Evolution of cardiovascular risk factors and ischemic heart disease in an elderly urban Romanian population over the course of 1 year

Dana Pop, Alexandra Dădârlat, Mihnea Zdrenghea, Dumitru Tudor Zdrenghea, Adela Viviana Sitar-Taăut Faculty of Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania Background: Romania has some of the highest mortality figures in the world attributable to isch...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Pop D, Dǎdârlat A, Zdrenghea M, Zdrenghea DT, Sitar-Tǎut AV
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	evolution cardiovascular risk factors ischemic heart disease Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/23a99a09af7f44c8b68b5448f6c54659
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:23a99a09af7f44c8b68b5448f6c54659
record_format	dspace
spelling	oai:doaj.org-article:23a99a09af7f44c8b68b5448f6c546592021-12-02T04:04:32ZEvolution of cardiovascular risk factors and ischemic heart disease in an elderly urban Romanian population over the course of 1 year1178-1998https://doaj.org/article/23a99a09af7f44c8b68b5448f6c546592013-11-01T00:00:00Zhttps://www.dovepress.com/evolution-of-cardiovascular-risk-factors-and-ischemic-heart-disease-in-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Dana Pop, Alexandra Dădârlat, Mihnea Zdrenghea, Dumitru Tudor Zdrenghea, Adela Viviana Sitar-Taăut Faculty of Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania Background: Romania has some of the highest mortality figures in the world attributable to ischemic heart disease and stroke among both men and women. Objectives: To assess the changes in cardiovascular risk factors and ischemic heart disease in a group of subjects over 65 years of age during 1 year in an urban community of Romania. Materials and methods: We studied 515 subjects (264 women and 251 men) with a mean age of 73.41±6.44 years, followed up over the course of 1 year in order to determine the changes that occurred in cardiovascular risk factors and in the evolution of ischemic heart disease. At the beginning and after 1 year, we determined the following parameters: anthropometric measurements, blood pressure, smoking status, lipid profile (total cholesterol, triglycerides, high-density lipid cholesterol, low-density lipid cholesterol), fasting plasma glucose, and the presence of ischemic heart disease. Results: There were no differences between the first and second assessments concerning the incidence of smoking (12.3% versus (vs) 12.5%), obesity (25% vs 26%), diabetes mellitus (19% vs 22.9%), or hypertension (88.2% vs 92.2%). Statistically significant differences were recorded regarding dyslipidemia (40.6% vs 30.3%, P<0.001). Cholesterol median values decreased (204 mg/dL vs 194 mg/dL, P=0.003), while median concentrations of plasma glucose increased (101 mg/dL vs 105 mg/dL, P<0.05). At the same time, we noted a higher incidence of ischemic heart disease (51.65% vs 63%). Conclusion: Our data show that in subjects over 65 years of age, cardiovascular disease occurs more often in women, but with certain features that should be taken into account. In addition, we point out the importance of reducing cardiovascular risk factors. However, we should not expect a major decrease or improvement in cardiovascular risk factors with such a short follow-up. Such results will be achieved only through long-term interventions. Keywords: evolution, cardiovascular risk factors, ischemic heart diseasePop DDǎdârlat AZdrenghea MZdrenghea DTSitar-Tǎut AVDove Medical Pressarticleevolutioncardiovascular risk factorsischemic heart diseaseGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 1497-1503 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	evolution cardiovascular risk factors ischemic heart disease Geriatrics RC952-954.6
spellingShingle	evolution cardiovascular risk factors ischemic heart disease Geriatrics RC952-954.6 Pop D Dǎdârlat A Zdrenghea M Zdrenghea DT Sitar-Tǎut AV Evolution of cardiovascular risk factors and ischemic heart disease in an elderly urban Romanian population over the course of 1 year
description	Dana Pop, Alexandra Dădârlat, Mihnea Zdrenghea, Dumitru Tudor Zdrenghea, Adela Viviana Sitar-Taăut Faculty of Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania Background: Romania has some of the highest mortality figures in the world attributable to ischemic heart disease and stroke among both men and women. Objectives: To assess the changes in cardiovascular risk factors and ischemic heart disease in a group of subjects over 65 years of age during 1 year in an urban community of Romania. Materials and methods: We studied 515 subjects (264 women and 251 men) with a mean age of 73.41±6.44 years, followed up over the course of 1 year in order to determine the changes that occurred in cardiovascular risk factors and in the evolution of ischemic heart disease. At the beginning and after 1 year, we determined the following parameters: anthropometric measurements, blood pressure, smoking status, lipid profile (total cholesterol, triglycerides, high-density lipid cholesterol, low-density lipid cholesterol), fasting plasma glucose, and the presence of ischemic heart disease. Results: There were no differences between the first and second assessments concerning the incidence of smoking (12.3% versus (vs) 12.5%), obesity (25% vs 26%), diabetes mellitus (19% vs 22.9%), or hypertension (88.2% vs 92.2%). Statistically significant differences were recorded regarding dyslipidemia (40.6% vs 30.3%, P<0.001). Cholesterol median values decreased (204 mg/dL vs 194 mg/dL, P=0.003), while median concentrations of plasma glucose increased (101 mg/dL vs 105 mg/dL, P<0.05). At the same time, we noted a higher incidence of ischemic heart disease (51.65% vs 63%). Conclusion: Our data show that in subjects over 65 years of age, cardiovascular disease occurs more often in women, but with certain features that should be taken into account. In addition, we point out the importance of reducing cardiovascular risk factors. However, we should not expect a major decrease or improvement in cardiovascular risk factors with such a short follow-up. Such results will be achieved only through long-term interventions. Keywords: evolution, cardiovascular risk factors, ischemic heart disease
format	article
author	Pop D Dǎdârlat A Zdrenghea M Zdrenghea DT Sitar-Tǎut AV
author_facet	Pop D Dǎdârlat A Zdrenghea M Zdrenghea DT Sitar-Tǎut AV
author_sort	Pop D
title	Evolution of cardiovascular risk factors and ischemic heart disease in an elderly urban Romanian population over the course of 1 year
title_short	Evolution of cardiovascular risk factors and ischemic heart disease in an elderly urban Romanian population over the course of 1 year
title_full	Evolution of cardiovascular risk factors and ischemic heart disease in an elderly urban Romanian population over the course of 1 year
title_fullStr	Evolution of cardiovascular risk factors and ischemic heart disease in an elderly urban Romanian population over the course of 1 year
title_full_unstemmed	Evolution of cardiovascular risk factors and ischemic heart disease in an elderly urban Romanian population over the course of 1 year
title_sort	evolution of cardiovascular risk factors and ischemic heart disease in an elderly urban romanian population over the course of 1 year
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/23a99a09af7f44c8b68b5448f6c54659
work_keys_str_mv	AT popd evolutionofcardiovascularriskfactorsandischemicheartdiseaseinanelderlyurbanromanianpopulationoverthecourseof1year AT dadacircrlata evolutionofcardiovascularriskfactorsandischemicheartdiseaseinanelderlyurbanromanianpopulationoverthecourseof1year AT zdrengheam evolutionofcardiovascularriskfactorsandischemicheartdiseaseinanelderlyurbanromanianpopulationoverthecourseof1year AT zdrengheadt evolutionofcardiovascularriskfactorsandischemicheartdiseaseinanelderlyurbanromanianpopulationoverthecourseof1year AT sitartautav evolutionofcardiovascularriskfactorsandischemicheartdiseaseinanelderlyurbanromanianpopulationoverthecourseof1year
_version_	1718401418780475392

Evolution of cardiovascular risk factors and ischemic heart disease in an elderly urban Romanian population over the course of 1 year

Ejemplares similares