Assessment of risk factors for coronary artery disease in military personnel: A study from Iran

Abstract

Introduction: Cardiovascular diseases are the most significant cause of mortality. Although the risk factors of this disease are well known, the strength of these factors varies in different populations and needs to be investigated. Aim: The aim of this study is to estimate the amount of the effect of each classic risk factor on CAD (coronary artery disease) among Aja personnel. Materials and Methods: This matched case-control study was conducted on 1000 male Aja personnel admitted selecting Aja hospitals in Tehran in 2017. The samples were selected using purposive-graded sampling method. The 250 military patients hospitalized for CAD were considered as a case group. Each case was individually matched for age and service force with tree military patients without CAD. Data were gathered using standard demographic information and history of risk factors questionnaire and analyzed using SPSS 23 and statistical tests. Odds ratio measured trough Cochran–Mantel–Haenszel test and used to estimate the amount of the effect of each classic risk factors on CAD. Results: Data analysis indicated that the risk factors including diabetes, hyperlipidemia, smoking, hypertension, and positive family history of CAD enhance the probability of CAD as much as 79.2%, 77.3%, 67.7%, 64.1%, and 56.6%, respectively. Conclusion: Diabetes and other modifiable risk factors have the greatest impact on CAD among the concerned Aja personnel. Hence, the authorities can consider the independent amount of the effect of each risk factor and modify them in order to prevent the disease more effectively and purposefully among the personnel.

Risk factors for cardiovascular diseases and coronary artery disease among military population

“…Общая распространенность кардиометаболических ФР ССЗ среди военнослужащих на глобальном уровне с использованием метода метаанализа случайных данных в последних по времени публикациях, для гиперхолестеринемии, гипертриглицеридемии, низкого уровня холестерина липопротеинов низкой плотности и высокого уровня глюкозы в крови натощак составила 21% (17-25), 32% (27-36), 34% (10-57), 24% (16-31), 28% (17-38) и 9% (5)(6)(7)(8)(9)(10)(11)(12), соответственно (в скобках -95% ДИ). Более того, показатели распространенности избыточной массы тела, ожирения, абдоминального ожирения и АГ составляли 35% (31-39), 14% (13)(14)(15)(16), 29% (20-39) и 26% (19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34), соответственно [18].…”

“…Роль метаболических ФР в развитии ИБС среди военнослужащих была продемонстрирована в иранском исследовании. Такие ФР, как сахарный диабет, гиперлипидемия, курение, АГ и положительный семейный анамнез по ИБС, увеличивают вероятность ИБС на 79,2, 77,3, 67,7, 64,1 и 56,6%, соответственно [19].…”

The Association of Serum Levels of stromolysin-1 and connexin-37 with the severity of coronary artery disease

“…According to recent ndings, excessive in ammatory response in the sub arterial space increases the possibility of thrombus formation [2]. Factors such as hypertension, dyslipidemia, atherosclerosis, smoking, and inappropriate lifestyle may increase the risk of CAD [3,4]. Atherosclerosis is associated with endothelial dysfunction and correlates with the formation of coronary necrotic plaques that may detach in the early stages.…”