[PP.06.17] ARTERIAL HYPERTENSION AND CARDIOVASCULAR DISEASES RISK FACTORS IN RUSSIAN POPULATION. BY THE DATA ESSE-RF. (September 2016)

• Record Type: Journal Article
• Authors: Zhernakova, I.; Chazova, I.; Oshchepkova, E.; Shalnova, S.; Boytsov, S.; Balanova, I.; Rotar, O.; Konradi, A.; Shlyakhto, E.
• Is Part Of: Journal of hypertension. Volume 34:(2016) Supplement 2
• Publication Date: 2016-09
• Subjects: Hypertension -- Periodicals; Hypertension -- Periodicals; 616.132005
• DOI: 10.1097/01.hjh.0000491750.24704.08
• Languages: English
• ISSNs: 1473-5598

Abstract

Abstract : Objective: In the framework of Multicenter observational study ESSE-RF (Epidemiology of Cardiovascular Diseases and their Risk Factors in Regions of Russian Federation) by the unique protocol the investigation of representative sample of adult population at the age of 25–64 y.o. of 13 regions RF (n = 21887, including males n = 8357 and females n = 13530): Volgograd, Vologda, Voronezh, Vladivostok, Ivanovo, Kemerovo, Krasnoyarsk, Orenburg, Samara, Tomsk, Tyumen, Saint-Petersburg and Northern Osetia-Alania. Design and method: Was used the systematic stratified multistage random sampling creating by the territorial principle of method by Keesh. Statistic data calculation was done with computer-based statistic software STATISTICA 10.0 and SPSS 14.0. Results: Final analysis included data from 18767 participants. Prevalence of AH (arterial hypertension) was 43, 9%, 46, 4% in men and 41, 7% in women. Prevalence of cardiovascular (CV) risk factors was high especially in relatively young men (35–44 y.o.) and postmenopausal women (55–64 y.o.). The most common risk factor was hypercholesterolemia, even in persons without AH it equaled to 52, 2 % (vs 73, 1% with AH). Hypertensive patients had high level fasting glucose in 35, 3% and without AH in 14, 3%, abdominal obesity - in 53, 5% and in 21, 8%, history family – in 37, 6% and in 25, 3% and diabetes mellitus – in 12, 8% and in 2, 9% respectively. Major CV risk factors associated with AH (odds ratio) were hypertriglyceridemia 1, 73 (95% CI, 1, 78–3, 09); fasting hyperglycemia 2, 1 (95% CI, 1, 82–3, 38) and abdominal obesity 2, 1 (95% CI, 2, 47–4, 63). Awareness of AH was 74, 6% in men, 85% in women. Only 62, 7% of women and 37, 3% of men took medications. Effectively treated (achieved target level of BP) were 40% of women and 31, 4% of men. With the age the part of effectively treated decreases (p < 0, 0005). AH is under control only 27, 7% of women and 15, 6% of men. Conclusions: The role of AH as one of the main modifiable risk factors of cardiovascular diseases is proved, however it is depressing that the percent of controlled AH is low. The obtained results substantiate the expediency of the use of population strategy of AH and CV risk factors prevention in the studied population.