Long-term temporal trends in cardiovascular and metabolic risk factors

التفاصيل البيبلوغرافية
العنوان: Long-term temporal trends in cardiovascular and metabolic risk factors
المؤلفون: Wegene Borena, Tanja Stocks, Pär Stattin, Hanno Ulmer, Alexander Strasak, Göran Hallmans, Jonas Manjer, Dorthe Johansen, Håkan Jonsson, Susanne Strohmaier, Hans Concin, Kilian Rapp
المصدر: Wiener klinische Wochenschrift. 121:623-630
بيانات النشر: Springer Science and Business Media LLC, 2009.
سنة النشر: 2009
مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Blood sugar, Comorbidity, Disease, Risk Assessment, Age Distribution, Metabolic Diseases, Risk Factors, Internal medicine, Epidemiology, medicine, Humans, Longitudinal Studies, Sex Distribution, business.industry, Incidence, General Medicine, Middle Aged, medicine.disease, Obesity, Endocrinology, Cardiovascular Diseases, Austria, Cohort, Female, Metabolic syndrome, business, Body mass index, Dyslipidemia, Demography
الوصف: OBJECTIVES: Metabolic factors such as obesity, hypertension, dyslipidemia and hyperglycemia have consistently been associated with increased risk of cardiovascular disease. There is also growing evidence that these factors are linked to cancer incidence and mortality. The aim of this study was to investigate long-term trends in major metabolic risk factors in three large cohorts. MATERIALS AND METHODS: Data from 239,602 individuals aged 25-64 years participating in health examinations between 1976 and 2005 were used to estimate prevalence and trends in five risk factors. RESULTS: Irrespective of geographic location, individual metabolic risk factors showed divergent trends across the observation period. Whereas obesity and hyperglycemia in men increased by a per decade ratio of 1.54 (95% CI: 1.42-1.66) and 1.62 (95% CI: 1.49-1.76), respectively, and in women by 1.48 (95% CI: 1.41-1.56) and 1.66 (95% CI: 1.57-1.75), hypertension decreased by 0.71 (95% CI: 0.68-0.74) in men and 0.83 (95% CI: 0.79-0.86) in women. Dyslipidemia increased from the 1970s to the 1980s but declined in the succeeding decade. A combination of three or more of these risk factors increased significantly in men by a ratio of 1.15 (95% CI: 1.08-1.22) per decade and in women by 1.20 (95% CI: 1.15-1.27). CONCLUSION: The study shows that individual metabolic risk factors followed divergent trends over the period of three decades even though the combination of three or more risk factors used as a proxy for the metabolic syndrome appeared to be stable over the last two of the decades. The two key components of the syndrome, namely BMI and glucose levels, increased significantly and deserve professional attention.
تدمد: 1613-7671
0043-5325
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::12f74ed4135ff9695488695eb417686aTest
https://doi.org/10.1007/s00508-009-1238-zTest
حقوق: CLOSED
رقم الانضمام: edsair.doi.dedup.....12f74ed4135ff9695488695eb417686a
قاعدة البيانات: OpenAIRE