Gender specificities of cardiovascular risk factors in students
https://doi.org/10.15829/1728-8800-2020-2520
Abstract
Aim. To study gender differences in the prevalence of cardiovascular risk factors (RF) among higher education medical students.
Material and methods. We examined 74 men and 143 women studying at higher education medical institution. Behavioral and biological RF were evaluated. Psychoemotional status of participants was evaluated by Hospital Anxiety and Depression Scale (HADS) and Perceived Stress Scale-10 (PSS-10). Statistical analysis was carried out using the software package Statistica 10.0 (StatSoft Inc).
Results. Among men, a significantly higher percentage of patients with overweight (body mass index ≥25 kg/m2), higher blood pressure (BP), higher level of cholesterol, and smoking were recorded. Among women, a higher percentage of patients with tachycardia, a sedentary lifestyle, impaired sleep quality and falling asleep were recorded. Sleep duration in young women was significantly lower, and the level of anxiety, depression and stress were higher compared to men. Significant relationships between gender and psychological factors have been identified. Among women, correlations of psychological factors with such parameters as heart rate, total cholesterol, falling asleep and sleep quality were revealed. Among men, significant correlations of anxiety with increased BP, stress and exercise, as well as the presence of cardiovascular diseases in the father were revealed.
Conclusion. Gender specificities of RF were revealed: among men — higher frequency of metabolic disorders and higher blood pressure, and among women — psychological factors and low physical activity. It is reasonable to take they into account when developing and implementing individual diagnostic, treatment and prophylactic measures in students.
About the Authors
A. E. BraginaRussian Federation
Moscow
L. V. Vasilieva
Russian Federation
Moscow
N. A. Druzhinina
Russian Federation
Moscow
Z. F. Akhmedova
Russian Federation
Moscow
G. I. Bragina
Russian Federation
Moscow
V. I. Podzolkov
Russian Federation
Moscow
References
1. Auffray C, Charron D, Hood L. Predictive, preventive, personalized and participatory medicine: back to the future. Genome Med. 2010;2(8):57 doi:10.1186/gm178.
2. Boytsov SA, Balanova YA, Shalnova SA, et al. Arterial hypertension among individuals of 25-64 years old: prevalence, awareness, treatment and control. By the data from ECCD. Cardiovascular Therapy and Prevention. 2014;13(4):4-14. (In Russ.) doi:10.15829/1728-8800-2014-4-4-14.
3. Williams B, Mancia G, Spiering W, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension. Eur Heart J. 2018;39:3021-104. doi:10.1093/eurheartj/ehy339.
4. Whelton PK, Carey RM, Aronow WS, et al. ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018;71:1269-324. doi:10.1161/HYP.0000000000000066.
5. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-70. doi:10.1111/j.1600-0447.1983.tb09716.x.
6. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385-96. doi:10.2307/2136404.
7. Ababkov VA, Barisnikov K, Vorontzova-Wenger OV, et al. Validation of the Russian version of the questionnaire “Scale of perceived stress-10”. Vestnik of Saint-Petersburg University. Series 16. Psychology. Education.2016;2:6-15. (In Russ.) doi: 10.21638/11701/spbu16.2016.202.
8. Berdiev RM, Kiryushin VA, Motalova TV, et al. Health state of medical students and its determinants. Rossijskij mediko-biologicheskij vestnik imeni akademika I. P. Pavlova [I.P. Pavlov Russian Medical Biological Herald]. 2017;25(2):303-15. (In Russ.) doi:10.23888/PAVLOVJ20172303-315.
9. Lee Y. Slender women and overweight men: gender differences in the educational gradient in body weight in South Korea. Int J Equity Health. 2017;16:202. doi:10.1186/s12939-017-0685-9.
10. Jankauskiene R, Baceviciene M. Body Image Concerns and Body Weight Overestimation Do Not Promote Healthy Behaviour: Evidence from Adolescents in Lithuania. Int J Environ Res Public Health. 2019;16(5):864. doi:10.3390/ijerph16050864.
11. Kochergina AM, Leonova VO, Rubanenko OA, et al. Cardiovascular risk factors in medical university students (Research within international project may measurement month initiative). Medicine in Kuzbass. 2018; 17(1):39-43. (In Russ.)
12. Evsevyeva ME. Risk factors and vascular remodeling, as indicators of cardiovascular wellbeing of students. Results of youth medical examinations at the centre of student’s health of StGMU. Mezdunarodnyj naucno-issledovatel’skij zurnal (International Research Journal). 2015; 8(39) Part 3:101-6. (In Russ.) doi:10.18454/IRJ.2227-6017
13. Golding J, Gregory S, Northstone K, et al. Investigating Possible Trans/Intergenerational Associations With Obesity in Young Adults Using an Exposome Approach. Front Genet. 2019;10:314. doi:10.3389/fgene.2019.00314.
14. Albangy FH, Mohamed AE, Hammad SM. Prevalence of smoking among male secondary school students in Arar City, Saudi Arabia. The Pan Afr Med J. 2019;32:156. doi: 10.11604/pamj.2019.32.156.18558.
15. Hermida RC, Ayala DE, Mojon A, et al. Differences between men and women in ambulatory blood pressure thresholds for diagnosis of hypertension based on cardio- vascular outcomes. Chronobiol Int. 2013;30(1-2):221-32. doi:10.3109/07420528.2012.701487
16. Smulyan H, Asmar RG, Rudnicki A, et al. Comparative effects of aging in men and women on the properties of the arterial tree. J Am Coll Cardiol. 2001;37(5):1374-80.
17. Podzolkov VI, Bragina AE, Rodionova JN, et al. Central and humoral mechanisms for arterial hypertension in women. Systemic Hypertension. 2015;1:76-82. (In Russ.)
18. Claros JAV, Alvarez CV, Sanchez JHP. Sedentary lifestyle level in nine cities of Colombia: cluster analysis. Arch Med Deporte. 2016;33(4):253-8.
19. Black A, Murray L, Cardwell C, et al. Secular trends in heart rate in young adults, 1949 to 2004: analyses of cross sectional studies. Heart. 2006;92(4):468-73. doi:10.1136/hrt.2005.067777.
20. Lao XQ, Liu X, Deng HB, et al. Sleep Quality, Sleep Duration, and the Risk of Coronary Heart Disease: A Prospective Cohort Study With 60,586 Adults. J Clin Sleep Med. 2018;14(1):109-17 doi:10.5664/jcsm.6894.
21. Kohansieh M, Makaryus AN. Sleep Deficiency and Deprivation Leading to Cardiovascular Disease. Int J Hypertension. 2015;(1):615681. doi:10.1155/2015/615681.
22. Nowakowski S, Meers J, Heimbach E. Sleep and Women’s Health. Sleep Med Res. 2013;4( 1): 1-22. doi:10.17241/smr.2013.4.1.1.
23. Elhai JD, Rozgonjuk D, Yildirim C, et al. Worry and anger are associated with latent classes of problematic smartphone use severity among college students. J Affect Disord. 2019;246:209-16. doi:10.1016/j.jad.2018.12.047.
24. McLeish J, Redshaw M. “Being the best person that they can be and the best mum”: a qualitative study of community volunteer doula support for disadvantaged mothers before and after birth in England.BMC Pregnancy Childbirth. 2019;19(1):21. doi:10.1186/s12884-018-2170-x.
25. Song C, Ikei H, Kagawa T, et al. Effects of Walking in a Forest on Young Women Int J Environ Res Public Health. 2019;16(2):229. doi:10.3390/ijerph16020229.
26. Takagi A, Toda M, Ikegawa A. Dietary Patterns and Related Factors among Female University Students. Nihon Eiseigaku Zasshi. 2019;74(0). doi:10.1265/jjh.18027.
27. 27 Norbury R, Evans S. Time to think: Subjective sleep quality, trait anxiety and university start time. Psychiatry Res. 2019;271:214-9. doi: 10.1016/j.psychres.2018.11.054
28. Haregu A, Gelaye B, Pensuksan WC, et al. Circadian rhythm characteristics, poor sleep quality, daytime sleepiness and common psychiatric disorders among Thai college students. Asia Pac Psychiatry. 2015;7(2):182-9. doi:10.1111/appy.12127.
29. Choueiry N, Salamoun T, Jabbour H, et al. Insomnia and Relationship with Anxiety in University Students: A Cross-Sectional Designed Study. PLoS One. 2016;11(2):e0149643. doi: 10.1371/journal.pone.0149643.
30. McMakin DL, Alfano CA. Sleep and Anxiety in Late Childhood and Early Adolescence. Curr Opin Psychiatry. 2015;28(6):483-9. doi:10.1097/YCO.0000000000000204.
31. Maduka IC, Neboh EE, Ufelle SA. The relationship between serum cortisol, adrenaline, blood glucose and lipid profile of undergraduate students under examination stress. Afr Health Sci. 2015;15(1):131-6. doi:10.4314/ahs.v15i1.18.
32. Kim JH, McKenzie LA. The Impacts of Physical Exercise on Stress Coping and Well-Being in University Students in the Context of Leisure. Health. 2014;6:2570-80. doi:10.4236/health.2014.619296.
Review
For citations:
Bragina A.E., Vasilieva L.V., Druzhinina N.A., Akhmedova Z.F., Bragina G.I., Podzolkov V.I. Gender specificities of cardiovascular risk factors in students. Cardiovascular Therapy and Prevention. 2020;19(5):2520. (In Russ.) https://doi.org/10.15829/1728-8800-2020-2520