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Risk factors for cardiovascular disease in U.S. medical students: the Preventive Cardiology Academic Award
C B Eaton1, D C Schaad, B Rybicki
1Albany Medical College, New York.
Insights
This study establishes normal cardiovascular risk factor ranges for medical students, aiding preventive cardiology education. Data from 3,811 students inform baseline health metrics for this key demographic.
Area of Science:
- Cardiology
- Preventive Medicine
- Medical Education
Background:
- Cardiovascular disease (CVD) risk factor assessment is crucial for medical student education.
- Establishing normative data in medical students enhances awareness of preventive cardiology.
- Previous studies lacked comprehensive, standardized CVD risk factor data for this population.
Purpose of the Study:
- To determine normal ranges for major cardiovascular risk factors in freshman medical students.
- To stratify these risk factors by sex, race, and other demographic variables.
- To provide a benchmark for preventive cardiology educational programs.
Main Methods:
- Standardized collection of physiological measurements (e.g., blood pressure, cholesterol) and lifestyle factors (e.g., smoking, exercise) from 3,811 medical students across eight U.S. institutions.
- Data stratified by sex (male/female) and race (White, Black, Asian, Hispanic).
- Inclusion of factors like hypertension, diabetes, smoking, exercise, oral contraceptive use, and family history of coronary heart disease.
Main Results:
- Detailed distributions of height, weight, BMI, blood pressure, and lipid profiles (total cholesterol, triglycerides, HDL-C, LDL-C) presented for all subgroups.
- Prevalence data for hypertension, diabetes mellitus, smoking, lack of regular exercise, oral contraceptive use, and family history of coronary heart disease reported by sex and race.
- Comparison of medical student risk factor profiles with broader young adult epidemiological studies.
Conclusions:
- Established normative cardiovascular risk factor values for freshman medical students across diverse demographic groups.
- Highlights the utility of this data for tailoring preventive cardiology curricula for medical trainees.
- Acknowledges limitations and emphasizes the importance of race- and sex-specific data in medical education and clinical practice.
Abstract:
Risk factors for cardiovascular disease are commonly obtained in freshman medical students for the purpose of increasing interest and awareness in preventive cardiology. What would be a normal range of values for this select group? This paper describes the major cardiovascular risk factors for 3,811 male and female freshman medical students from eight U.S. medical schools that were obtained in a standardized fashion as part of the Preventive Cardiology Academic Award (PCAA) programs at these institutions. The distributions of height, weight, Quetelet index, systolic and diastolic blood pressures, total cholesterol, triglycerides, high-density lipoprotein cholesterol, and calculated low-density lipoprotein cholesterol are presented for male and female medical students stratified by race into white, black, Asian, and Hispanic groups. The sex and race distributions of cardiovascular risk factors such as previously diagnosed hypertension, diabetes mellitus, smoking, lack of regular exercise (three times a week or more), oral contraceptive use in women, and family history of coronary heart disease are presented. The cardiovascular risk of freshman medical students is compared to other epidemiologic studies of young adults. The use and limitations of these race- and sex-specific data on cardiovascular risk, including physiologic measurements, are discussed in the context of educational programs for medical students and house staff in preventive cardiology.
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