Italian network for obesity and cardiovascular disease surveillance: A pilot project

Donfrancesco, Chiara; Noce, Cinzia Lo; Brignoli, Ovidio; Riccardi, Gabriele; Ciccarelli, P.; Dima, Francesco; Palmieri, Luigi; Giampaoli, Simona

doi:10.1186/1471-2296-9-53

Cited by 38 publications

(37 citation statements)

References 20 publications

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“…First, increasing age was associated with a significantly augmented prevalence of most major cardiovascular risk factors, with the exception of diabetes, probably because of the very limited number of diabetics included in our sample. These results are in accordance with those of previous studies in Italian27,28,30,31,34 and North-American populations 37–41. Also, the proportion of subjects treated for arterial hypertension, dyslipidemia, or diabetes increased with age, but the chance of being controlled did not display a favorable trend.…”

Section: Discussionsupporting

confidence: 92%

Awareness, treatment, and control of major cardiovascular risk factors in a small-scale Italian community: results of a screening campaign

Omboni¹,

Carabelli²,

Ghirardi³

et al. 2013

VHRM

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IntroductionHypertension, hypercholesterolemia, and diabetes are the main causes of cardiovascular diseases in developed countries. However, these conditions are still poorly recognized and treated.ObjectiveThis study aimed at estimating the prevalence, awareness, treatment, and control rates of major cardiovascular risk factors in an unselected sample of individuals of a small community located in northern Italy.MethodsWe screened 344 sequential subjects in this study. Data collection included family and clinical history, anthropometric data, blood pressure, blood glucose, and serum cholesterol values. Individual cardiovascular risk profiles were assessed by risk charts of the Progetto Cuore.ResultsBased on personal history and/or measured values, 78.2% of subjects had hypercholesterolemia (total cholesterol levels > 190 mg/dL), 61.0% had central obesity (waist circumference ≥ 94 cm for men and ≥80 cm for women), 51.2% had arterial hypertension (blood pressure ≥ 140/90 mmHg), 8.1% had diabetes (blood glucose ≥ 126 mg/dL), 22.7% had impaired fasting glucose (blood glucose 100–125 mg/dL), and 35.5% were overweight (body mass index 25–29 kg/m2). Alcohol drinkers and smokers accounted for 46.2% and 22.4% of subjects, respectively. Awareness of hypertension, hypercholesterolemia, and diabetes was poor, and control of these risk factors, except for diabetes, was even worse. Prevalence of high blood pressure, high serum cholesterol, overweight, and obesity significantly increased with aging. Hypercholesterolemia and obesity were significantly more common in women, while overweight and diabetes in men. In 15.4% of participants, the risk of a major cardiovascular event in the next 10 years was either high or very high.ConclusionIn a small community in a wealthy region of Italy, the prevalence of major cardiovascular risk factors is high, while awareness, treatment, and control are poor. Such a result highlights the importance of screening campaigns as a strategy to improve early diagnosis and access to treatment, and thus effective prevention of cardiovascular diseases in the general population.

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Section: Discussionsupporting

confidence: 92%

Awareness, treatment, and control of major cardiovascular risk factors in a small-scale Italian community: results of a screening campaign

Omboni¹,

Carabelli²,

Ghirardi³

et al. 2013

VHRM

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show abstract

“…Moreover, comparing our data with previous studies (8,9,20) using direct measurements, almost the same prevalence of obesity and overweight was found. According to previous reports the prevalence of obesity was quite similar between men and women, while the prevalence of overweight was nearly double in men compared with women (7,9) . Recent changes in lifestyle in Western and developing countries, such as physical inactivity and unhealthy eating habits, are likely to account for the increasing prevalence of obesity.…”

Section: Discussionsupporting

confidence: 88%

“…Few published data are available to characterize current CRF prevalence and to monitor trends in CRF in the Italian population (6)(7)(8)(9) . The aims of the present study were therefore to assess the prevalence of major CRF in a large community-wide sample of the Italian population and to examine potential differences in the distribution of CRF across Italian macro-areas.…”

mentioning

confidence: 99%

Evidence on the prevalence and geographic distribution of major cardiovascular risk factors in Italy

Laccetti¹,

Pota

Stranges

et al. 2012

Public Health Nutr.

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Objective: To assess the prevalence and geographic distribution of major cardiovascular risk factors in a large community-wide sample of the Italian population. Design: A cross-sectional survey. Standardized methods were used to collect and measure cardiovascular risk factors. Data were adjusted for survey weightings. Qualitative and quantitative variables were compared with parametric and non-parametric tests, as appropriate. Setting: Towns (n 193) across different Italian regions. Subjects: Unselected adults (n 24 213; 12 626 men; 11 587 women) aged 18-98 years (mean age 56?9 (SD 15?3) years), who volunteered to participate in a community-wide screening programme over a 2 d period in 2007. Results: Overall, the prevalence of major cardiovascular risk factors was: obesity, 22?7 % (women 18?9 %, men 26?1 %); overweight, 44?7 % (women 31?6 %, men 56?7 %); hypertension, 59?6 % (women 48?3 %, men 70?0 %); dyslipidaemia, 59?1 % (women 57?7 %, men 60?3 %); diabetes, 15?3 % (women 11?2 %, men 19?0 %) and smoking, 19?8 % (women 14?0 %, men 25?2 %). We found a high prevalence of unhealthy eating habits; fruit and vegetable consumption was below the recommended range in 60 % of the study population. Ninety per cent of the study population had more than one cardiovascular risk factor and 84 % had between two and five cardiovascular risk factors. There were differences among Italian macro-areas mainly for obesity, hypertension, dyslipidaemia and diabetes. Conclusions: The study provides alarming evidence on current prevalence data for major cardiovascular risk factors in a large sample of the Italian population. Particularly, obesity and hypertension represent a relevant public health problem. There is a pressing need for effective preventive health measures which must also take into account the differences among Italian macro-areas.

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“…Nonetheless, in the Italian population cheese consumption did not differ by gender (Donfrancesco et al, 2008) and other authors, unlike our results, obtained higher intakes in men than in women (Touvier et al, 2011). Advertising campaigns to promote dairy foods consumption which target women in order to prevent osteoporosis may influence cheese intake in the Basque Country population.…”

Section: Discussioncontrasting

confidence: 54%

Cheese consumption and prevalence of overweight and obesity in a Basque adult population: a cross-sectional study

Alegría-Lertxundi

Pablo

Izaga

2013

International Journal of Food Sciences and Nutrition

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Italian network for obesity and cardiovascular disease surveillance: A pilot project

Cited by 38 publications

References 20 publications

Awareness, treatment, and control of major cardiovascular risk factors in a small-scale Italian community: results of a screening campaign

Awareness, treatment, and control of major cardiovascular risk factors in a small-scale Italian community: results of a screening campaign

Evidence on the prevalence and geographic distribution of major cardiovascular risk factors in Italy

Cheese consumption and prevalence of overweight and obesity in a Basque adult population: a cross-sectional study

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