Epidemiology and prevention of arterial hypertension in Poland

Zdrojewski, Tomasz; Wyrzykowski, Bogdan; Szczęch, Radosław; Wierucki, Łukasz; Naruszewicz, Marek; Zarzeczna-Baran, Marzena

doi:10.1080/08038020500429052

Cited by 30 publications

(24 citation statements)

References 13 publications

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“…Recently, the role of diabetes in the development of CVD has been increasingly recognised. Diabetes affects 6% of adult Polish citizens; coronary heart disease has been recorded in 25% of the patients with new-detected diabetes type 2 [11]. In the examined population, the percentage of people with diabetes was much higher, 16.8%.…”

Section: Work-related Risk Factors Of Myocardial Infarction O R I G Imentioning

confidence: 98%

“…The latter was found to be several times as high among workers with the work characteristics quoted above than in workers who performed their duties under optimal psychosocial conditions [6][7][8][9][10]. In Poland, for many years already, cardiovascular diseases have been responsible for about 50% of total fatal cases and continue as the major health hazard among the general population of Poland, while the mortality indices have been twice as high as in other EU countries [11]. It is also of great concern that every fifth death is recorded among the people at the age of occupational activity (younger than 65).…”

Section: Study Protocolmentioning

confidence: 99%

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Work-related risk factors of myocardial infarction

Bortkiewicz

Gadzicka²,

Siedlecka³

et al. 2010

International Journal of Occupational Medicine and Environmental Health

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Objectives: The aim of the study was to find out which occupational factors account for the risk of the myocardial infarction. Material and Methods: A questionnaire survey was performed during the period of one calendar year in all patients (1053 subjects, 692 men and 361 women) hospitalized at the Medical University of Łódź because of the first myocardial infarction. The questionnaire was prepared especially for the purpose of this study and consisted of two parts. The first part comprised: demographic data, health status at admittance, traditional risk factors for the ischaemic heart disease and was filled-in by physicians. Part II was done by occupational hygiene specialists and referred to education, job title and characteristics, employment data, self assessment of work-related and general stress, fatigue, socio-economic status, physical activity, alcohol intake, tobacco smoking, dietary habits. Results: Mean age in the study group was 59.9±10.4 years (26-85 years), 58.7±10.0 (26-84 years) for men and 62.3±10.7 (32-85 years) for women, employment duration was 32.9±8.8 (4-65 years), for men 34.0±8.6 (5-65 years), for women 30.7±8.8 (4-60 years. Most of myocardial infarction cases both in the group of men and women were noted in the age interval 56-60 years, 22.3% vs. 17.4%, respectively. The majority of examined men were farmers, low and middle management and self-employed workers. Among women prevailed clerks, seamstresses and farmers. The most frequent occupational risk factors were: work-related stress, experienced by 54.2% of the examined subjects, occupational noise (45,5%), dust (41,7%) and various chemical factors (33%). A majority of the study group (76.5% women and 54.4% men) linked the cardiac infarction with stress, while 39.1% men vs. 16.5% women correlated it with physical effort. Conclusion: Our studies indicate that, among a wide spectrum of occupational factors, stress, noise and fine particulate dust are major contributors to the increased risk of myocardial infarction.

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Section: Work-related Risk Factors Of Myocardial Infarction O R I G Imentioning

confidence: 98%

Section: Study Protocolmentioning

confidence: 99%

Work-related risk factors of myocardial infarction

Bortkiewicz

Gadzicka²,

Siedlecka³

et al. 2010

International Journal of Occupational Medicine and Environmental Health

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“…Arterial hypertension affects approximately one third of Polish adult population [1]. The prevalence of systemic arterial hypertension (AH) continues to rise, especially in young adults [2]: in the United States it has reached 19% in 2008 in the 24-32 age group, according to the Add Health study [3].…”

Section: Introductionmentioning

confidence: 99%

Awareness of the role of cardiovascular risk factors and their prevention from the perspective of Tricity adolescents

Ostrówka

Jancewicz

Komand

et al. 2017

Arterial Hypertension

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Introduction. Arterial hypertension (HT) affects 10.4 million adult Poles, and the blood pressure (BP) control rate is only 26%. Beyond any doubt, high blood pressure results in cardiovascular (CV) target organ damage, which markedly influences national healthcare programs. Childhood introduced cardiovascular prophylaxis offers oppor tunities to decrease incident HT and delay or even eliminate its consequences. Therefore we have decided to study the level of knowledge on HT and CV disease (CVD) among random 1st and 2nd grade high school students in Tricity, Poland. Material and methods. Questionnairebased study was conducted voluntarily in two selected high schools of the Tricity agglomeration, Poland, in 2000 and repeated in 2016. All participants were presented with a 38item ques tionnaire on cardiovascular risk factors knowledge as well as students' health habits. Results. Studied group consisted of 615 students (57.6% females) at the age of 16, mean BMI 20.89 ± 2.95 kg/m

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“…According to the Polish NATPOL III PLUS study, the prevalence of hypertension in the 18-39 age group was 11% in men and 3.4% in women [11]. The epidemiology of ISH in young Polish population is not known.…”

Section: Discussionmentioning

confidence: 99%

Isolated systolic hypertension — evaluation of the scale of the problem among medical students — pilot study

Janiec¹,

Stępień²,

Skorek³

et al. 2017

Arterial Hypertension

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Introduction. Interest in isolated systolic hypertension (ISH) in young people has increased in recent years. The applanation tonometry technique provides new diagnostic opportunities in this group of patients. The aim of the study was to evaluate the incidence of ISH among young adults and factors contributing to its occurrence. Material and methods. One hundred and two medical students aged 21 to 26 years were examined. The study was based on three peripheral blood pressure measurements and central blood pressure measurement. Information on health status and physical activity was collected using the author-developed questionnaire. Results. Based on the mean of peripheral blood pressure measurements, hypertension (HT) was detected in 23 students (22.55%): 18 had ISH, 4 -combined systolic/diastolic HT and 1 -isolated diastolic HT. Pulse wave analysis showed that all individuals with ISH had central blood pressure within the normal range -higher than those without HT, but lower than in the combined systolic/diastolic HT group (p < 0.001). Subjects with ISH were characterized by higher pulse pressure amplitude and lower augmentation index (AIx) compared to those with normal blood pressure. Subjects with ISH were taller, had a higher body mass index (BMI) and were more likely to have a positive family history of HT compared to normotensives. They also reported more frequent coffee consumption; and 22% of them used creatine supplements (vs. 0% in non-HT group). Conclusions. Measurement of central arterial blood pressure by applanation tonometry should be an integral part of the assessment of young patients with ISH. The study confirmed that ISH patients are characterized by higher growth, weight and physical activity. Further studies are needed to assess the clinical significance of ISH.

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Epidemiology and prevention of arterial hypertension in Poland

Cited by 30 publications

References 13 publications

Work-related risk factors of myocardial infarction

Work-related risk factors of myocardial infarction

Awareness of the role of cardiovascular risk factors and their prevention from the perspective of Tricity adolescents

Isolated systolic hypertension — evaluation of the scale of the problem among medical students — pilot study

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