Status of novel cardiovascular risk factor and cardiovascular disease risk in an urban Cuban population--a pilot
Arturo Rodriguez-Ojea1, Celia Alonso, John W G Yarnell
1Faculty of Medicine, Calixto Garcia, Havana, Cuba.
Insights
Cardiovascular disease risk factors are highly prevalent in urban Havana. Novel factors like low vitamin E and high C-reactive protein, alongside traditional ones, were common in this Cuban population.
Area of Science:
- Cardiology
- Public Health
- Nutritional Science
Background:
- Cardiovascular disease (CVD) is a leading cause of mortality in Cuba.
- The prevalence of both traditional and novel CVD risk factors in the Cuban population is largely unknown.
- Understanding these risk factors is crucial for public health interventions.
Purpose of the Study:
- To investigate the prevalence of traditional and novel cardiovascular disease (CVD) risk factors.
- To assess these risk factors in an urban adult population in Havana, Cuba.
- To explore associations between risk factors and nutritional status.
Main Methods:
- A cross-sectional pilot survey was conducted in Havana, Cuba.
- Ninety-seven adults aged 45-60 years were included.
- Prevalence of hypertension, hypercholesterolemia, low HDL-cholesterol, diabetes, metabolic syndrome, obesity, smoking, elevated C-reactive protein, low vitamin E, and high tHcy were measured.
Main Results:
- High prevalence rates were observed for hypertension (53.6%), hypercholesterolemia (47.0%), low HDL-cholesterol (64.3%), metabolic syndrome (58.2%), and overweight/obesity (78.0%).
- Diabetes (24.6%), current smoking (39.3%), elevated C-reactive protein (32.1%), and low vitamin E levels (69.6%) were also common.
- Total serum carotenoid status was independently associated with waist circumference, diabetes risk, and metabolic syndrome.
Conclusions:
- This study reveals a high prevalence of both traditional and novel cardiovascular disease (CVD) risk factors in the surveyed urban Cuban population.
- Low serum vitamin E levels and elevated C-reactive protein indicate significant nutritional and inflammatory burdens.
- Total serum carotenoid status may play a role in the development of CVD risk factors, warranting further investigation.
Abstract:
Cardiovascular disease is the main cause of death in Cuba, yet the prevalence of novel risk factors is not known. To examine the prevalence of risk factors of traditional and novel cardiovascular diseases (CVDs) among an urban Cuban population, a cross-sectional pilot survey was undertaken in Havana city, Cuba. Ninety-seven adults aged 45-60 years registered to receive medical care at a policlinic. The prevalences of rates of CVD risk factors were: hypertension (> or =140/90 mmHg) (53.6%), hypercholesterolaemia (total cholesterol >5.2 mmol/L) (47.0%), low high-density lipoprotein (HDL)-cholesterol (<1.03 mmol/L) (64.3%); diabetes (self-reported) (24.6%); metabolic syndrome (ATP III criteria) (58.2%); overweight and obesity (body mass index > or = 25 kg/m2) (78.0%); current smoking (39.3%); elevated level of C-reactive protein (3
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