Hypercholesterolemia and Smoking Habits of Lithuanian Military Personnel

Vaičaitienė, Ramutė; Černiauskienė, Liucija Rita; Lukšienė, Dalia; Margevičienė, Lilija

doi:10.7205/milmed.171.6.512

Cited by 8 publications

(8 citation statements)

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“…vyrų (17). Lietuvoje nemažai duomenų apie rizikos veiksnių paplitimą bendrojoje populiacijoje ir specifinėse amžiaus grupėse (18)(19)(20)(21), tačiau stokojama tyrimų, vertinančių sergančiųjų IŠL rizikos tipą. Šio tyrimo tikslas -iš-siaiškinti keturių tradicinių rizikos veiksnių: rūkymo, dislipidemijos, cukrinio diabeto ir hipertenzijos paplitimą tarp sergančiųjų IŠL.…”

Section: įVadasunclassified

Prevalence of conventional risk factors in patients with coronary heart disease

et al. 2009

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ĮvadasPastaraisiais metais išeminė širdies liga (IŠL) jaunėja ir nusineša vis daugiau gyvybių. Manoma, kad jos paplitimas tik didės. Tai lemia mūsų mitybos įpro-čiai, pasyvus gyvenimo būdas, nuolatinis stresas ir skubėjimas. Širdies ir kraujagyslių ligos lemia daugiau nei pusę visų mirčių Lietuvoje. Daugiausia gyvybių nusineša miokardo infarktas, šiek tiek mažiau -insultas. Sergamumas miokardo infarktu Lietuvoje padidėjo nuo 42 atvejų 100 tūkstančių gyventojų 1980 m. iki 206 atvejų 100 tūkstančių gyventojų 2007 m. (1). Ateroskleroze žymiai dažniau serga išsivysčiusiose šalyse -tai tarsi civilizacijos rykštė. Tačiau jos dažnis sparčiai auga ir besivystančiose šalyse. Manoma, kad 2020 m. aterosklerozė bus pagrindinė mirties priežastis visame pasaulyje. Jau seniai įrodyta rizikos veiksnių svarba IŠL pasireiškimui. Iš viso žinoma daugiau kaip 200 IŠL rizikos veiksnių, bet ne visi vienodai yra svarbūs. Didelių epidemiologinių studijų patvirtinta, kad rūkymas (2), cukrinis diabetas (3), dislipidemija (4) ir arterinė hipertenzija (5) yra nepriklausomi IŠL rizikos veiksniai. Be to, jų gydymas mažina išeminių įvykių riziką (2, 6). Kadangi įrodyta šių keturių rizikos veiksnių svarba IŠL patogenezei, dažnai jie dar vadinami "tradiciniais" rizikos veiksniais. Straipsniuose dažnai nurodoma, jog daugiau kaip 50 proc. pacientų, sergančių IŠL, neturi nė vieno tradicinio rizikos veiksnio (7)(8)(9)(10)(11)(12)(13)(14). Tai paskatino vis naujesnių rizikos veiksnių paiešką bei genetinius tyrimus, siekiant išsiaiškinti IŠL priežastį. Naujausi tyrimai rodo, kad tradicinių rizikos veiksnių svarba yra daug didesnė, o jų paplitimas tarp sergan-

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Section: įVadasunclassified

Prevalence of conventional risk factors in patients with coronary heart disease

et al. 2009

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“…e only significant difference from our population was the low incidence of hypertension (15%). Among Lithuanian active duty military personnel (n � 200, 126 men), hypercholesterolemia was discovered in 45% of the men, and its prevalence increased with age; in participants aged 45-54 years, it was 74% [17]. e proportion of current male smokers was also high (46%) and coexisted with metabolic disturbances [17].…”

Section: Discussionmentioning

confidence: 99%

“…Among Lithuanian active duty military personnel (n � 200, 126 men), hypercholesterolemia was discovered in 45% of the men, and its prevalence increased with age; in participants aged 45-54 years, it was 74% [17]. e proportion of current male smokers was also high (46%) and coexisted with metabolic disturbances [17]. In young male Brazilian military personnel (n � 380, aged 19-35 years), Wenzel et al [18] revealed that smoking was associated with the prevalence of hypertension (22%), and a lack of regular physical activity was also associated with the prevalence of hypertension.…”

Section: Discussionmentioning

confidence: 99%

The Prevalence of Cardiovascular Risk Factors among Polish Soldiers: The Results from the MIL-SCORE Program

Gielerak

Krzesiński

Piotrowicz

et al. 2020

Cardiology Research and Practice

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The MIL-SCORE (Equalization of Accessibility to Cardiology Prophylaxis and Care for Professional Soldiers) program was designed to assess the prevalence and management of cardiovascular risk factors in a population of Polish soldiers. We aimed to describe the prevalence of cardiovascular risk factors in the MIL-SCORE population with respect to age. This observational cross-sectional study enrolled 6440 soldiers (97% male) who underwent a medical history, physical examination, and laboratory tests to assess cardiovascular risk. Almost half of the recruited soldiers were past or current smokers (46%). A sedentary lifestyle was reported in almost one-third of those over 40 years of age. The prevalence of hypertension in a subgroup over 50 years of age was almost 45%. However, the percentage of unsatisfactory blood pressure control was higher among soldiers below 40 years of age. The prevalence of overweight and obese soldiers increased with age and reached 58% and 27%, respectively, in those over 50 years of age. Total cholesterol was increased in over one-half of subjects, and the prevalence of abnormal low-density lipoprotein cholesterol was even higher (60%). Triglycerides were increased in 36% of soldiers, and low high-density lipoprotein cholesterol and hyperglycemia were reported in 13% and 16% of soldiers, respectively. In the >50 years of age subgroup, high and very high cardiovascular risk scores were observed in almost one-third of soldiers. The relative risk assessed in younger subgroups was moderate or high. The results from the MIL-SCORE program suggest that Polish soldiers have multiple cardiovascular risk factors and mirror trends seen in the general population. Preventive programs aimed at early cardiovascular risk assessment and modification are strongly needed in this population.

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“…In a more recent study of 200 Lithuanian soldiers (126 men, age range 25–54), 45% men and 41% women had a TC >6.2 mmol/L and cholesterol levels increased with age 15. A second study in 209 US military recruits demonstrated that 8% had a TC >5.2 mmol/L with 39% demonstrating LDL levels >2.6 mmol/L 16…”

Section: Prevalencementioning

confidence: 99%

Dyslipidaemia and the military patient

Carter¹,

Hill

Nicol

et al. 2015

J R Army Med Corps

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Dyslipidaemias refer to abnormal levels of circulating lipids and high cholesterol and is related to cardiovascular death. This paper examines the types and prevalence of dyslipidaemia with specific reference to a military population and describes who to target in screening strategies used to detect people with abnormal lipid profiles. The diagnostic limits for a diagnosis of dyslipidaemia are explored. Finally, medical management of hyperlipidaemia is discussed and how this may affect military medical grading.

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Hypercholesterolemia and Smoking Habits of Lithuanian Military Personnel

Abstract: The data demonstrated a relatively high rate (32.1%) of coexistence of two independent risk factors for cardiovascular disease (hypercholesterolemia and current smoking) among men 35 to 54 years of age from Lithuanian military personnel.

Cited by 8 publications

References 0 publications

Prevalence of conventional risk factors in patients with coronary heart disease

Prevalence of conventional risk factors in patients with coronary heart disease

The Prevalence of Cardiovascular Risk Factors among Polish Soldiers: The Results from the MIL-SCORE Program

Dyslipidaemia and the military patient

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