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Assessing cardiovascular risk in regional areas: the Healthy Hearts Beyond City Limits program
Melinda J Carrington1, Garry L Jennings, Robyn A Clark
1Baker IDI Heart and Diabetes Institute, Melbourne, Vic, Australia.
Insights
Cardiovascular disease (CVD) risk factors are common in regional Australia. The Healthy Hearts study in Victoria found high prevalence, suggesting a need for targeted regional risk management clinics to lower CVD burden.
Area of Science:
- Public Health
- Epidemiology
- Cardiology
Background:
- Cardiovascular disease (CVD) prevalence is higher in regional and remote Australian areas compared to metropolitan centers.
- The Healthy Hearts study investigated CVD risk factors in regional Victoria, Australia.
Purpose of the Study:
- To determine age and sex-specific cardiovascular disease (CVD) risk factor levels in regional Victoria.
- To assess the potential effectiveness of national risk clinics for managing CVD risk.
Main Methods:
- An observational study conducted in four selected high-risk communities in regional Victoria.
- Standardized protocols were used to measure CVD risk factors, estimate absolute CVD risk, and provide feedback.
- Data from 2125 self-selected participants were analyzed, comparing CVD risk factor prevalence between sexes.
Main Results:
- High prevalence of cardiovascular disease (CVD) risk factors was observed in the study population.
- Men exhibited higher rates of modifiable CVD risk factors, pre-existing CVD, and ECG abnormalities compared to women.
- Women had higher rates of obesity and physical inactivity, while men reported fewer depressive symptoms.
Conclusions:
- The study confirmed elevated cardiovascular disease (CVD) risk factor levels in regional Victoria.
- Close community engagement is crucial for implementing regional risk management clinics.
- Targeted interventions in regional clinics can potentially reduce the overall burden of CVD.
Background:
Cardiovascular disease (CVD) is more prevalent in regional and remote Australia compared to metropolitan areas. The aim of Healthy Hearts was to determine age and sex specific CVD risk factor levels and the potential value of national risk clinics.
Methods:
Healthy Hearts was an observational research study conducted in four purposefully selected higher risk communities in regional Victoria, Australia. The main outcome measures were the proportion of participants with CVD risk factors with group comparisons to determine the adjusted likelihood of elevated risk factor levels. Trained personnel used a standardized protocol over four weeks per community to measure CVD risk factor levels, estimate absolute CVD risk and provide feedback and advice.
Results:
A total of 2125 self-selected participants were assessed (mean age 58 ± 15 years, 57% women). Overall, CVD risk factors were highly prevalent. More men than women had ≥ 2 modifiable CVD risk factors (76% vs. 68%, p < .001), pre-existing CVD (20 vs. 15%, p < .01) and a major ECG abnormality requiring follow-up (15% vs. 7%, p < .001) . Less men reported depressive symptoms compared to women (28% vs. 22%, p < .01). A higher proportion of women were obese (adjusted OR 1.36, 95% CI 1.13 to 1.63), and physically inactive (adjusted OR 1.32, 95% CI 1.07 to 1.63).
Conclusions:
High CVD risk factor levels were confirmed for regional Victoria. Close engagement with individuals and communities provides scope for the application of regional risk management clinics to reduce the burden of CVD risk in regional Australia.
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