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A. Basics
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01. History of Cardiology
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07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
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20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
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28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
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e_COR study: Prevalence of cardiovascular risk factors in the Portuguese population
Session:
Painel 12 - Prevenção / Reabilitação Cardíaca 1
Speaker:
Ana Catarina Alves
Congress:
CPC 2020
Topic:
J. Preventive Cardiology
Theme:
28. Risk Factors and Prevention
Subtheme:
28.1 Risk Factors and Prevention – Epidemiology
Session Type:
Posters
FP Number:
---
Authors:
Ana Catarina Alves; Joana Chora; Quitéria Rato; Mafalda Bourbon
Abstract
<p><strong>Purpose:</strong> Cardiovascular disease (CVD) is a major cause of morbidity and mortality worldwide and a major public health problem. e_COR is a national study whose objective was to evaluate the prevalence, treatment and control of cardiovascular risk factors (obesity, diabetes, hypercholesterolemia, hypertriglyceridemia and arterial hypertension) in the Portuguese population between 2012 and 2014.</p> <p><strong>Methods: </strong>This study was conducted on a sample of 1688 individuals, 848 men and 840 women, aged 18 to 79 years old from 5 Portuguese continental sub-regions. Data was obtained from physical examination, biochemical analysis and a clinical questionnaire. 10-year risk of fatal CVD (SCORE, 2016 European Guidelines) was assessed for the 547 individuals aged 40 to 65 years old. Statistical analysis was performed using SPSS version 22.0 and included cell-weighting procedures so that the calculated prevalence were representative of the Portuguese population.</p> <p><strong>Results:</strong> Estimated prevalence rates were as follows: inadequate diet (71.3%), overweight (62.1%), arterial hypertension (43.1%), physical inactivity (29.2%), smoking (25.4%), alcohol abuse (18.8%), hypercholesterolemia (LDL-cholesterol ≥ 160 mg/dl - 31.5%; LDL-cholesterol ≥ 130 mg/dl - 51.5%), family history of premature CVD (11.8%), diabetes <em>mellitus</em> (8.9%) and hypertriglyceridemia (≥ 200 mg/dl - 8.6%; >150 mg/dL - 18,6%).</p> <p>Awareness, treatment and control rate of risk factors, for the three considered age groups were, respectively: 80.7%, 82.0% and 64.0% for diabetes <em>mellitus</em>; 74.2%, 71.6% and 89.7% for hypercholesterolemia (Total Cholesterol≥ 240 mg/dl); 49.2%, 39.9% and 64.3% for hypercholesterolemia (Total Cholesterol≥ 200 mg/dl); 73.0%, 71.4% and 52.1% for hypercholesterolemia (LDL-Cholesterol≥ 160mg/dl); 51.3%, 43.6% and 72.9% for hypercholesterolemia (LDL-Cholesterol≥ 130mg/dl) 24.7%, 24.7% and 12.9% for hypertriglyceridemia (≥ 200 mg/dl); and 62.8%, 69.9% and 32.1% for hypertension. About 68% of our population have at least 2 CVD risk factors and 22% have 4 or more CVD risk factors, considering only the most significant, as diabetes mellitus, hypercholesterolemia, hypertension, overweight and smoking.</p> <p>SCORE risk category prevalence was 31% for low risk, 47% for moderate, 13% for high and 9% for very high risk.</p> <p><strong>Conclusion:</strong> Identification and knowledge of how CVD risk factors are being managed are important numbers for health authorities to implement appropriate health promotion measures. The low control rates of risk factors such as diabetes or hypertension, is a serious public health problem that needs intervention through local and national health policies.</p>
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