Rising trends in the predicted 10-year risk of cardiovascular diseases among Royal Thai Army personnel from 2017 to 2021

Sakboonyarat, Boonsub; Poovieng, Jaturon; Jongcherdchootrakul, Kanlaya; Srisawat, Phutsapong; Hatthachote, Panadda; Mungthin, Mathirut; Rangsin, Ram

doi:10.1038/s41598-023-28494-3

Cited by 7 publications

(15 citation statements)

References 31 publications

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“…Hypertension (HTN) is a potential risk factor for cardiovascular diseases 1 , 2 . The global population of individuals aged 30 to 79 years with HTN doubled from 1990 to 2019, from 331 million women and 317 million men in 1990 to 626 million women and 652 million men in 2019 3 .…”

Section: Introductionmentioning

confidence: 99%

Prevalence, awareness, and control of hypertension and associated factors among Royal Thai Army personnel in Thailand from 2017 to 2021

Sakboonyarat

Poovieng

Srisawat

et al. 2023

Sci Rep

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Hypertension (HTN) is a potential risk factor for cardiovascular diseases. We aimed to determine the prevalence, awareness, and control of HTN among RTA personnel in Thailand. We conducted a series of cross-sectional studies from 2017 to 2021. HTN was defined by systolic blood pressure (BP) ≥ 140 mmHg or a diastolic BP ≥ 90 mmHg from a physical health examination, a history of HTN diagnosed by medical personnel, or taking antihypertensive medication. A total of 504,484 participants were included in the present study. The overall HTN prevalence was 29.4%. The prevalence of HTN among males was 30.5%, while it was 17.1% among females. Of the RTA personnel with HTN, 35.9% were aware of their condition. The overall control of HTN among RTA personnel with HTN was 15.8% in 2017 and 17.6% in 2021. Behavioral factors associated with HTN were current smoking, alcohol consumption, and sedentary behavior. A higher BMI was associated with higher HTN prevalence and HTN awareness but less likely to have controllable HTN. Male participants, younger individuals, current alcohol use, and sedentary behavior were associated with a lower prevalence of HTN awareness and controlled HTN. Current tobacco use was also associated with a lower prevalence of HTN awareness.

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Section: Introductionmentioning

confidence: 99%

Prevalence, awareness, and control of hypertension and associated factors among Royal Thai Army personnel in Thailand from 2017 to 2021

Sakboonyarat

Poovieng

Srisawat

et al. 2023

Sci Rep

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“…Although the overall hospital admission rates have decreased, both hospitalization and mortality rates due to IHD have continued to rise among men. This can be attributed to various risk factors associated with IHD, such as metabolic and lifestyle factors, and men are more susceptible to these risk factors than women [ 9 – 11 , 13 , 44 – 46 ]. According to the GBD study, in southeast Asia, the percentage of disability-adjusted life years (DALYs) due to IHD was attributable to high systolic BP, accounting for 58.2%, which was the highest among CVD risk factors.…”

Section: Discussionmentioning

confidence: 99%

“…In the past decade, it has been observed that the risk factors for CVD, such as high blood pressure (BP), blood glucose, and obesity, have been increasing among the Thai population [7][8][9][10][11][12][13]. According to the National Health Examination Survey (NHES) in 2019, 25.4% of Thai adults have hypertension (HTN), and 9.5% have diabetes [9].…”

Section: Introductionmentioning

confidence: 99%

Hospital admission and mortality rates for ischemic heart disease in Thailand: 2012–2021

Sakboonyarat,

Rangsin

2024

BMC Res Notes

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Objective To provide an update on the epidemiology of ischemic heart disease (IHD), including the age-standardized rates of hospital admission and mortality for IHD in Thailand from 2012 to 2021, using the Ministry of Public Health National database. Results The overall age-standardized hospital admission rate for IHD decreased from 427.5 per 100,000 people in 2012 to 390.5 per 100,000 in 2021. In men, the age-standardized hospital admission rate was 462.7 per 100,000 people in 2012, reaching 485.8 per 100,000 in 2021, p for trend = 0.141. In women, the age-standardization hospital admission rate for IHD dropped by 24.1% over the decade (p for trend = 0.008). The overall age-standardized IHD mortality rate in 2012 was 23.4 per 100,000 people, peaked at 28.6 per 100,000 in 2016, and reached 26.9 per 100,000 in 2021, p for trend = 0.181. In men, the age-standardized IHD mortality rate rose by 26.6% over a decade, p for trend = 0.004. The age-standardized IHD mortality rate among women was consistent from 2012 to 2021, p for trend = 0.130. However, for people aged < 60, rising trends in IHD mortality rates over a decade were observed; it rose by 59.6% in men and 36.1% in women.

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“…Meanwhile, the study on Royal Thai Army (RTA) personnel revealed that obesity prevalence increased from 42.1% in 2017 to 44.2% in 2021 [ 19 ]. Recently, a related study on RTA personnel emphasized that the prevalence of intermediate-to-high predicted 10-year risk for CVD surged from 24.9% in 2017 to 29.5 in 2021 [ 20 ]. High BP and high body mass index (BMI) are crucial in facilitating this trend [ 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

“…Recently, a related study on RTA personnel emphasized that the prevalence of intermediate-to-high predicted 10-year risk for CVD surged from 24.9% in 2017 to 29.5 in 2021 [ 20 ]. High BP and high body mass index (BMI) are crucial in facilitating this trend [ 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Relationship between pulse pressure and body mass index in active-duty Royal Thai Army personnel in Thailand

Sakboonyarat

Poovieng

Sangkool

et al. 2023

BMC Cardiovasc Disord

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Background Elevated pulse pressure (PP) is a robust independent predictor of cardiovascular diseases. The relationship between PP and body mass index (BMI) was presented in a few studies. However, the findings were inconsistent. Therefore, the aim of the present study is to identify the association between elevated PP and BMI using a large sample of active-duty Royal Thai Army (RTA) personnel. Methods A cross-sectional study was conducted through the use of the dataset obtained from the annual health examination database of RTA personnel in Thailand in 2022. BMI 25.0–29.9 kg/m2 was classified as obesity I, whereas BMI ≥ 30.0 kg/m2 was classified as obesity II. Elevated PP was defined as PP ≥ 50 mmHg. Multivariable linear regression and log-binomial regression models were utilized for determining the association between elevated PP and BMI. Results A total of 62,113 active-duty RTA personnel were included in the study. The average BMI was 25.4 ± 3.8 kg/m2, while the average PP was 50.1 ± 11.2 mmHg. Compared to individuals with normal weight, the $$\beta$$ β coefficients of PP and BMI were 1.38 (95% CI: 1.15–1.60) and 2.57 (95% CI: 2.25–2.88) in individuals with obesity I and obesity II, respectively. Effect modification by high blood pressure (BP) on the association between elevated PP and BMI was observed. Among participants with normal BP, in comparison with BMI of 18.5–22.9 kg/m2, the adjusted prevalence ratio (PR) for elevated PP was 1.23 (95% CI: 1.19–1.28) and 1.41 (95% CI: 1.35–1.48) in those with obesity I and obesity II, respectively. Meanwhile, among individuals with high BP, the adjusted PR for elevated PP was 1.05 (95% CI: 1.01–1.08) and 1.09 (95% CI: 1.06–1.13) in those with obesity I and obesity II, respectively. Conclusion PP was positively associated with BMI in active-duty RTA personnel. High BP was the modifier of the association between PP and BMI. A weaker association between elevated PP and BMI was observed among RTA personnel with high BP.

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Rising trends in the predicted 10-year risk of cardiovascular diseases among Royal Thai Army personnel from 2017 to 2021

Cited by 7 publications

References 31 publications

Prevalence, awareness, and control of hypertension and associated factors among Royal Thai Army personnel in Thailand from 2017 to 2021

Prevalence, awareness, and control of hypertension and associated factors among Royal Thai Army personnel in Thailand from 2017 to 2021

Hospital admission and mortality rates for ischemic heart disease in Thailand: 2012–2021

Relationship between pulse pressure and body mass index in active-duty Royal Thai Army personnel in Thailand

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