Cardiovascular risk factor levels in a lower middle-class community in Ankara, Turkey.

Autor: Tezcan, S., Altıntaş, H., Sönmez, R., Akinci, A., Doğan, B., Çakır, B., Bilgin, Y., Klör, H. U., Razum, Oliver, Altintaş, H, Sönmez, R, Doğan, B, Cakir, B, Klör, H U
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Zdroj: Tropical Medicine & International Health; Jul2003, Vol. 8 Issue 7, p660-667, 8p
Abstrakt: Study Objective: To assess the prevalence of risk factors for coronary heart disease (CHD) in a lower middle-class urban community of Turkey.Design: Cross-sectional study in an age- and sex-stratified random community sample with equal sample size per stratum. Direct age-standardization using the standard world population to allow international comparison of findings. Logistic regression modelling to identify risk factors for obesity.Setting: Gülveren, a residential area in Ankara, total population 23,000 persons.Participants: A total of 1672 adults aged 25-64 years and resident in the study community were interviewed, 1272 (76.1%) of those came for physical examination.Main Results: The age-standardized prevalence of hypertension according to WHO MONICA criteria was 18.6% (95% confidence interval: 16.1-21.1%) among women and 12.3% (9.7-14.9%) among men; of obesity (body mass index, BMI > or =30 kg/m2) 51.0% (47.6-54.3%) among women and 15.1% (12.0-18.2%) among men; of current smoking 20.1% (17.5-22.6%) among women and 64.8% (61.4-68.2%) among men; of hypercholesterolaemia 20.1% (17.4-22.9%) among women and 13.8% (10.8-16.8%) among men; and of low high density lipoprotein (HDL) 48.4% (44.8-52.1%) among women and 40.6% (36.0-45.2%) among men. In the regression model, age, female sex, non- and ex-smoking were associated with obesity.Conclusions: The prevalence of smoking, obesity and low HDL is high in this urban, lower middle-class population, even in comparison with industrialized countries. Unexpectedly, women have less favourable CHD risk profiles than men, except for smoking. Preventive action should be community-wide and address the common risk factors simultaneously to avoid replacement effects such as becoming obese after quitting smoking. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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