2008, Number 3
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Arch Cardiol Mex 2008; 78 (3)
Comparison of traditional cardiovascular risk factors frequency among women of different education levels
Martínez-Palomino G, Vallejo M, García-Moreno J, López-Pérez M, Díaz-Granados R, Badillo-Castillo MO, Garza-Rodarte A
Language: Spanish
References: 36
Page: 285-292
PDF size: 131.44 Kb.
ABSTRACT
Introduction: Ischemic heart disease is the first cause of death in the world in both genders between 30 and 40 years of age. It has been proposed that socioeconomic status could affect the prevalence of cardiovascular risk factors (CVRF), as well as cardiovascular disease incidence and mortality. The purpose of this work was to compare the frequency of CVRF in two groups of women with different educational level.
Results: A higher frequency of visceral obesity was identified in the women with lower educational level and hypo-HDL-C in the group of women with higher educational level. Correlation between age and modifiable CVRF was different between the studied groups. A larger proportion of women with higher educational level than those with lower educational level drank alcoholic beverages and smoked cigarettes.
Discussion: Frequency of identified modifiable CVRF was similar to that found in other Hispanic-American populations. The inverse relationship between CVRF and educational level, a commonly used measure of socioeconomic status, and prevalence of CVRF informed in English and American studies was not observed in this investigation; probably because social and cultural conditions could affect the educational level in a different manner. Health education programs must take into account the cultural processes of each country, city, or community, regardless of the socioeconomic status, based on social and cultural backgrounds of each group.
REFERENCES
Kesteloot H, Sans S, Kromhout D: Dynamic of cardiovascular and all-causes mortality in Western and Eastern Europe between 1970 and 2000. Eur Heart J 2006; 27: 107-113
Instituto de Estadística e Informática y Dirección General de Información en Salud. SSA: Principales causas de mortalidad en mujeres. Salud Pub Mex 2005; 47: 178.
Jacobsen BK, Thelle DS: Risk factors for coronary heart disease and level of education. The Tromson heart study. Am J Epidemiol 1988; 127: 923-932.
Sans S, Kesteloot K, Kromhout D, on behalf of the Task Force. The burden of cardiovascular diseases mortality in Europe. Task Force of the European Society of Cardiology on cardiovascular mortality and morbidity statistics in Europe. Eur Heart J 1997; 18: 536-543.
Murragat J, Elosúa R, Martí H: Epidemiología de la cardiopatía isquémica en España: estimación del número de casos y de las tendencias entre 1997 y 2005. Rev Esp Cardiol 2002; 55: 337-346.
Lantz PM, House JS, Lepkowshi JM, Williams DR, Mero RP, Chen J: Socioeconomic factors, health behavior, and mortality: results from a nationally representative prospective study of US adults. JAMA 1998; 279: 1703-1708.
Kaplan GA, Keil JE: Socioeconomic factors and cardiovascular disease: a review of the literature. Circulation 1993; 88: 1973-1998.
Marmot M: Socioeconomic determinants of CHD mortality. Int J Epidemiol 1989; 18 (Suppl I): 196-202.
Rose G, Marmot MG: Social class and coronary heart disease. Br Heart J 1981; 45: 13-19.
Liberatos P, Link BG, Kelsey JL: The measurement of social class in epidemiology. Epidemiol Rev 1988; 10: 87-121.
National Institute of Health, National Heart, Lung and Blood Institute: Clinical guidelines on the identification, evaluation and treatment of overweight and obesity in adults: the evidence report. Obes Res 1998; 6(Suppl 2): 51-209s.
Balkau B, Charles MA, Drivsholm T, Borch-Jhosen K, Wareham N, Yudkin JS, et al: European Group for the study of insuline resistance syndrome (EGRI): Frequency of the WHO metabolic syndrome in European cohorts, and the alternative definition of an insuline resistance syndrome. Diabetes Metab 2002; 28: 364-373.
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, et al: Seventh Report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension 2003; 42: 1206-1252.
Siedel J, Hagele EO, Ziegenhorn J, Wahlefeld AW: Reagent for the enzymatic determination of serum total cholesterol with improved lipolitic efficiency. Clin Chem 1983; 29: 1075-1080.
Nagele U, Hagele EO, Sauer G, Wiedemann E, Lehmann P, Wahlefeld AW, et al: Reagent for the enzymatic determination of serum triglycerides with improved lipolitic efficiency. J Clin Chem Clin Biochem 1984; 22: 165-174.
Sugiuchi H, Uji Y, Okabe H, Irie T, Uekama K, Kayahara N, et al: Direct measurement of high-density lipoprotein cholesterol in serum with polyethylene glycol-modified enzymes and sulfated alpha-cyclodextrin. Clin Chem 1995; 41: 717-723.
DeLong DM, DeLong ER, Wood PD, Lippel K, Rifkind BM. A comparison of methods for the estimation of plasma low- and very low- density lipoprotein cholesterol. The Lipid Research Clinics Prevalence Study. JAMA 1986; 256: 2372-2377.
Centers for Disease Control and Prevention (CDC): Behavioral Risk Factor Surveillance System Survey Questionnaire. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2006.
McArdle WD, Katch FI, Katch VL: Training for anaerobic and aerobic power. En: McArdle WD, Katch FI, Katch VL. Eds. Exercise physiology, energy and nutrition and humans performance. 3rd Ed. Philadelphia: Lea & Febiger; 1991, p. 423-51.
Baena-Diez JM, del Val-García JL, Tomás-Plegrina J, Martínez-Martínez JL, Martín-Peñacoba, González-Trejo I, et al: Epidemiología de las enfermedades cardiovasculares y factores de riesgo en atención primaria. Rev Esp Cardiol 2005; 58: 367-373.
Magro-López AM, Molinero de Miguel E, Sáez-Meabe Y, Narváez-Gofinondo I, Sáez de la Fuente-Chivite JP, Sagastagitia-Gorostiza JD, et al: Prevalencia de los principales factores de riesgo cardiovascular en mujeres de Vizcaya. Rev Esp Cardiol 2003; 56: 783-788.
Palomo IF, Torres GI, Alarcón MA, Maragaño PJ, Leiva E: Alta prevalencia de factores de riesgo cardiovascular clásicos en una población de estudiantes universitarios de la región centro-sur de Chile. Rev Esp Cardiol 2006; 59:1099-1105.
Martínez-Palomino G, Vallejo M, Huesca C, Álvarez-León E, Paredes G, Lerma-González C: Factores de riesgo cardiovascular en una muestra de mujeres jóvenes mexicanas. Arch Cardiol Mex 2006; 76: 401-407.
Chiang-Salgado M, Casanueva-Escobar V, Cid-Cea X, González-Rubilar U, Olate-Melledo P, Nickel-Paredes F, et al: Factores de riesgo cardiovascular en estudiantes universitarios chilenos. Salud Pública de México 1999; 6: 444-451.
Masia R, Pena A, Marrugat J, Sala J, Vila J, Pavesa M, et al: High prevalence of cardiovascular risk factors in Gerona, Spain, a province with low myocardial infarction incidente. RIGICOR investigators. J Epidemiol Community Health 1998; 52: 707-715.
Dawber TR: The Framingham study: The epidemiology of atherosclerotic disease. Cambridge, Mass: Harvard University Press; 1980.
Laclaustra-Gimeno M, González-García MP, Casasnovas-Lenguas JA, Luengo-Fernández E, León-Latre M, Portero-Perez P, et al: Evolución de los factores de riesgo cardiovascular en jóvenes varones tras 15 años de seguimiento en el estudio Academia General Militar de Zaragoza (AGEMZA). Rev Esp Cardiol 2006; 59: 671-678.
Haan M, Kaplan G, Camacho T. Poverty and health: prospective evidence from the Alameda county study. Am J Epidemiol 1987; 125: 989-998.
Marmot MG, Kogevinas M, Lestón MA: Social/economic status and disease. Ann Rev Public Health 1987; 8: 111-135.
Muller CW, Parcel TL: Measures of socioeconomic status: alternatives and recommendations. Child Dev 1981; 52: 13-30.
Green L: Manual for scoring socioeconomic status for research on health behavior. Public Health Rep 1970; 85: 815-827.
Antonovsky A: Social class, life expectancy and overall mortality. Milbank Men Fund Q 1967; 45:31-73.
Hoeymans N, Smith HA, Verkleij H, Kromhout D: Cardiovascular risk factors in relation to education level in 36,000 men and women in the Netherlands. Eur Heart J 1996; 17:518-525.
Kilander L, Berglund L, Boberg M, Vessby B, Lithell H: Education, lifestyle factors and mortality from cardiovascular disease and cancer. A 25-year follow-up of Swedish 50-year-old men. Int J Epidemiol 2001; 30: 1119-1126.
Yan LL, Liu K, Daviglus ML, Colangelo LA, Kiefe CI, Sidney S, et al: Education, 15-year risk factors progression, and coronary artery calcium in young adulthood and early middle age. The coronary artery risk development in young adults study. JAMA 2006; 295:1793-1800.
Winkleby MA, Jatulis DE, Frank E, Fortmann SP: Socioeconomic status and health: how education, income and occupation contribute to risk factors for cardiovascular disease. Am J Public Health 1992; 82: 816-820.