ポーランドにおける心血管リスク要因の動向: 総合的な心血管リスク予防プログラムの結果
Grzegorz Kubielas1,2, Christopher S Lee3, Marta Wleklik1
1Department of Nursing, Faculty of Nursing and Midwifery, Wroclaw Medical University, 51-618, Wroclaw, Poland.
BMC public health
|August 29, 2025
まとめ
ポーランドでは心臓血管疾患の危険因子の傾向は様々です. 喫煙とコレステロールのレベルは改善しましたが 身体活動不足と肥満は依然として高く 予防策の強化が必要です
科学分野:
- 公衆衛生
- エピデミオロジー
- 心臓病科
背景:
- 心血管疾患 (CVD) は,世界およびポーランドにおける主要な死因です.
- 心血管疾患の危険因子の評価は公衆衛生上の取り組みにおいて極めて重要です
研究 の 目的:
- ポーランドの人口における主要な心血管リスク要因の流行と時間的傾向を評価する.
- 性別によるリスク因子の分布と 時間の経過による変化を特定する.
主な方法:
- 35歳から55歳の705,399人のデータを分析した (2012-2021年).
- 喫煙,高血圧,脱脂症 (総コレステロール,LDL-C),低運動量,超重量,肥満,高血糖
- 各リスク因子および総合的な心血管リスク (SCORE) の性別流行および時間トレンドの評価
主要な成果:
- 男性と女性の喫煙者の割合が 大きく減少した.
- 高血圧は男性より一般的であり,時間の経過とともに有意な曲線的な傾向を示した.
- 総コレステロールとLDL- Cの濃度が著しく低下する.
- 身体活動の低さ (> 75%) の高い罹患率;男性では過体重と肥満がより一般的です.
- 平均グルコース値のわずかな上昇; SCORE値の平均値の時間の経過とともに有意な減少.
結論:
- ポーランドでは喫煙,コレステロール,心血管疾患の総合リスク (SCORE) の減少に進展が見られた.
- 持続的な課題には,高い身体不活動率,肥満/肥満,および高血糖値が含まれています.
- 代謝や生活習慣に起因するリスク要因を標的とした 強化された予防戦略は,さらにCVDのリスクを減らすために不可欠です.
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