Geographic Variance of Cardiovascular Risk Factors Among Community Women: The National Sister to Sister Campaign

Jarvie, Jennifer L.; Johnson, Caitlin E.; Wang, Yun; Aslam, Farhan; Athanasopoulos, Leonidas V.; Pollin, Irene; Foody, JoAnne M.

doi:10.1089/jwh.2010.2036

Cited by 10 publications

(6 citation statements)

References 36 publications

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“…Geographic variance in the prevalence of cardiovascular risk factors in the population occurs in the United States, 22,23 Canada, 24 and Europe. 25,26 In addition, national and regional variance in such risk factors have been observed in global surveys.…”

Section: Discussionmentioning

confidence: 99%

Demographic and Geographic Vascular Risk Factor Differences in European Young Adults With Ischemic Stroke

Putaala

Yeşilot

Waje‐Andreassen

et al. 2012

Stroke

143

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Background and Purpose-We compared among young patients with ischemic stroke the distribution of vascular risk factors among sex, age groups, and 3 distinct geographic regions in Europe. Methods-We included patients with first-ever ischemic stroke aged 15 to 49 years from existing hospital-or population-based prospective or consecutive young stroke registries involving 15 cities in 12 countries. Geographic regions were defined as northern (Finland, Norway), central (Austria, Belgium, France, Germany, Hungary, The Netherlands, Switzerland), and southern (Greece, Italy, Turkey) Europe. Hierarchical regression models were used for comparisons. Results-In the study cohort (nϭ3944), the 3 most frequent risk factors were current smoking (48.7%), dyslipidemia (45.8%), and hypertension (35.9%). Compared with central (nϭ1868; median age, 43 years) and northern (nϭ1330; median age, 44 years) European patients, southern Europeans (nϭ746; median age, 41 years) were younger. No sex difference emerged between the regions, male:female ratio being 0.7 in those aged Ͻ34 years and reaching 1.7 in those aged 45 to 49 years. After accounting for confounders, no risk-factor differences emerged at the region level. Compared with females, males were older and they more frequently had dyslipidemia or coronary heart disease, or were smokers, irrespective of region. In both sexes, prevalence of family history of stroke, dyslipidemia, smoking, hypertension, diabetes mellitus, coronary heart disease, peripheral arterial disease, and atrial fibrillation positively correlated with age across all regions. Conclusions-Primary preventive strategies for ischemic stroke in young adults-having high rate of modifiable risk factors-should be targeted according to sex and age at continental level. (Stroke. 2012;43:2624-2630.)

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Section: Discussionmentioning

confidence: 99%

Demographic and Geographic Vascular Risk Factor Differences in European Young Adults With Ischemic Stroke

Putaala

Yeşilot

Waje‐Andreassen

et al. 2012

Stroke

143

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“…underlined that multiple factors make up a community, such as racial and ethnic majorities, education, and income, in addition to local conditions that affect lifestyle, such as climate, grocery stores, transportation, safety and availability of parks and open spaces. Therefore, regional variation is likely to reflect the complex interplay between a region and the inhabiting population [10]. …”

Section: Introductionmentioning

confidence: 99%

Geographic Variations in Cardiometabolic Risk Factors in Luxembourg

Alkerwi

Bahi

Stranges

et al. 2017

IJERPH

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Cardiovascular disease (CVD) and associated behavioural and metabolic risk factors constitute a major public health concern at a global level. Many reports worldwide have documented different risk profiles for populations with demographic variations. The objective of this study was to examine geographic variations in the top leading cardio metabolic and behavioural risk factors in Luxembourg, in order to provide an overall picture of CVD burden across the country. The analysis conducted was based on data from the nationwide ORISCAV-LUX survey, including 1432 subjects, aged 18–69 years. A self-reported questionnaire, physical examination and blood sampling were performed. Age and sex-adjusted risk profile maps were generated using multivariate Bayesian geo-additive regression models, based on Markov Chain Monte Carlo techniques and were used to evaluate the significance of the spatial effects on the distribution of a range of cardio metabolic risk factors, namely smoking, high body mass index (BMI), high blood pressure, high fasting plasma glucose, alcohol use, high total cholesterol, low glomerular filtration rate, and physical inactivity. Higher prevalence of smoking was observed in the northern regions, higher overweight/obesity and abdominal obesity clustered in the central belt, whereas hypertension was spotted particularly in the southern part of the country. Maps revealed that subjects residing in Luxembourg canton were significantly less likely to be hypertensive or overweight/obese, whereas they were less likely to practice physical activity of ≥8000 Metabolic Equivalent of Task (MET)-min/week. These patterns were also observed at the municipality level in Luxembourg. Statistically, there were non-significant spatial patterns regarding smoking, diabetes, total serum cholesterol and low glomerular filtration rate risk distribution. This comprehensive risk profile mapping showed remarkable geographic variations in cardio metabolic and behavioural risk factors. Considering the prominent burden of CVD this research provides opportunities for tailored interventions and may help to better fight against this escalating public health problem.

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“…Among a few similar studies, important geographical disparities in cardio metabolic risk factors have been reported in Europe [29] and worldwide [9][10][11][12][13][14]. To our knowledge, this is the first most comprehensive study to address the spatial effect of top leading behavioural and cardio metabolic risk factors in Luxembourg.…”

Section: Discussionmentioning

confidence: 71%

“…Recently, evidence regarding geographic variations in cardiovascular risk profiles was reported among provinces in Canada [9], among women in cities of the United States [10], between southern and northern populations of China [11], in Malaysia [12] and in African populations [13,14]. Studies have found that risk factors tend to cluster within socially disadvantaged regions.…”

Section: Introductionmentioning

confidence: 99%

“…Jarvie et al underlined that multiple factors make up a community, such as racial and ethnic majorities, education, and income, in addition to local conditions that affect lifestyle, such as climate, grocery stores, transportation, safety and availability of parks and open spaces. Therefore, regional variation is likely to reflect the complex interplay between a region and the inhabiting population [10].…”

Section: Introductionmentioning

confidence: 99%

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Geographic variations of cardio metabolic risk factors in Luxembourg

Alkerwi¹,

Bahi²,

Kandala³

et al. 2016

European Journal of Public Health

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Cardiovascular disease (CVD) and associated behavioural and metabolic risk factors constitute a major public health concern at a global level. Many reports worldwide have documented different risk profiles for populations with demographic variations. The objective of this study was to examine geographic variations in the top leading cardio metabolic and behavioural risk factors in Luxembourg, in order to provide an overall picture of CVD burden across the country. The analysis conducted was based on data from the nationwide ORISCAV-LUX survey, including 1432 subjects, aged 18-69 years. A self-reported questionnaire, physical examination and blood sampling were performed. Age and sex-adjusted risk profile maps were generated using multivariate Bayesian geo-additive regression models, based on Markov Chain Monte Carlo techniques and were used to evaluate the significance of the spatial effects on the distribution of a range of cardio metabolic risk factors, namely smoking, high body mass index (BMI), high blood pressure, high fasting plasma glucose, alcohol use, high total cholesterol, low glomerular filtration rate, and physical inactivity. Higher prevalence of smoking was observed in the northern regions, higher overweight/obesity and abdominal obesity clustered in the central belt, whereas hypertension was spotted particularly in the southern part of the country. Maps revealed that subjects residing in Luxembourg canton were significantly less likely to be hypertensive or overweight/obese, whereas they were less likely to practice physical activity of ≥8000 Metabolic Equivalent of Task (MET)-min/week. These patterns were also observed at the municipality level in Luxembourg. Statistically, there were non-significant spatial patterns regarding smoking, diabetes, total serum cholesterol and low glomerular filtration rate risk distribution. This comprehensive risk profile mapping showed remarkable geographic variations in cardio metabolic and behavioural risk factors. Considering the prominent burden of CVD this research provides opportunities for tailored interventions and may help to better fight against this escalating public health problem.

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Geographic Variance of Cardiovascular Risk Factors Among Community Women: The National Sister to Sister Campaign

Cited by 10 publications

References 36 publications

Demographic and Geographic Vascular Risk Factor Differences in European Young Adults With Ischemic Stroke

Demographic and Geographic Vascular Risk Factor Differences in European Young Adults With Ischemic Stroke

Geographic Variations in Cardiometabolic Risk Factors in Luxembourg

Geographic variations of cardio metabolic risk factors in Luxembourg

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