Cardiovascular disease risk in Turkish family health centers

Akgöz, Ayşe Dağıstan; Gözüm, Sebahat

doi:10.1016/j.jvn.2019.02.002

Cited by 6 publications

(6 citation statements)

References 22 publications

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“…20% of the world's population over 65 will have contracted CVDs. 18,19 Commonly acknowledged strategy for preventing CVDs consists in reducing CRFs. Quitting a smoking habit, boosting one's physical activity, especially in leisure time, dietary intake rich in vegetables, BMI optimization, reduction of total cholesterol concentration, increase of high-density lipoprotein cholesterol concentration, and ensuring normal blood pressure, remain the key-building blocks of both primary and secondary prevention strategy.…”

Section: Introductionmentioning

confidence: 99%

<p>Age-Dependent Disparities in the Prevalence of Single and Clustering Cardiovascular Risk Factors: A Cross-Sectional Cohort Study in Middle-Aged and Older Adults</p>

Macek¹,

Žák²,

Terek-Derszniak³

et al. 2020

CIA

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Background: Cardiovascular diseases (CVDs) are the leading cause of mortality worldwide; with age acknowledged as an independent cardiovascular risk factor (CRF) in adults. Appreciating the association between age and classic CRFs is believed to boost all potential benefits of prevention. Purpose: Assessment of the prevalence of single and clustered CRFs and their association with age. Patients and Methods: The survey involved 4735 people (33.6% men) who were PONS project attendees aged 45-64. The study protocol comprised the Health Status Questionnaire, general medical examination, anthropometric measurements, and blood and urine sampling. The prevalence of single and clustered CRFs (hypertension, dyslipidemia, diabetes mellitus, and obesity) in the incrementally split age groups was calculated. The incidence rate of CRFs, against their absence, was determined by Poisson regression models with robust standard errors. Results: The prevalence of CRFs was established in 90% of the respondents. Except dyslipidemia and ≥1 CRFs, prevalence of risk factors increased with age, although this trend was the weakest in men. In the total group, and in women, prevalence of dyslipidemia and ≥1 CRFs was unrelated to age, whereas in men, it was on the rise in the younger age groups. The incidence rate of CRFs was strongly related to age, and, with the exception of dyslipidemia, was higher in the older age groups. Conclusion: Cardiovascular risk factors are common in the adult population, while their prevalence and clustering are more prevalent in seniors. Apart from dyslipidemia, the risk of CRFs is appreciably age-related, and higher in seniors.

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Section: Introductionmentioning

confidence: 99%

<p>Age-Dependent Disparities in the Prevalence of Single and Clustering Cardiovascular Risk Factors: A Cross-Sectional Cohort Study in Middle-Aged and Older Adults</p>

Macek¹,

Žák²,

Terek-Derszniak³

et al. 2020

CIA

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“…Individuals over the age of 65 were not included in this study because the Turkish Ministry of Health considers individuals aged 40-65 years to be at risk for cardiovascular diseases (21). The sample was calculated with a 95% confidence interval (CI) and a 5% margin of error in case the number of population is known along with the sum of CVD mid-level 22% (n=72) and high-level 11.7% (n=37) determined by Akgöz & Gözüm (2019), with the HeartScore system used; and found as the minimum n=338 (20). The study aimed to reach 20% more of the specified value.…”

Section: Study Design and Populationmentioning

confidence: 99%

“…The stadiometer is a digital measurement device that is connected to the acrylic head piece and interfaces directly (36). To measure weight, individuals took their shoes off and stepped onto the digital weight scale; the number displayed on the scale was recorded (20,36). Body mass index (BMI) was calculated with a weight/ height [kg m −2 ] formula after the researcher measured weight and height and then classified (37).…”

Section: Height and Weightmentioning

confidence: 99%

“…In case there was a difference of more than 5 mmHg between the blood pressure values measured twice, the measurements were repeated (33,43). A calibrated aneroid sphygmomanometer (Erka Perfect, Germany) was used to measure participants' SBP and diastolic blood pressure (DBP), and these measurements were classified according to the guidelines of the American Society of Hypertension and the International Society of Hypertension (20,44). Accordingly, those with SBP <120 mm/hg were classified as normotensive, those between 120-139 mm/hg as prehypertensive, and with ≥140 mm/ hg as hypertensive.…”

Section: Blood Pressurementioning

confidence: 99%

“…There is no routine screening program in Turkey for actual CVD risk (15,16). In terms of ease of use and accessibility (17), the HeartScore program, a risk assessment and management program aimed at supporting clinicians in optimizing individual cardiovascular risk reduction intended to be used by health professionals only and not by the general public (18,19,20), is suitable for screening men in the CVD risk group (19). The Ministry of Health suggests that the HeartScore program be used to evaluate the CVD risks of 40-65 aged individuals in Turkey.…”

Section: Introductionmentioning

confidence: 99%

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A Comparison of Actual Cardiovascular Disease Risks to the Perceptions of Middle-aged Men: A Cross-Sectional Study

Topuz¹,

Gözüm

2022

Clinical and Experimental Health Sciences

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Objective: To determine the actual cardiovascular diseases risk and to compare it with the perceived risk in 40-65 years old men. Methods: We conducted a cross-sectional study in a population determined to be 21.039 men and sample consisted of 400 men. The actual cardiovascular diseases risks of these respondents were calculated using HeartScore, classified as low, moderate, high, or very high. The respondents’ perception of their cardiovascular disease’s risks was categorized as wrong optimists/pessimists and realists. We used multivariate logistic regression models to determine the relationships between perceived cardiovascular diseases risk and independent variables (age, diabetes, hypertension, etc.). Required ethics committee and institutional permissions were obtained for the duly conduct of the study. Results: It was determined in our study that while 8.3% (n=33) of the men had a high-risk level for cardiovascular disease, 52.5% (n=210) had a very high level. Forty-eight percent of the participants perceive their CVD risks to be lower than they are and 23.8% to perceive it higher than they are. Correct estimation rate of CVD risk was 28.2%. The variables affecting the actual cardiovascular diseases risk were diastolic blood pressure, body mass index, and level of physical activity. 13.3% (n=53) of respondents perceived their cardiovascular diseases risks as high and 8% (n=32) as very high. The variables affecting an incorrect perceived cardiovascular diseases risk are being 61-65 years of age (odds ratio=0.34, 95% confidence interval: 0.16-0.73) and a diagnosis of diabetes mellitus (odds ratio=0.45, 95% confidence interval: 0.20-0.99). Conclusion: We observed that more than half of the residents were at a very high level of risk for cardiovascular disease, and approximately one out of every two respondents perceived their risk of cardiovascular disease to be lower than the actual risk. It is recommended risk reducing behaviors be developed and awareness of risk be raised.

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Effectiveness of a nurse-led physical activity intervention to decrease cardiovascular disease risk in middle-aged adults: A pilot randomized controlled study

Akgöz

Gözüm

2020

Journal of Vascular Nursing

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Cardiovascular disease risk in Turkish family health centers

Cited by 6 publications

References 22 publications

<p>Age-Dependent Disparities in the Prevalence of Single and Clustering Cardiovascular Risk Factors: A Cross-Sectional Cohort Study in Middle-Aged and Older Adults</p>

<p>Age-Dependent Disparities in the Prevalence of Single and Clustering Cardiovascular Risk Factors: A Cross-Sectional Cohort Study in Middle-Aged and Older Adults</p>

A Comparison of Actual Cardiovascular Disease Risks to the Perceptions of Middle-aged Men: A Cross-Sectional Study

Effectiveness of a nurse-led physical activity intervention to decrease cardiovascular disease risk in middle-aged adults: A pilot randomized controlled study

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