Trend in prevalence of uncontrolled total serum cholesterol for cardio-cerebro-vascular disease in a mediterranean area, 1988/89-2008/09.

Autor: Capuano V; Vincenzo Capuano, Norman Lamaida, Ernesto Capuano, Rocco Capuano, Elisabetta Notari, Anna Grazia Iannone, Federica Marchese, Matteo Sonderegger, Eduardo Capuano, Department of Cardiovascular Diseases, University Hospital of Salerno-Mercato S. Severino Hospital, 30-84080 Salerno, Italy., Lamaida N, Capuano E, Borrelli MI, Capuano R, Notari E, Iannone AG, Marchese F, Sonderegger M, Capuano E
Jazyk: angličtina
Zdroj: World journal of cardiology [World J Cardiol] 2013 Nov 26; Vol. 5 (11), pp. 420-5.
DOI: 10.4330/wjc.v5.i11.420
Abstrakt: Aim: To examine trends of uncontrolled total serum cholesterol, treatment and control in a Mediterranean region (Campania).
Methods: We considered and compared the data collected as part of "Montecorvino Rovella Project" 1988-1989 and cross-sectional data from the two phases of the "VIP Project-Valle dell'Irno Prevenzione": 1998-1999 (1(st) phase) and 2008-2009 (2(nd) phase), in the 35-74-year-old-population.
Results: Data show a reduction of mean cholesterolemia in the last twenty years of 7.3 mg/dL for men and unchanged values for women. In the three surveys the mean values for serum cholesterol are in men: 205.2 ± 47.1 mg/dL (1988/89), 200 ± 38.9 mg/dL (1998/99) and 197.9 ± 40.2 mg/dL (2008/09); in the women: 203.1 ± 42.5 mg/dL (1988/89), 198.9 ± 37.9 mg/dL (1998/99) and 203.3 ± 39.3 mg/dL (2008/09). Prevalence of uncontrolled high cholesterol ≥ 240 mg/dL for men decreased from 20.8% (1988/89) to 14.3% (1998/99) and 13.9% (2008/9), P = 0.002; for women the values decreased from 19.9% (1988/89), to 18.2% (1998/99) and 18.1% (2008/09), P = 0.007. Is statistically increased the number of patients treated and those treated to target.
Conclusion: Encouraging increases in awareness, treatment, and control of hypercholesterolemia occurred from 1988 through 2008. Nevertheless, control of hypercholesterolemia remains poor.
Databáze: MEDLINE