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Risk factors for cardiovascular disease from a population-based screening study in Tianjin, China: a cohort study of
Yingyi Zhang1, Hongliang Cong1, Chen Man2
1Department of Cardiology, Tianjin Chest Hospital, Tianjin 300222, China.
Insights
Cardiovascular disease (CVD) risk is high in Tianjin. Key factors include hypertension, high cholesterol, blood sugar, and family history, highlighting the need for comprehensive screening and intervention strategies.
Area of Science:
- Public Health
- Epidemiology
- Cardiology
Background:
- Cardiovascular disease (CVD) presents a significant global health threat.
- Effective management of CVD risk factors is crucial for improving public health outcomes.
- Early identification and intervention can mitigate CVD incidence and enhance quality of life.
Purpose of the Study:
- To analyze the prevalence and risk factors of cardiovascular disease (CVD) in Tianjin residents.
- To identify key indicators influencing CVD risk through statistical analysis.
- To inform targeted screening and intervention programs for high-risk populations.
Main Methods:
- Analysis of data from 36,215 participants in the Early Screening and Comprehensive Intervention Program for High Risk Population of Cardiovascular Disease in Tianjin.
- Utilized Pearson's chi-squared test, Fisher's exact test, logistic regression, and decision tree analysis.
- Examined relationships between CVD risk and personal information, medical history, biochemical markers, and physical fitness.
Main Results:
- Personal history of hypertension and apoplexy showed a strong association with CVD risk.
- Elevated cholesterol, low-density lipoprotein cholesterol, and blood sugar levels were linked to higher CVD risk.
- Logistic regression identified 12 influencing factors, including age, blood pressure, and family history; hypertension, BMI, cholesterol, and blood glucose were associated with multiple indicators.
Conclusions:
- Tianjin residents exhibit a high prevalence of cardiovascular disease risk factors.
- Family medical history and individual physical fitness are critical considerations for CVD screening.
- Integrated screening and intervention strategies are recommended to reduce CVD risk effectively.
Background:
Cardiovascular disease (CVD) is a harmful disease that poses a serious threat to human life. By effectively controlling its risk factors, the occurrence and development of CVD can be reduced, and people's health status and quality of life can be improved.
Methods:
A total of 36,215 participants were collected from participants of the Early Screening and Comprehensive Intervention Program for High Risk Population of Cardiovascular Disease in Tianjin on July 31, 2017. We analyzed the relationship between CVD risk and personal information, personal and family medical history, biochemical index, and physical fitness index using Pearson's chi-squared test with and without Yates's correction for continuity, and Fisher's exact test. CVD risk-related factors were examined through logistic regression and decision tree analysis.
Results:
A personal history of hypertension and apoplexy had a contingency coefficient with CVD risk of more than 0.3. A higher risk of CVD was also found to be associated with biochemical markers of cholesterol, low-density lipoprotein cholesterol, and blood sugar. Logistic regression analysis revealed 12 indicators to be influencing factors of CVD, including age, systolic blood pressure (SBP), diastolic blood pressure (DBP), and the number of people aged >90 in the family. Hypertension, SBP, BMI, cholesterol, and blood glucose were associated with five or more other indicators.
Conclusions:
The prevalence of CVD risk factors in Tianjin residents is relatively high. Family disease history and individual physical fitness indicators need to be taken into account during CVD screening and intervention, to reduce the risk of CVD.
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