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

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 accord...

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Autores principales: Truthmann, Julia, Busch, Markus A., Scheidt-Nave, Christa, Mensink, Gert B. M., Gößwald, Antje, Endres, Matthias, Neuhauser, Hannelore
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4513378/
https://www.ncbi.nlm.nih.gov/pubmed/26205716
http://dx.doi.org/10.1186/s12889-015-1929-5
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author Truthmann, Julia
Busch, Markus A.
Scheidt-Nave, Christa
Mensink, Gert B. M.
Gößwald, Antje
Endres, Matthias
Neuhauser, Hannelore
author_facet Truthmann, Julia
Busch, Markus A.
Scheidt-Nave, Christa
Mensink, Gert B. M.
Gößwald, Antje
Endres, Matthias
Neuhauser, Hannelore
author_sort Truthmann, Julia
collection PubMed
description 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.
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spelling pubmed-45133782015-07-25 Modifiable cardiovascular risk factors in adults aged 40–79 years in Germany with and without prior coronary heart disease or stroke Truthmann, Julia Busch, Markus A. Scheidt-Nave, Christa Mensink, Gert B. M. Gößwald, Antje Endres, Matthias Neuhauser, Hannelore BMC Public Health Research Article 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. BioMed Central 2015-07-24 /pmc/articles/PMC4513378/ /pubmed/26205716 http://dx.doi.org/10.1186/s12889-015-1929-5 Text en © Truthmann et al. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Truthmann, Julia
Busch, Markus A.
Scheidt-Nave, Christa
Mensink, Gert B. M.
Gößwald, Antje
Endres, Matthias
Neuhauser, Hannelore
Modifiable cardiovascular risk factors in adults aged 40–79 years in Germany with and without prior coronary heart disease or stroke
title Modifiable cardiovascular risk factors in adults aged 40–79 years in Germany with and without prior coronary heart disease or stroke
title_full Modifiable cardiovascular risk factors in adults aged 40–79 years in Germany with and without prior coronary heart disease or stroke
title_fullStr Modifiable cardiovascular risk factors in adults aged 40–79 years in Germany with and without prior coronary heart disease or stroke
title_full_unstemmed Modifiable cardiovascular risk factors in adults aged 40–79 years in Germany with and without prior coronary heart disease or stroke
title_short Modifiable cardiovascular risk factors in adults aged 40–79 years in Germany with and without prior coronary heart disease or stroke
title_sort modifiable cardiovascular risk factors in adults aged 40–79 years in germany with and without prior coronary heart disease or stroke
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4513378/
https://www.ncbi.nlm.nih.gov/pubmed/26205716
http://dx.doi.org/10.1186/s12889-015-1929-5
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