PREVALENCE OF CARDIOVASCULAR RISK FACTORS IN NON-ORGANIZED POPULATION OF 25-64 YEAR OLDS IN TYUMEN REGION. RESULTS OF ESSE-RF STUDY IN TYUMEN REGION

Aim. To study prevalence of risk factors (RF) of cardiovascular diseases (CVD) in Tyumen region.

Material and methods. The materials was a selection of Tyumen region inhabitants of the age 25-64 y.o., assessed under multi-center, observational study ESSE-RF (Epidemiology of cardiovascular diseases and  risk factors  in regions  of Russian  Federation).  Total number  of participants  was  1658,  of those  men  — 30,3%  (n=503),  mean  age 48,9±11,4  y. The prevalence  assessed of such  risk factors  as arterial hypertension   (AH), smoking,  obesity,  dyslipidemia,  hypodynamia, excessive salt consumption (ESC), low intake of vegetables  and fruits (LIVF), carbohydrate  metabolism disorders (CMD).

Results. In Tyumen region the prevalence  of risk factors  was: AH — 49,0%, hypercholesterolemia  — 56,1%, smoking — 26,8%, obesity — 40,3%, hypodynamia — 35,3%, ESC — 46,8%, LIVF — 34,1%, CMD — 5,9%. Gender differences analysis showed that in female subpopulation there are more common dyslipidemia and obesity. Males more commonly smoke and are hypodynamic. Comparing to the general ESSE-RF population, in Tyumen region there is higher prevalence  of such RF as AH  — 49,0%  vs 44,0%  and  obesity  — 40,3%  vs 29,7%.  However statistics of LIVF appears better — 34,1% vs 41,9% in general population. Conclusion. The ESSE-RF study in Tyumen region showed the specifics of epidemiology  of such  RF as  AH, obesity,  dyslipidemia, ESC, LIVF, hypodynamia, CMD. As a result, there  was very high prevalence  of AH revealed and unacceptably high prevalence of obesity among tyumenians, especially women, comorbid with hypercholesterolemia. This data shall be a direction for prevention management against these serious risk factors. 

1. Nichols M, Townsend M, Rayner M. European Cardiovascular disease Statistics 8. (2012): European Heart network, Brussels and European Society of Cardiology. Sophia: Antipolis; 2012; 129 r.

2. Petrov IM, Jarcev SE, Frolova AB, et al. Primary incidence cardiovascular disease in able-bodied men, prospective survey. Medical science and education of the Urals. 2014; 1(15): 130-3. Russian (Petrov I. M., Yartsev S. E., Frolova A. K. i dr. Pervichnaya zabolevaemost' boleznyami sistemy krovoobrashcheniya u muzhchin trudosposobnogo vozrasta po dannym prospektivnogo nablyudeniya. Meditsinskaya 9. nauka i obrazovanie Urala. 2014; 1(15): 130-3).

3. Oganov RG, Koncevaja AV, Kalinina AM. Economical burden from cardio-vascular diseases in Russian Federation. Cardiovascular Therapy and Prevention 2011; 10(4): 4-9. Russian (Oganov R. G., Kontsevaya A. V., Kalinina A. M. Ekonomicheskii ushcherb ot serdechno-sosudistykh zabolevanii v Rossiiskoi Federatsii. Kardiovaskulyarnaya terapiya i profilaktika 2011; 10(4): 4-9).

4. Evstifeeva CE, Shal'nova CA, Deev AD, et al. On behalf of ESSE-RF study. Prevalence of C-reactive protein and its association with traditional risk factors 10. and morbidity in Russian Federation population (ESSE-RF data). Rational pharmacotherapy in cardiology. 2014; 10(6): 597-605. Russian (Evstifeeva C. E., Shal'nova C. A., Deev A. D. i dr. ot imeni uchastnikov issledovaniya ESSE11. RF. Rasprostranennost' povyshennogo urovnya S-reaktivnogo belka i ego assotsiatsii s traditsionnymi faktorami riska i zabolevaemost'yu u zhitelei Rossiiskoi Federatsii (po dannym issledovaniya ESSE-RF). Rational pharmacotherapy in cardiology 2014; 10(6): 597-605). 12.

5. Scientific organization committee of ESSE-RF project. Epidemiology of cardiovascular diseases in different regions of Russian Federation. Design of the 13. study. Preventive medicine. 2013; 6: 25-34. Russian (Nauchno-organizatsionnyi komitet proekta ESSE RF. Epidemiologiya serdechno-sosudistykh zabolevanii v razlichnykh regionakh Rossii (ESSE-RF). Obosnovanie i dizain issledovaniya. Profilakticheskaya meditsina 2013; 6: 25-34).

6. Petrov IM. Non-invasive interventional programs efficacy in Far north settlers with 14. metabolic syndrome. 5-year survey results. Ural medical journal. 2014; 8(122): 151-8. Russian (Petrov I. M. Effektivnost' neivazivnykh interventsionnykh 15. programm u zhitelei Krainego Severa s metabolicheskim sindromom: rezul'taty 5-i letnego prospektivnogo nablyudeniya. Ural'skii meditsinskii zhurnal 2014; 8(122): 151-8). 16.

7. Balanova YuA, Kontsevaya AV, Shalnova SA, et al. Prevalence of behavioral risk factors for cardiovascular disease in the Russian population: Results of the ESSE-RF epidemiological study. Preventive medicine 2014; 5: 42-52. Russian (Balanova Yu. A., Kontsevaya A. V., Shal'nova S. A. i soavt. ot imeni uchastnikov issledovaniya 17. ESSE-RF Rasprostranennost' povedencheskikh faktorov riska serdechno-sosudistykh zabolevanii v rossiiskoi populyatsii po rezul'tatam issledovaniya ESSE. Profilakticheskaya meditsina 2014; 5: 42-52).

8. Boytsov SA, Balanova YuA, Shalnova SA, et al. Arterial hypertension among dividuals of 25-64 years old: prevalence, awareness, treatment and control. By the data from ECCD. Cardiovascular Therapy and Prevention 2014; 14 (4): 4-14. Russian (Boitsov S. A., Balanova Yu. A., Shal'nova S. A i dr. ot imeni uchastnikov issledovaniya ESSE-RF. Arterial'naya gipertoniya sredi lits 25-64 let: rasprostranennost', osvedomlennost', lechenie i kontrol'. Po materialam issledovaniya ESSE. Kardiovaskulyarnaya terapiya i profilaktika 2014; 14 (4): 4-14).

9. Murotseva GA, Kontsevaya AV, Konstantinov VV on behalf of the ECVD-RF study The prevalence of non-infectious diseases risk fctors in Russian population in 20122013 years. The results of ECVD-RF study. Cardiovascular Therapy and Prevention 2014; 13(6):4-11. Russian (Muromtseva G. A., Kontsevaya A. V., Konstantinov V. V. ot imeni uchastnikov issledovaniya ESSE-RF. Rasprostranennost' faktorov riska neinfektsionnykh zabolevanii v rossiiskoi populyatsii v 2012-2013 gg. Rezul'taty issledovaniya ESSE-RF. Kardiovaskulyarnaya terapiya i profilaktika 2014; 13(6): 4-11).

10. Towards Preventing Non communicable Diseases: The New WHO Global Non-communicable Disease Network. Annals of Nutrition and Metabolism volume 2010; 57 (1): 1-2. https://doi.org/10.1159/000308455 .

11. Koncevaja AV, Kalinina AM. Healthcare expenses caused by smoking. Rational pharmacotherapy in cardiology 2011; 7(3): 306-12. Russian (Kontsevaya A. V., Kalinina A. M. Zatraty sistemy zdravookhraneniya, assotsiirovannye s kureniem. RFK 2011; 7(3): 306-12.

12. WHO global report - noncommunicable diseases country profiles, (2011 http://who.int/nmh/publications/ncd_profiles2011/en)

13. Efanov AY, Efanova SA. Modern view on hypodynamia as cardiovascular disease risk factor. Medical science and education of the Urals. 2015; 2(1): 153-8. Russian (Efanov A. Yu., Efanova S. A. Sovremennyi vzglyad na gipodinamiyu kak faktor riska serdechno-sosudistykh zabolevanii. Meditsinskaya nauka i obrazovanie Urala. 2015; 2(1): 153-8).

14. O'Donnell MJ, Mente A, Smyth A, Yusuf S. Salt intake and cardiovascular disease: why are the data inconsistent. Eur Heart J 2013; 34: 1034-40. https://doi.org/10.1093/eurheartj/ehs409. Draft action plan for the prevention and control of noncommunicabie diseases 20132020 (provisional agenda item 13.2 6th may, 2013, A66/9. WHO, Geneva, (http: apps. Who. Int/gb/ebwha).

15. Buckland G, Agudo A, Travieret N, et al. Adherence to the Mediterranean diet reduces mortality in the Spanish cohort of the European Prospective Investigation into Cancer and Nutrition (EPIC-Spain). British J Nutrition 2011; 106(10): 1581-91. https://doi.org/10.1017/s0007114511002078

16. Wang X, Ouyang Y Liu J, et al. Fruit and vegetables; consumption and mortality from all causes, cardiovascular diseases and cancer: systematic review and dose-response meta-analysis of prospective cohort studies. BMJ 2014; 349: 4490. https://doi.org/10.1136/bmj.g4490.