Control Status of Atherosclerotic Cardiovascular Risk Factors Among Japanese High-Risk Subjects:Analyses of a Japanese Health Check Database from 2008 to 2011
Autor: | Toshiki Moriyama, Kunihiro Yamagata, Kenjiro Kimura, Ichiei Narita, Shouichi Fujimoto, Motoei Kunimi, Kazuhisa Tsukamoto, Masahide Kondo, Yasuo Ohashi, Tsuyoshi Watanabe, Kazuhiko Tsuruya, Kunitoshi Iseki, Tsuneo Konta, Koichi Asahi, Koji Hasegawa |
---|---|
Rok vydání: | 2016 |
Předmět: |
Adult
Male medicine.medical_specialty Time Factors Databases Factual Cardiovascular risk factors Blood Pressure Coronary Artery Disease 030204 cardiovascular system & hematology Health check Coronary artery disease 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Japan Risk Factors Internal medicine Diabetes mellitus Internal Medicine medicine Humans 030212 general & internal medicine Triglycerides Aged Glycated Hemoglobin Cholesterol business.industry Biochemistry (medical) Cholesterol HDL Cholesterol LDL Middle Aged medicine.disease Atherosclerosis Cerebrovascular Disorders Blood pressure chemistry Time course lipids (amino acids peptides and proteins) Female Original Article Glycated hemoglobin Hydroxymethylglutaryl-CoA Reductase Inhibitors Cardiology and Cardiovascular Medicine business |
Zdroj: | J Atheroscler Thromb |
ISSN: | 1880-3873 |
Popis: | Aims Several guidelines propose target levels (TLs) of atherosclerotic risk factors (ARFs) to reduce atherosclerotic cardiovascular diseases; however, few data are available regarding the attainment statuses of TLs in Japan. In this study, utilizing the data obtained from the annual "Specific Health Check and Guidance in Japan" conducted from 2008 to 2011 (approximately 280,000 subjects each year), we determined TL attainments of ARFs in cardiovascular high-risk subjects. Methods Those who had suffered from cerebrovascular disease (pCVD) or coronary heart disease (pCHD) or were receiving diabetes mellitus treatment (DM) were selected, and the rates of subjects that attained TLs of blood pressure (BP), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), triglycerides (TGs) and glycated hemoglobin (HbA1c) were analyzed. Results Approximately 70% of pCVD or pCHD and 35% of subjects with DM attained TLs of BP. With regard to HbA1c, >90% of pCVD or pCHD and approximately 50% of subjects with DM attained TLs. With regard to LDL-C, <25% of pCHD females and approximately 35% of pCHD males and 50%-55% of subjects with pCVD or DM attained TLs. The TL-attainment rates of HDL-C and TGs were approximately 90% and 75%, respectively, for the three diseases. Analyses of time course changes in their attainment statuses revealed that the attainment rates of BP and LDL-C significantly improved in all the diseases. Conclusions TL-attainment rates of BP and LDL-C were not as high as those for HDL-C, TGs, and HbA1c; however, they both showed highly significant improvements during the study period. |
Databáze: | OpenAIRE |
Externí odkaz: |