Modifiable cardiovascular risk factors in adults aged 40-79 years in Germany with and without prior coronary heart disease or stroke

Autor: Julia Truthmann, Matthias Endres, Markus A. Busch, Christa Scheidt-Nave, Hannelore Neuhauser, Antje Gößwald, Gert B. M. Mensink
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Male
Cross-sectional study
Health Behavior
Coronary Disease
Blood Pressure
Disease
600 Technik
Medizin
angewandte Wissenschaften::610 Medizin und Gesundheit

epidemiology [Coronary Disease]
Risk Factors
Germany
Epidemiology
epidemiology [Smoking]
Prevalence
Stroke
blood [Cholesterol]
education.field_of_study
Framingham Risk Score
Smoking
Middle Aged
epidemiology [Cardiovascular Diseases]
Coronary heart disease
Cholesterol
Cardiovascular Diseases
Female
epidemiology [Stroke]
Research Article
Adult
medicine.medical_specialty
Alcohol Drinking
Population
European Continental Ancestry Group
epidemiology [Germany]
epidemiology [Alcohol Drinking]
White People
Environmental health
medicine
Humans
Obesity
ddc:610
Risk factor
education
Life Style
Aged
epidemiology [Obesity]
business.industry
Prevention
Public Health
Environmental and Occupational Health

medicine.disease
Diet
Cross-Sectional Studies
Risk factors
Physical therapy
Biostatistics
business
Zdroj: BMC public health 15(1), 701 (2015). doi:10.1186/s12889-015-1929-5
BMC Public Health
DOI: 10.1186/s12889-015-1929-5
Popis: Background Control of modifiable cardiovascular disease (CVD) risk factors has substantially reduced CVD mortality, but risk factor levels in populations may change and need continuous monitoring. This study aims to provide current estimates of the prevalence of these risk factors in Germany according to sex and history of coronary heart disease (CHD) or stroke. Methods The analyses were based on data from the German Health Interview and Examination Survey for Adults (DEGS1; age 40–79 years, n = 5101), which is a cross-sectional population-based examination survey. CVD risk factors were defined according to recommendations in the European Guidelines on Cardiovascular Disease Prevention in Clinical Practice 2012. Results The mean age was 57 years and 52 % were female; 493 participants had prior CHD and 163 participants a prior stroke. The overall prevalence of behavioural risk factors ranged from 17.9 % for high risk alcohol consumption to 90 % for low vegetable intake. Blood pressure ≥ 140/90 mmHg was found in 21 % and 69 % had total cholesterol ≥ 5.0 mmol/l. Only 16 % met the targets for five behavioural factors combined (smoking, physical activity, fruit intake, alcohol intake and obesity), 13 % of those with and 16 % of those without CHD or stroke. The prevalences of most behavioural risk factors were higher among men compared to women. Conclusions There is a high prevention potential from modifiable cardiovascular risk factors in the general population aged 40–79 years in Germany and among those with prior CHD or stroke. Risk factors are often co-occurring, are interrelated and require combined educational, behavioral, medical and policy approaches. Electronic supplementary material The online version of this article (doi:10.1186/s12889-015-1929-5) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE