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Published on: September 26, 2018
Cardiovascular risk factors among internal medicine residents
Nicole L Mihalopoulos1, Gerald S Berenson
1Department of Pediatrics, University of Utah, Salt Lake City, UT 84132, USA. nicole.mihalopoulos@hsc.utah.edu
Insights
Many internal medicine residents have cardiovascular disease risk factors like hypertension, obesity, high cholesterol, smoking, and sedentary lifestyles. Increased awareness and personal risk factor modification strategies are needed in residency training.
Area of Science:
- Internal Medicine
- Cardiovascular Disease Prevention
- Public Health
Background:
- Cardiovascular disease (CVD) remains a leading cause of mortality.
- Modifiable risk factors significantly contribute to CVD incidence.
- Internal medicine (IM) residents manage patient CVD risk but may overlook personal risks.
Purpose of the Study:
- To assess the prevalence of major modifiable cardiovascular disease risk factors among internal medicine residents.
- To identify personal health behaviors and conditions impacting resident well-being.
Main Methods:
- Survey and physical assessment of 101 eligible internal medicine residents.
- Data collection included medical history, physical examination, and laboratory lipid profiles.
- Analysis focused on prevalence of hypertension, obesity, dyslipidemia, smoking, and sedentary behavior.
Main Results:
- Of 56 participants, 20% had two or more CVD risk factors.
- Prevalence included systolic hypertension (3/39), elevated BMI (13/39), high total cholesterol (13/38), high LDL (28/38), low HDL (7/38), smoking (3/56), and sedentary lifestyle (15/56).
- No residents reported CVD symptoms or history.
Conclusions:
- Internal medicine residents exhibit a significant prevalence of modifiable cardiovascular disease risk factors.
- Residency training programs should incorporate strategies for personal risk factor awareness and reduction.
- Addressing resident health is crucial for promoting long-term well-being and effective patient care.
Abstract:
Modification of risk factors can reduce the number of deaths due to cardiovascular disease (CVD). Internal medicine (IM) residents devote significant clinical time to help patients modify CVD risk factors but may fail to recognize the presence of such factors in their own lives. The prevalence of major modifiable risk factors was assessed in IM residents. Of 101 eligible residents, 56 completed at least 1 component of the study. None had symptoms or history of CVD, and 11 (20%) had > or = 2 CVD risk factors. Of 39 subjects who had physical assessment, 3 had systolic hypertension and 13 had a body mass index > or = 25. Of 38 patients with fasting lipid measurements, 13 had total cholesterol >200 mg/dL; 28 had low-density lipoprotein > or = 100 mg/dL, with 7 >160 mg/dL; and 7 had high-density lipoprotein <40 mg/dL. Three residents smoked 10 cigarettes per day and 15 were sedentary. Training in IM should include strategies to increase awareness of modifiable personal risk factors for CVD, as well as strategies to reduce or eliminate them.
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