The prevalence of cardiovascular risk factors and cardiovascular disease among primary care patients in Poland: results from the LIPIDOGRAM2015 study.


Journal

Atherosclerosis. Supplements
ISSN: 1878-5050
Titre abrégé: Atheroscler Suppl
Pays: Netherlands
ID NLM: 100973461

Informations de publication

Date de publication:
Dec 2020
Historique:
entrez: 16 2 2021
pubmed: 17 2 2021
medline: 28 10 2021
Statut: ppublish

Résumé

To estimate the prevalence of cardiovascular (CV) disease and CV risk factors among Polish patients. A nationwide cross-sectional study, LIPIDOGRAM2015, was carried out in Poland in the 4th quarter of 2015 and 1st and 2nd quarters of 2016; 438 primary care physicians enrolled 13,724 adult patients that sought medical care in primary health care practices. Nearly 19% of men and approximately 12% of women had cardiovascular disease (CVD). Over 60% of the recruited patients had hypertension (HTN), >80% had dyslipidaemia and <15% of patients were diagnosed with diabetes (DM). All of these disorders were more frequent in men. In 80% of patients the waist circumference exceed norm for the European population. Less than half of the patients were current smokers or had smoked in the past. Patients with CVD had significantly higher blood pressure and glucose levels but lower low density lipoprotein-cholesterol level. The prevalence of CVD and CV risk factors among patients in Poland is high. CVD is more common in men than in women. The most common CV risk factors are excess waist circumference, dyslipidaemia and HTN. Family physicians should conduct activities to prevent, diagnose early and treat CVD in the primary health care population.

Sections du résumé

BACKGROUND AND AIM OBJECTIVE
To estimate the prevalence of cardiovascular (CV) disease and CV risk factors among Polish patients.
METHODS METHODS
A nationwide cross-sectional study, LIPIDOGRAM2015, was carried out in Poland in the 4th quarter of 2015 and 1st and 2nd quarters of 2016; 438 primary care physicians enrolled 13,724 adult patients that sought medical care in primary health care practices.
RESULTS RESULTS
Nearly 19% of men and approximately 12% of women had cardiovascular disease (CVD). Over 60% of the recruited patients had hypertension (HTN), >80% had dyslipidaemia and <15% of patients were diagnosed with diabetes (DM). All of these disorders were more frequent in men. In 80% of patients the waist circumference exceed norm for the European population. Less than half of the patients were current smokers or had smoked in the past. Patients with CVD had significantly higher blood pressure and glucose levels but lower low density lipoprotein-cholesterol level.
CONCLUSIONS CONCLUSIONS
The prevalence of CVD and CV risk factors among patients in Poland is high. CVD is more common in men than in women. The most common CV risk factors are excess waist circumference, dyslipidaemia and HTN. Family physicians should conduct activities to prevent, diagnose early and treat CVD in the primary health care population.

Identifiants

pubmed: 33589219
pii: S1567-5688(21)00004-0
doi: 10.1016/j.atherosclerosissup.2021.01.004
pii:
doi:

Substances chimiques

Blood Glucose 0
Cholesterol, LDL 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e15-e24

Informations de copyright

Copyright © 2021 Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest JJJ has received research grant/support from Valeant, and has served as a consultant or speaker for Valeant, Amgen, Teva, Servier, Boehringer Ingelheim, Celgene, Bioton, Microlife and ALAB Laboratories. TT has served as a consultant or speaker for Boehringer Ingelheim, Novartis, Shire, Biofarm, Eli Lilly. AW has served as a consultant or speaker for Merck, Boehringer Ingelheim, Sanofi Aventis, Bausch Health. ALC reports grants from Amgen, Sanofi, Regeneron personal fees from Merck, Sanofi, Regeneron, AstraZeneca, Amgen, Novartis, outside the submitted work. DPM has given talks and attended conferences sponsored by Amgen, Novonordisk and Libytec. MTM has no direct competing interests in regards to this paper. His dept holds or has held research grants from Pfizer, Amgen, Ipsen, Shire, Teijin & Menarini. He was or has been the principal investigator on trials paid for by: Pfizer, Novartis, Ipsen, Teijin & Menarini. In the last 5 years have been paid consulting or speakers fees by Novartis, Takeda, Shire, &AstraZeneca. ŁS has given talks and attended conferences sponsored by Janssen-Cilag, Pfizer, Krka. SK has served as a speaker for Novartis. MB has received research grant(s)/support from Amgen, Mylan, Sanofi and Valeant, and has served as a consultant for Amgen, Daiichi-Sankyo, Esperion, Freia Pharmaceuticals, Herbapol, Kogen, KRKA, Mylan, Novartis, Novo-Nordisk, Polfarmex, Polpharma, Sanofi-Aventis, Servier, and Zentiva.

Auteurs

Jacek J Jóźwiak (JJ)

Department of Family Medicine and Public Health, Faculty of Medicine, University of Opole, Oleska 48, 45-052, Opole, Poland.

Krzysztof Studziński (K)

Department of Family Medicine, Jagiellonian University Medical College, Bochenska 4, 31-061, Krakow, Poland.

Tomasz Tomasik (T)

Department of Family Medicine, Jagiellonian University Medical College, Bochenska 4, 31-061, Krakow, Poland. Electronic address: mmtomasi@cyf-kr.edu.pl.

Adam Windak (A)

Department of Family Medicine, Jagiellonian University Medical College, Bochenska 4, 31-061, Krakow, Poland.

Mirosław Mastej (M)

Mastej Medical Center, Staszica 21, 38-200, Jasło, Poland.

Alberico L Catapano (AL)

Department of Pharmacological Sciences University of Milano and Multimedica IRCCS, Milano, Italy.

Kausik K Ray (KK)

Imperial Centre for Cardiovascular Disease Prevention, Department of Primary Care and Public Health, Imperial College, Kensington, London, UK.

Dimitri P Mikhailidis (DP)

Department of Clinical Biochemistry, Royal Free Hospital, University College London, London, UK.

Peter P Toth (PP)

Cicarrone Center for the Prevention of Cardiovascular Disease, Johns Hopkins University School of Medicine, Baltimore, MD, USA; CGH Medical Center, Sterling, IL, USA.

George Howard (G)

Department of Biostatistics, School of Public Health of Alabama at Birmingham, AL, USA.

Gregory Y H Lip (GYH)

Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool, UK; Aalborg Thrombosis Research Unit, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.

Maciej Tomaszewski (M)

Division of Cardiovascular Sciences, Faculty of Biology, Medicine and Health, University of Manchester, UK.

Fadi J Charchar (FJ)

School of Health and Life Sciences, Federation University Australia, Ballarat, Victoria, Australia.

Naveed Sattar (N)

Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, G128TA, UK.

Bryan Williams (B)

NIHR University College London Biomedical Research Centre, University College London and University College London Hospitals NHS Foundation Trust, London, UK.

Thomas M MacDonald (TM)

MEMO Research, University of Dundee, Ninewells Hospital and Medical School, Dundee, DD1 9SY, UK.

Dariusz Nowak (D)

Municipal Hospital, Mickiewicza 12, 42-200, Czestochowa, Poland.

Łukasz Skowron (Ł)

Department of Gastroenterology, Endocrinology and Internal Diseases, Military Institute of Medicine, Szaserow 128, 04-141, Warszawa, Poland.

Sławomir Kasperczyk (S)

Department of Biochemistry, Faculty of Medical Sciences in Zabrze, Jordana 19 41-808 Zabrze, Medical University of Silesia, Katowice, Poland.

Maciej Banach (M)

Department of Hypertension, Medical University of Lodz, Rzgowska 281/289, 93-338, Łodz, Poland.

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