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Published on: May 3, 2018
Vascular risk factors in the Swiss population
Krassen Nedeltchev1, Marcel Arnold, Ralf Baumgartner
1Dept. of Neurology, University Hospital of Bern, Freiburgstrasse 4, Switzerland.
Insights
Over half of Swiss adults have at least one vascular risk factor, with overweight and hypertension being most common. Addressing these key risks could significantly reduce stroke and heart attack incidence.
Area of Science:
- Cardiovascular epidemiology
- Public health research
- Preventive medicine
Background:
- Identifying populations at risk for stroke is crucial for assessing cardiovascular disease burden.
- Vascular risk factors contribute significantly to cardiovascular morbidity and mortality.
Purpose of the Study:
- To determine the prevalence of major vascular risk factors and their combinations in a Swiss population.
- To inform public health strategies for stroke and myocardial infarction prevention.
Main Methods:
- Cross-sectional survey of 4,458 Swiss adults (1,741 men, 2,717 women).
- Assessed prevalence of hypertension, hypercholesterolemia, diabetes mellitus, overweight, obesity, and tobacco use.
- Analyzed combinations of risk factors and demographic variations.
Main Results:
- Overweight (50%) and hypertension (47%) were the most prevalent risk factors.
- 19.9% had no risk factors; 41.5% had one; 33.8% had two.
- Overweight was more common in men; hypertension was more prevalent in men aged 41-60.
- Hypertension, overweight, and hypercholesterolemia frequently occurred together.
Conclusions:
- The majority of the Swiss population possesses one or two major vascular risk factors.
- Overweight and hypertension are the most common and tend to aggregate.
- Targeting overweight and hypertension could substantially decrease stroke and myocardial infarction rates.
Background And Purpose:
Identification of the population at risk of stroke remains the best approach to assess the burden of cardiovascular morbidity and mortality.
Methods:
The prevalence of hypertension (HT), hypercholesterolemia (HCh), diabetes mellitus (DM), overweight (OW), obesity (OB), tobacco use (SM), and their combinations was examined in 4,458 Swiss persons (1,741 men and 2,717 women, mean age 57.8 +/- 15 years), who volunteered for the present survey.
Results:
OW was the most prevalent risk factor (50 %), followed by HT (47%), HCh (33%), SM (13 %) and DM (1.6 %). The proportion of persons without risk factors (RF) was 19.9%, with 1 RF 41.5%, 2 RF 33.8%, 3 RF 4%, and 4 RF 0.9%. OW was more prevalent in men than in women (53% vs. 41%, P=0.02). More men than women aged 41-50 years and 51-60 years had HT (49 % vs. 36%, P=0.01, and 52 % vs. 42%, P=0.02). The prevalence of HCh and DM did not show any sex-related differences. HT, OW and HCh were not only the most common single risk factors, but were also most likely to aggregate with each other.
Conclusions:
The majority of Swiss people have one or two vascular risk factors. OW and HT are by far most common and are likely to aggregate with each other. A small modification of these two factors would reduce the incidence of stroke and myocardial infarction significantly.
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