 15 years; 59% females). After multiple imputation, the age and sex standardized systolic and diastolic BP was 126.7/78.4 mmHg in the whole analysed group, 132.8/81.3 mmHg in subjects taking antihypertensive drugs, and 125.7/78.0 mmHg in those not taking any antihypertensive drugs. After multiple imputation, the proportions of subjects with high BP (systolic ≥140 mmHg or diastolic ≥90 mmHg or on treatment for raised BP) were 22.2% in the whole analysed group, 39.2% in subjects taking antihypertensive drugs, and 18.6% those not taking any antihypertensive drugs. Overall, hypertension was present in 32.8% of participants, among them 38.7% were not aware of the disease, 53.1% were taking antihypertensive drugs, and 32.3% had BP controlled to target (<140/90 mmHg). Blood pressure was increasing with increasing body mass index and alcohol intake. Smokers and project participants with diabetes had increased average BP. In conclusion, this project provides additional evidence for a considerable potential for further reduction of cardiovascular risk through improvement in detection and treatment of hypertension in Poland.

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Socio-economic status and behavioural and cardiovascular risk factors in Papua New Guinea: A cross-sectional survey

PLoS ONE ◽

10.1371/journal.pone.0211068 ◽

2019 ◽

Vol 14 (1) ◽

pp. e0211068 ◽

Cited By ~ 6

Author(s):

Patricia Rarau ◽

Justin Pulford ◽

Hebe Gouda ◽

Suparat Phuanukoonon ◽

Chris Bullen ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Cardiovascular Risk Factors ◽

Papua New Guinea ◽

Economic Status ◽

New Guinea ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Socio Economic Status

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Population-based cardiovascular risk factors in the elderly in Turkey: a cross-sectional survey

Open Medicine ◽

10.2478/s11536-007-0058-7 ◽

2008 ◽

Vol 3 (2) ◽

pp. 173-178 ◽

Cited By ~ 4

Author(s):

Adem Ozkara ◽

Faruk Turgut ◽

Mehmet Kanbay ◽

Yusuf Selcoki ◽

Ali Akcay

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Coronary Artery ◽

Cardiovascular Risk Factors ◽

Past History ◽

Public Health Problem ◽

The Elderly ◽

Cross Sectional Survey ◽

Important Public Health Problem ◽

Cross Sectional

AbstractHypertension, diabetes, hyperlipidaemia, obesity and smoking are known to be the most important modifiable risk factors for cardiovascular disease (CVD). Because the elderly population has been increasing globally, CVD may become a more important public health problem in the future. This report examines the prevalence of cardiovascular risk factors in the elderly in Ankara, Turkey. This was a cross-sectional survey and included a total of 2720 individuals living in the Ankara district. Trained research staff administered a standard questionnaire in the participants’ homes and worksites. The questionnaire collected information on clinical and demographic characteristics and a self-reported medical history, including past history of hypertension, diabetes, hyperlipidemia, coronary artery disease, coronary artery by-pass graft operation, and cerebrovascular accident. The mean age of the study participants was 69.5 ± 7.2 years. The study identified 1298 women (78.1%) and 753 men (71.2%) with hypertension, and the overall prevalence of hypertension was 75.4%. A total of 739 (27.2%) people had diabetes mellitus, and, of these people, 603 (81.6%) were hypertensive. A total of 1361 people had hyperlipidemia, and 1103 of these patients were also hypertensive. The overall prevalence of obesity was 27.2%. A total of 553 (20.3%) people were smokers. Our findings indicate that cardiovascular risk factors are very common in the elderly. To maximize risk reduction, physicians must take aggressive measures to decrease cardiovascular risk factors.

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