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Published on: September 26, 2018
Epidemiology of cardiovascular risk factors: Non-behavioural risk factors
Valérie Olié1, Amélie Gabet1, Clémence Grave1
1Public Health France (Santé Publique France), 94415 Saint-Maurice cedex, France.
Insights
Cardiovascular disease risk factors like obesity, diabetes, and hypertension are prevalent in France, with low awareness and poor management. Intensified prevention and management strategies are crucial, especially considering unique risks for women.
Area of Science:
- Epidemiology
- Public Health
- Cardiology
Background:
- Cardiovascular disease (CVD) is a leading cause of death globally and second in France.
- Metabolic diseases (hypertension, hypercholesterolaemia, diabetes, obesity) are key modifiable risk factors for atherosclerosis.
- Epidemiological data on these risk factors in France is essential for public health strategies.
Purpose of the Study:
- To review the latest national epidemiological data on modifiable cardiovascular risk factors in France.
- To assess the prevalence, awareness, and trends of metabolic diseases.
- To highlight specific cardiovascular risks in women.
Main Methods:
- Analysis of national epidemiological data for adults aged 18-74 years.
- Review of prevalence, awareness, and trends of obesity, diabetes, hypertension, and hypercholesterolaemia.
- Examination of gender-specific cardiovascular risk factors.
Main Results:
- In 2015, adult prevalence: obesity (17.2%), diabetes (7.4%), hypertension (30.6%), LDL hypercholesterolaemia (23.3%), CKD stage 3-5 (1.5%).
- Awareness was low, ranging from 23% (diabetes) to 45% (hypertension).
- Obesity and hypertension prevalence remained stable (2006-2015), but diabetes prevalence significantly increased. Metabolic factors are higher in men, but women face specific risks (gynaecological, pregnancy disorders).
Conclusions:
- Prevention, awareness, and management of metabolic risk factors must be enhanced to reduce CVD burden in France.
- Targeted strategies are needed, considering higher prevalence in men and specific risks in women.
- Nutrition plays a critical role in preventing these risk factors.
Abstract:
Cardiovascular disease is the leading cause of death worldwide, and the second leading cause in France. Among the modifiable cardiovascular risk factors, metabolic diseases (hypertension, low-density lipoprotein hypercholesterolaemia, diabetes and obesity) play a major role, contributing to the development and progression of atherosclerosis. This review summarizes the latest epidemiological data available at a national level. In 2015, the prevalence among adults aged 18-74years was 17.2% for obesity, 7.4% for diabetes, 30.6% for hypertension, 23.3% for low-density lipoprotein hypercholesterolaemia and 1.5% for stage 3-5 chronic kidney disease. Awareness of these diseases among affected individuals was very poor, ranging from 23% for diabetes to 45% for hypertension. While the prevalence of obesity and hypertension remained stable between 2006 and 2015, the prevalence of diabetes increased significantly. Prevention of these risk factors, particularly through nutrition, as well as awareness and management of them, must be intensified to reduce the burden of cardiovascular diseases in France. Whereas the prevalence of metabolic factors remains higher in men, particular attention should also be paid to risk factors specific to women, such as gynaecological diseases (endometriosis, polycystic ovary syndrome) and pregnancy disorders (hypertensive disorders in pregnancy, gestational diabetes), which contribute significantly to cardiovascular risk.
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