Lifestyle and Risk Factor Management in People at High Risk of Cardiovascular Disease. A Report from the European Society of Cardiology European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV Cross-Sectional Survey in 14 European Regions
Autor(a) principal: | |
---|---|
Data de Publicação: | 2016 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/2577 |
Resumo: | BACKGROUND: European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV in primary care was a cross-sectional survey carried out by the European Society of Cardiology, EURObservational Research Programme in 2014-2015 in 71 centres from 14 European countries. The main objective was to determine whether the 2012 Joint European Societies' guidelines on cardiovascular disease (CVD) prevention in people at high CVD risk have been followed in clinical practice. METHODS: Patients without a history of atherosclerotic disease started on either blood pressure and/or lipid and/or glucose-lowering treatments were identified and interviewed at least six months after the start of medication. RESULTS: Medical notes of 6700 patients were reviewed, and 4579 patients (58.7% women; mean age 58.8 (standard deviation (SD) 11.3) years) interviewed (interview rate 68.3%). Overall, 16.6% were smokers, 39.9% were overweight (body mass index (BMI)≥25 and <30 kg/m2), 43.5% obese (BMI ≥30 kg/m2) and 63.9% centrally obese (waist circumference of ≥88 cm for women, ≥102 cm for men). The medical risk factor control was very poor, with less than half (42.8%) of the patients on blood pressure lowering medication reaching the target of <140/90 mm Hg (<140/80 mm Hg in people with self-reported diabetes). Among treated dyslipidaemic patients only 32.7% attained the low-density lipoprotein (LDL)-cholesterol target of <2.5 mmol/l. Among people treated for type 2 diabetes mellitus, 58.5% achieved the glycated haemoglobin (HbA1c) target of <7.0%. CONCLUSION: The EUROASPIRE IV survey shows that large proportions of patients at high CVD risk have unhealthy lifestyle habits and uncontrolled blood pressure, lipids and diabetes. The present data make it clear that more efforts must be taken to improve cardiovascular prevention in people at high CVD risk. |
id |
RCAP_e70f55d30a610bf9ba2bf6c1d78b0a51 |
---|---|
oai_identifier_str |
oai:repositorio.chlc.min-saude.pt:10400.17/2577 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Lifestyle and Risk Factor Management in People at High Risk of Cardiovascular Disease. A Report from the European Society of Cardiology European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV Cross-Sectional Survey in 14 European RegionsHSM CARCardiovascular Diseases/epidemiologyCardiovascular Diseases/prevention & controlCross-Sectional StudiesEurope/epidemiologyGuideline AdherenceLife StyleMorbidity/trendsPrimary Prevention/methodsRetrospective StudiesSecondary Prevention/methodsSurveys and QuestionnairesSurvival Rate/trendsBACKGROUND: European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV in primary care was a cross-sectional survey carried out by the European Society of Cardiology, EURObservational Research Programme in 2014-2015 in 71 centres from 14 European countries. The main objective was to determine whether the 2012 Joint European Societies' guidelines on cardiovascular disease (CVD) prevention in people at high CVD risk have been followed in clinical practice. METHODS: Patients without a history of atherosclerotic disease started on either blood pressure and/or lipid and/or glucose-lowering treatments were identified and interviewed at least six months after the start of medication. RESULTS: Medical notes of 6700 patients were reviewed, and 4579 patients (58.7% women; mean age 58.8 (standard deviation (SD) 11.3) years) interviewed (interview rate 68.3%). Overall, 16.6% were smokers, 39.9% were overweight (body mass index (BMI)≥25 and <30 kg/m2), 43.5% obese (BMI ≥30 kg/m2) and 63.9% centrally obese (waist circumference of ≥88 cm for women, ≥102 cm for men). The medical risk factor control was very poor, with less than half (42.8%) of the patients on blood pressure lowering medication reaching the target of <140/90 mm Hg (<140/80 mm Hg in people with self-reported diabetes). Among treated dyslipidaemic patients only 32.7% attained the low-density lipoprotein (LDL)-cholesterol target of <2.5 mmol/l. Among people treated for type 2 diabetes mellitus, 58.5% achieved the glycated haemoglobin (HbA1c) target of <7.0%. CONCLUSION: The EUROASPIRE IV survey shows that large proportions of patients at high CVD risk have unhealthy lifestyle habits and uncontrolled blood pressure, lipids and diabetes. The present data make it clear that more efforts must be taken to improve cardiovascular prevention in people at high CVD risk.SAGE PublicationsRepositório do Centro Hospitalar Universitário de Lisboa Central, EPEKotseva, KDe Bacquer, DDe Backer, GRydén, LJennings, CGyberg, VAbreu, AAguiar, CConde, Almudena CDavletov, KDilic, MDolzhenko, MGaita, DGeorgiev, BGotcheva, NLalic, NLaucevicius, ALovic, DMancas, SMiličić, DOganov, RPajak, APogosova, NReiner, ŽVulic, DWood, DThe Euroaspire Investigators2016-11-10T15:33:10Z2016-09-162016-09-16T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/2577engEur J Prev Cardiol. 2016; 23 (18): 2007-201810.1177/2047487316667784info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:38:27Zoai:repositorio.chlc.min-saude.pt:10400.17/2577Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:19:55.519680Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Lifestyle and Risk Factor Management in People at High Risk of Cardiovascular Disease. A Report from the European Society of Cardiology European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV Cross-Sectional Survey in 14 European Regions |
title |
Lifestyle and Risk Factor Management in People at High Risk of Cardiovascular Disease. A Report from the European Society of Cardiology European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV Cross-Sectional Survey in 14 European Regions |
spellingShingle |
Lifestyle and Risk Factor Management in People at High Risk of Cardiovascular Disease. A Report from the European Society of Cardiology European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV Cross-Sectional Survey in 14 European Regions Kotseva, K HSM CAR Cardiovascular Diseases/epidemiology Cardiovascular Diseases/prevention & control Cross-Sectional Studies Europe/epidemiology Guideline Adherence Life Style Morbidity/trends Primary Prevention/methods Retrospective Studies Secondary Prevention/methods Surveys and Questionnaires Survival Rate/trends |
title_short |
Lifestyle and Risk Factor Management in People at High Risk of Cardiovascular Disease. A Report from the European Society of Cardiology European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV Cross-Sectional Survey in 14 European Regions |
title_full |
Lifestyle and Risk Factor Management in People at High Risk of Cardiovascular Disease. A Report from the European Society of Cardiology European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV Cross-Sectional Survey in 14 European Regions |
title_fullStr |
Lifestyle and Risk Factor Management in People at High Risk of Cardiovascular Disease. A Report from the European Society of Cardiology European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV Cross-Sectional Survey in 14 European Regions |
title_full_unstemmed |
Lifestyle and Risk Factor Management in People at High Risk of Cardiovascular Disease. A Report from the European Society of Cardiology European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV Cross-Sectional Survey in 14 European Regions |
title_sort |
Lifestyle and Risk Factor Management in People at High Risk of Cardiovascular Disease. A Report from the European Society of Cardiology European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV Cross-Sectional Survey in 14 European Regions |
author |
Kotseva, K |
author_facet |
Kotseva, K De Bacquer, D De Backer, G Rydén, L Jennings, C Gyberg, V Abreu, A Aguiar, C Conde, Almudena C Davletov, K Dilic, M Dolzhenko, M Gaita, D Georgiev, B Gotcheva, N Lalic, N Laucevicius, A Lovic, D Mancas, S Miličić, D Oganov, R Pajak, A Pogosova, N Reiner, Ž Vulic, D Wood, D The Euroaspire Investigators |
author_role |
author |
author2 |
De Bacquer, D De Backer, G Rydén, L Jennings, C Gyberg, V Abreu, A Aguiar, C Conde, Almudena C Davletov, K Dilic, M Dolzhenko, M Gaita, D Georgiev, B Gotcheva, N Lalic, N Laucevicius, A Lovic, D Mancas, S Miličić, D Oganov, R Pajak, A Pogosova, N Reiner, Ž Vulic, D Wood, D The Euroaspire Investigators |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Kotseva, K De Bacquer, D De Backer, G Rydén, L Jennings, C Gyberg, V Abreu, A Aguiar, C Conde, Almudena C Davletov, K Dilic, M Dolzhenko, M Gaita, D Georgiev, B Gotcheva, N Lalic, N Laucevicius, A Lovic, D Mancas, S Miličić, D Oganov, R Pajak, A Pogosova, N Reiner, Ž Vulic, D Wood, D The Euroaspire Investigators |
dc.subject.por.fl_str_mv |
HSM CAR Cardiovascular Diseases/epidemiology Cardiovascular Diseases/prevention & control Cross-Sectional Studies Europe/epidemiology Guideline Adherence Life Style Morbidity/trends Primary Prevention/methods Retrospective Studies Secondary Prevention/methods Surveys and Questionnaires Survival Rate/trends |
topic |
HSM CAR Cardiovascular Diseases/epidemiology Cardiovascular Diseases/prevention & control Cross-Sectional Studies Europe/epidemiology Guideline Adherence Life Style Morbidity/trends Primary Prevention/methods Retrospective Studies Secondary Prevention/methods Surveys and Questionnaires Survival Rate/trends |
description |
BACKGROUND: European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV in primary care was a cross-sectional survey carried out by the European Society of Cardiology, EURObservational Research Programme in 2014-2015 in 71 centres from 14 European countries. The main objective was to determine whether the 2012 Joint European Societies' guidelines on cardiovascular disease (CVD) prevention in people at high CVD risk have been followed in clinical practice. METHODS: Patients without a history of atherosclerotic disease started on either blood pressure and/or lipid and/or glucose-lowering treatments were identified and interviewed at least six months after the start of medication. RESULTS: Medical notes of 6700 patients were reviewed, and 4579 patients (58.7% women; mean age 58.8 (standard deviation (SD) 11.3) years) interviewed (interview rate 68.3%). Overall, 16.6% were smokers, 39.9% were overweight (body mass index (BMI)≥25 and <30 kg/m2), 43.5% obese (BMI ≥30 kg/m2) and 63.9% centrally obese (waist circumference of ≥88 cm for women, ≥102 cm for men). The medical risk factor control was very poor, with less than half (42.8%) of the patients on blood pressure lowering medication reaching the target of <140/90 mm Hg (<140/80 mm Hg in people with self-reported diabetes). Among treated dyslipidaemic patients only 32.7% attained the low-density lipoprotein (LDL)-cholesterol target of <2.5 mmol/l. Among people treated for type 2 diabetes mellitus, 58.5% achieved the glycated haemoglobin (HbA1c) target of <7.0%. CONCLUSION: The EUROASPIRE IV survey shows that large proportions of patients at high CVD risk have unhealthy lifestyle habits and uncontrolled blood pressure, lipids and diabetes. The present data make it clear that more efforts must be taken to improve cardiovascular prevention in people at high CVD risk. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-11-10T15:33:10Z 2016-09-16 2016-09-16T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.17/2577 |
url |
http://hdl.handle.net/10400.17/2577 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Eur J Prev Cardiol. 2016; 23 (18): 2007-2018 10.1177/2047487316667784 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
SAGE Publications |
publisher.none.fl_str_mv |
SAGE Publications |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1817550869322792960 |