Risk factors for cardiovascular diseases and coronary artery disease among military population
https://doi.org/10.15829/1728-8800-2021-2702
Abstract
The review analyzes the features of coronary artery disease (CAD) and risk factors (RFs) of cardiovascular diseases (CVDs) in military population. Despite the urgency of the problem in recent years, there are only few publications on this topic. This paper presented data of international and Russian studies of CVDs and related RFs among various military personnel and war veterans, taking into account the age and social characteristics of the groups. There is a tendency towards an increase in CVD prevalence, which is due not only to age, but also to multiple RFs. Along with conventional RFs, the specifics of military service in general, special situation, active restructuring of activity areas, increased stress, intensive physical and professional training are specific cardiovascular risk factors and affect the risk of CAD. Regular medical examinations with primary and secondary prevention with correction of biological, behavioral and social factors can reduce the rate of CAD among military population.
About the Authors
A. E. MasimovaAzerbaijan
Baku
M. N. Mamedov
Russian Federation
Moscow
References
1. Knuuti J, Wijns W, Saraste A, et al. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes: The Task Force for the diagnosis and management of chronic coronary syndromes of the European Society of Cardiology (ESC). Eur Heart J. 2020;41(3):407-77. doi:10.1093/eurheartj/ehz425.
2. Maslennikova GYa, Oganov RG, Axelrod SV, Boytsov SA. Decrease in mortality from cardiovascular and other non-communicable diseases in high-income economies: participation of non-state actors. Cardiovascular Therapy and Prevention. 2015;14(6):5-9. (In Russ.) doi:10.15829/1728-8800-2015-6-5-9.
3. Kotseva K, Wood D, De Bacquer D, et al. on behalf of the EUROASPIRE Investigators. EUROASPIRE IV: A European Society of Cardiology survey on the lifestyle, risk factor and therapeutic management of coronary patients from 24 European countries. Eur J Prev Cardiol. 2016;23(6):636-48. doi:10.1177/2047487315569401.
4. Rosengren A, Hawken S, Ounpuu S, et al. Association of psychosocial risk factors with risk of acute myocardial infarction in 11119 cases and 13648 controls from 52 countries (the INTERHEART study): Case-control study. Lancet. 2004;364(9438):953-62. doi:10.1016/S0140-6736(04)17019-0.
5. Stupakov IN, Gerber VI. Cardiovascular morbidity among military personnel. Cardiovascular Therapy and Prevention. 2005;4(2):12-7. (In Russ.)
6. Kuchmin AN. The sudden death of military personnel serving on a contract: problems and solutions. Military Medical journal 2009;(1.S):92-3. (In Russ.)
7. Lizunov YuV. Hygienic diagnosis of coronary heart disease in officers in the Middle Volga region. Samara. 2001; 94 р. (In Russ.)
8. Rakov AL, Belyavsky VI. On the problem of prevention, diagnosis and treatment of coronary heart disease in military personnel. Military Medical Journal. 1998;319(1):52-4. (In Russ.)
9. Chizh IM. Improving prevention is the most important task of military medicine. Military Medical Journal. 1994;(4):4-8. (In Russ.)
10. Vinokurov VL, Klimenko GYa, Mazurov IN, Choporov ON. Medical and social portrait of military personnel serving under naval conditions, according to a sample study. Military Medical Journal. 2003;3:23-5. (In Russ.)
11. Fesenko VV. Preventive medicine and a healthy lifestyle in the Armed Forces (second message). Military Medical Journal. 2007;7:24-32. (In Russ.)
12. Karhanin NP, Glushchenko VA, Belov EV. Socially hygienic risk factors for the occurrence of coronary heart disease in military personnel. Bulletin of the Samara Scientific Center of the Russian Academy of Sciences. 2010;6(1):1544-7. (In Russ.)
13. Johnson AM, Rose KM, Elder GHJr, et al. Military combat and risk of coronary heart disease and ischemic stroke in aging men: The Atherosclerosis Risk in Communities (ARIC) study. Ann Epidemiol. 2010;20(2):143-50. doi:10.1016/j.annepidem.2009.10.006.
14. Boos CJ, De Villiers N, Dyball D, et al. The Relationship between Military Combat and Cardiovascular Risk: A Systematic Review and Meta-Analysis. Int J Vasc Med. 2019;2019:9849465. doi:10.1155/2019/9849465.
15. Sai XY, He Y, Men K, et al. All-cause mortality and risk factors in a cohort of retired military male veterans, Xi’an, China: an 18-year follow up study. BMC Public Health. 2007;7:290. doi:10.1186/1471-2458-7-290.
16. Brown DW. Smoking prevalence among US veterans. J Gen Intern Med. 2010;25(2):147-9. doi:10.1007/s11606-009-1160-0.
17. Khasanov AR. A study of the adaptive capabilities of the cardiovascular system in military personnel. Young scientist. 2019;288(50):46-9. (In Russ.) Хасанов А. Р. Исследование адаптивных возможностей сердечно-сосудистой системы у военнослужащих. Молодой ученый. 2019;288(50):46-9.
18. Baygi F, Herttua K, Jensen OCh, et al. Global prevalence of cardiometabolic risk factors in the military population: a systematic review and meta-analysis. BMC Endocr Disord. 2020;20:8. doi:10.1186/s12902-020-0489-6.
19. Mirzaeipour F, Seyedmazhari M, Pishgooie AH, Hazaryan M. Assessment of risk factors for coronary artery disease in military personnel: A study from Iran. J Family Med Prim Care. 2019;8(4):1347-51. doi:10.4103/jfmpc.jfmpc_109_19.
20. Parsons I, White S, Gill R, et al. Coronary artery disease in the military patient. J R Army Med Corps. 2015;161(3):211-22. doi:10.1136/jramc-2015-000495.
21. Crum-Cianflone NF, Bagnell ME, Schaller E, et al. Impact of combat deployment and posttraumatic stress disorder on newly reported coronary heart disease among US active duty and reserve forces. Circulation. 2014;129(18):1813-20. doi:10.1161/CIRCULATIONAHA.113.005407.
22. Ulmer CS, Bosworth HB, Germain A, et al. VA Mid-Atlantic Mental Illness Research Education and Clinical Center Registry Workgroup, Beckham JC. Associations between sleep difficulties and risk factors for cardiovascular disease in veterans and active duty military personnel of the Iraq and Afghanistan conflicts. J Behav Med. 2015;38(3):544-55. doi:10.1007/s10865-015-9627-4.
Supplementary files
Review
For citations:
Masimova A.E., Mamedov M.N. Risk factors for cardiovascular diseases and coronary artery disease among military population. Cardiovascular Therapy and Prevention. 2021;20(1):2702. (In Russ.) https://doi.org/10.15829/1728-8800-2021-2702