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High prevalence of cardiovascular risk factors in a Western urban Turkish population: a community-based study [Anatol J Cardiol]
Anatol J Cardiol. 2013; 13(1): 9-17 | DOI: 10.5152/akd.2013.002

High prevalence of cardiovascular risk factors in a Western urban Turkish population: a community-based study

Belgin Ünal1, Kaan Sözmen2, Reyhan Uçku3, Gül Ergör4, Ahmet Soysal5, Hakan Baydur6, Reci Meseri7, Hatice Şimşek8
1Dokuz Eylül Üniversitesi Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, İzmir-Türkiye
2Narlıdere Community Health Center, Ministry of Health of Turkey, İzmir-Turkey
3Dokuz Eylül Üniversitesi Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, İzmir, Türkiye
4Department of Public Health, Faculty of Medicine, Dokuz Eylül University, Izmir-Turkey
5Department of Public Health, Medical Faculty, Dokuz Eylül University
6Department of Public Health, Dokuz Eylul University, İzmir
7Department of Nutrition and Dietetics, Faculty of Health Sciences, Ege University, İzmir-Turkey
8From Departments of Public Health Faculty of Medicine, Dokuz Eylül University, İzmir-Turkey

 

Objective: Cardiovascular diseases (CVD) are the largest cause of morbidity and mortality in Turkey and in the World. Heart of Balçova Project is a community- based health promotion project that aims to reduce CVD incidence and prevalence through risk factor modification in the individual and population level. This paper presents results of the baseline survey that aimed to define CVD risk factors and risk of developing coronary heart disease (CHD) in the Balçova population.

Methods: The study population included 36,187 people over 30 years of age residing in Balçova in 2007. Individuals were interviewed at their homes. Anthropometrics and blood pressure were measured and in total 12914 fasting blood samples were collected for lipid and glucose analyses. CHD risk was estimated using Framingham risk equation. Student’s t test, Chi-square for trend test and ANOVA were used to compare mean levels and percentages of risk factors between age groups and gender.

Results: In total 5552 men and 10528 women participated in the study. Smoking prevalence was 38.6% in men and 26.8% in women. The prevalence of obesity was 29.4% among men and 44.2% among women and obesity prevalence increased until the age group 75 years old. While 14.6% of men and 12.6% of women had diabetes, 39.8% of men and 41.8% of women had hypertension. The prevalence of high total cholesterol was 56.0% in men and 50.6% in women. Men had a higher risk of developing CHD compared to women in the following 10 years (13.4% vs 2.5%).

Conclusion: The prevalence of preventable risk factors for CHD is very high in Balçova population. Community-based interventions should be planned and implemented targeting both the high-risk individuals and whole population. 

Keywords: Diabetes mellitus, obesity, smoking, Framingham risk score, coronary heart disease, prevalence

Belgin Ünal, Kaan Sözmen, Reyhan Uçku, Gül Ergör, Ahmet Soysal, Hakan Baydur, Reci Meseri, Hatice Şimşek. High prevalence of cardiovascular risk factors in a Western urban Turkish population: a community-based study. Anatol J Cardiol. 2013; 13(1): 9-17