Post-trauma cardiovascular risk factors and subclinical atherosclerosis in young adults following the war in Bosnia and Herzegovina

Autor: Drenka Secerov Zecevic, Snezana Medenica, Nathan D. Wong, Zoran Vujković, Jelena Marinkovic, Marija Burgic, Sinisa Ristic, Dusko Vulic
Jazyk: angličtina
Rok vydání: 2019
Předmět:
儿童
050103 clinical psychology
Pediatrics
medicine.medical_specialty
Physical Injury - Accidents and Adverse Effects
lcsh:RC435-571
Cvd risk
intimal medial thickness
Clinical Sciences
Cardiovascular risk factors
Enfermedad cardiovascular
• Our investigation was to examine whether there are differences in cardiovascular risk factors and subclinical atherosclerosis in persons previously exposed compared to not exposed to trauma during the war in Bosnia and Herzegovina.• We demonstrated that while traditional risk factors are not strongly related to the presence of post-war trauma in young adults
Disease
Cardiovascular
03 medical and health sciences
0302 clinical medicine
children
Clinical Research
lcsh:Psychiatry
Psychology
Medicine
risk factors
factores de riesgo
0501 psychology and cognitive sciences
cardiovascular diseases
Young adult
危险因素
Subclinical infection
Clinical Research Article
business.industry
Prevention
05 social sciences
Atherosclerosis
Cardiovascular disease
3. Good health
030227 psychiatry
Heart Disease
trauma
• Our investigation was to examine whether there are differences in cardiovascular risk factors and subclinical atherosclerosis in persons previously exposed compared to not exposed to trauma during the war in Bosnia and Herzegovina.• We demonstrated that while traditional risk factors are not strongly related to the presence of post-war trauma in young adults
those with greater CIMT appear to have been more likely to have had been prevoiusly exposed to trauma
心血管疾病
Subclinical atherosclerosis
those with greater CIMT appear to have been more likely to have had been prevoiusly exposed to trauma
business
创伤
niños
Zdroj: European Journal of Psychotraumatology
European journal of psychotraumatology, vol 10, iss 1
European Journal of Psychotraumatology, Vol 10, Iss 1 (2019)
ISSN: 2000-8066
Popis: Background: Risk of cardiovascular disease (CVD) has been associated with stress from serving in a war, but it has not been established whether children who experience war-related stress are at increased CVD risk. Objective: This study aimed to compare CVD risk factors in young adults according to whether they experienced traumatic events as children during the 1990-1995 war in Bosnia and Herzegovina, and whether those exposed to trauma have evidence of subclinical atherosclerosis. Method: We examined 372 first-year medical students who were preschool children during the war (1990-1995) (average age 19.5±1.7years, 67% female) in 2007-2010. They completed the Semi-Structured Interview for Survivors of War. CVD risk factors and carotid intima-media thickness (CIMT) measurements were obtained and compared in individuals with and without trauma. We also examined whether increased CIMT was independently associated with trauma after adjustment for other risk factors. Results: From multiple logistic regression, only elevated triglycerides (>1.7mmol/l) were associated with a 5.2 greater odds of having experienced trauma. The mean CIMT of subjects with trauma was greater than that of non-trauma-exposed subjects (0.53 mm vs 0.50 mm, p =0.07). Moreover, trauma was independently associated with higher CIMT (difference=0.036 mm, p =0.024) after adjustment for CVD risk factors. Conclusions: We show that most CVD risk factors are associated with post-war trauma in young adults, and, if present, such trauma is associated with higher triglycerides and higher levels of CIMT in multivariable analysis.
Databáze: OpenAIRE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje