Кардиоваскулярная терапия и профилактика (Dec 2009)
Prevalence of total cardiovascular risk components among primary healthcare workers
Abstract
Aim. To study the prevalence of total cardiovascular (CV) risk components among medical professionals working in primary healthcare.Material and methods. The study included all doctors and nurses working in four Moscow City polyclinics (n=348; response rate 87,2%). The majority of the participants were women (88,2%); the mean age was 46,9+11,3 years (46,9+11,3 and 47,6+11,1 years in women and men, respectively). All participants underwent questionnaire survey, anthropometry, blood pressure (BP), cholesterol, and glucose level measurementResults. The prevalence of arterial hypertension (AH) in the study sample was 44% (2% for first-diagnosed AH). As many as 97,3% of AH patients took antihypertensive medications, with target BP levels achieved in 55,8%. However, BP was self-controlled by 53,7% of AH subjects only. The prevalence of smoking was 30,7% (56,1% in men, 27,4% in women). Only 37,6% had normal body weight, while 41,1% and 19,9% were overweight and obese, respectively. The prevalence of abdominal obesity was 33,0%, hypercholesterolemia — 69,3%, hyperglycaemia — 3,5%, and coronary heart disease — 14,8%. Very high total CV risk was registered in 14,9% of the participants, high risk — in 6,6%, moderate risk — in 12,4%, average risk — in 6,0%, and low risk — in 44%.Conclusion. The results of risk factor assessment and total CV risk stratification provided a complex health evaluation among healthcare professionals, as well as identified target groups for further preventive intervention.