SMOKING AND CARDIOVASCULAR MORTALITY IN TOMSK INHABITANTS AS A TYPICAL CITY OF WESTERN SIBERIA
https://doi.org/10.15829/1728-8800-2017-6-115-121
Abstract
Aim. To investigate on the influence of cardiovascular diseases (CVD) on mortality in 25 thousand inhabitants of the typical city ofWestern Siberia.
Material and methods. Under the framework of international World Health Organization project “Epidemiological Studies into Long-term Trends of Population Health in Russia” with participation of 45 clinicians in medical institutions of the city, the cases of 26186 deaths were assessed, men and women 15-74 year old.
Results. The mortality from CVD was 34,9% and 44% in men and women; from coronary heart disease — 59,8% and 41,3%; from cerebrovascular disease — 29,2% and 39,9%, resp. Smoking was found in 68,7% men and 12% women; with the mean time of 41,3 and 38,9 years, respectively; smoking increased the risk 1,49-1,56 times. In the moderate and high tobacco consumption rates, risk of death increased (p<0,0001, p=0,002), as in any kind of smoking in economically active persons, more than 2 times. The decrease of life duration in smoking women and in lethal cases from coronary heart disease was 6,5 years (p<0,001), in men — 3,7 years; from CVD — 5,3 and 2,7 years, respectively.
Conclusion. The role of smoking was assessed in mortality from CVD, as the necessity confirmed for prevention of smoking at regional level.
About the Authors
E. V. Efimova
SRI of Cardiology of Tomsk National Research Medical Center
Russian Federation
Tomsk
Russian Federation
Tomsk
I. N. Konobeevskaya
SRI of Cardiology of Tomsk National Research Medical Center
Russian Federation
Tomsk
Russian Federation
Tomsk
G. V. Maksimenko
Medical Society “The Health”
Russian Federation
Tomsk
Russian Federation
Tomsk
R. S. Karpov
SRI of Cardiology of Tomsk National Research Medical Center
Russian Federation
Tomsk
Russian Federation
Tomsk
References
1. Ng M, Freeman M, Fleming T. Smoking Prevalence and Cigarette Consumption in 187 Countries, 1980-2012. JAMA 2014; 311: 183-92. DOI:10.1001/jama.2013.284692.
2. WHO Report on the Global Tobacco Epidemic, 2015 (country profile Russian Federation); 13.
3. Maslennikova GYa, Oganov RG. Medical and social-economic impact caused by tobacco smoking in the Russian Federation: Cardiovascular diseases. Journal of Preventive Medicine 2011; 3: 19-28. Russian (Масленникова Г.Я, Оганов Р. Г. Медицинский и социально-экономический ущерб, обусловленный курением табака в Российской Федерации: болезни системы кровообращения. Профилактическая медицина 2011; 3: 19-28).
4. Zaridze DG, Karpov RS, Kiseleva SM, et al. Smoking: the main cause of high mortality rate among Russian population. Vestn Ross Akad Med Nauk 2002; 9: 40-5. Russian (Заридзе Д. Г., Карпов Р. С., Киселева С. М. др. Курение — основная причина высокой смертности россиян. Вестник РАМН 2002; 9: 40-5).
5. Balanova YuA, Kontsevaya AV, Shalnova SA, et al. Prevalence of behavioral risk factors for cardiovascular disease in the Russian population: Results of the ESSERF epidemiological study. Journal of Preventive Medicine 2014; 5: 42-52. Russian (Баланова Ю. А., Концевая А. В., Шальнова С. А. и др. Распространённость поведенческих факторов риска сердечно-сосудистых заболеваний в российской популяции по результатам исследования ЭССЕ-РФ. Профилактическая медицина 2014; 5: 42-52).
6. Demographic annual report of Russia. 2015: Statistical Compendium Rosstat 2015; 263р. Russian (Демографический ежегодник России. 2015: Стат. сб. Росстат 2015; 263с).
7. Peto R, Lopez A, Boreham J, Thum M. Mortality from smoking in developed countries 1950-2000. Oxford, United Kingdom: Clinical Trial Service Unit and Epidemiological Studies Unit, March 2012. http://rum.ctsu.ox.ac.uk/~tobacco//.
8. WHO/Europe Mortality indicators by 67 causes of death, age and sex (HFA- MBD). [Электронный документ] — 2012 (http:www.euro.who.int/en/what-we-do/dataand- evidence/databases/mortality-indicators-by-67-causes-of-death,-age-andsex- hfambd). accessed May 25, 2012.
9. Shalnova SA, Konradi AO, Karpov YuA, et al. Analysis of cardiovascular mortality in 12 regions of the Russian Federation participating in the study “Epidemiology of cardiovascular diseases in different regions of Russia”. Russian Journal of Cardiology 2012; 5: 6-11. (In Russ.) DOI:10.15829/1560-4071-2012-5-6-11 Russian (Шальнова С. А., Конради А. О., Карпов Ю. А. и др. Анализ смертности от сердечно-сосудистых заболеваний в 12 регионах Российской Федерации участвующих в исследовании “Эпидемиология сердечно-сосудистых заболеваний в различных регионах России”. Российский кардиологический журнал 2012; 5: 6-11. DOI:10.15829/1560-4071-2012-5-6-11).
10. Oganov RG, Maslennikova GYa. Demographic tendencies in the Russian Federation: Impact of cardiovascular diseases. Cardiovascular Therapy and Prevention 2012; 1: 5-10 Russian (Оганов Р. Г., Масленникова Г. Я. Демографические тенденции в Российской Федерации: вклад болезней системы кровообращения. Кардиоваскулярная терапия и профилактика 2012; 1: 5-10).
11. A global brief on Hypertension (silent killer, global public health crisis). WHO, Geneva: 2013; 40.
12. Conen D, Everett B, Kurth T, et al. Smoking, smoking status and risk for symptomatic peripheral artery disease in women: a cohort study. Ann Intern Med 2011; 154: 719- 26. DOI: 10.7326/0003-4819-154-11-201106070-00003.
13. Breitling LP. Current genetics and epigenetics of smoking/tobacco-related cardiovascular disease. Arterioscler Thromb Vasc Biol 2013; 33: 1468-72. DOI: 10.1161/atvbaha.112.300157.
14. Messner B, Bernhard D. Smoking and cardiovascular disease: mechanisms of endothelial dysfunction and early atherogenesis. Arterioscler Thromb Vasc Biol 2014; 34 (3): 509-15. DOI:10.1161/atvbaha.113.300156.
15. Boytsov SA. Prophylactics of noncommunicable diseases in the country: From “what to do” to “how to do”. Journal of Preventive Medicine 2012; 2: 3-10. Russian (Бойцов С. А. Профилактика неинфекционных заболеваний в стране: от “что делать” к “как делать”. Профилактическая медицина 2012; 2: 3-10).
16. Gambaryan MG, Boytsov SA, Salagai OO. Setting up a system for monitoring аnd evaluation of tobacco control measures aimed at protection from the environmental tobacco smoke and reduction of tobacco соnsumption. Journal of Preventive Medicine. 2016; 6: 4-12. Russian (Гамбарян М. Г., Бойцов С. А., Салагай О. О. Состояние системы мониторинга и оценки эффективности реализации мероприятий, направленных на предотвращение воздействия окружающего табачного дыма и потребления табака. Профилактическая медицина 2016; 6: 4-12).
Review
For citations:
Efimova E.V., Konobeevskaya I.N., Maksimenko G.V., Karpov R.S. SMOKING AND CARDIOVASCULAR MORTALITY IN TOMSK INHABITANTS AS A TYPICAL CITY OF WESTERN SIBERIA. Cardiovascular Therapy and Prevention. 2017;16(6):115-121. (In Russ.) https://doi.org/10.15829/1728-8800-2017-6-115-121
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