Prevalence of cardiovascular risk factors in the Republic of Georgia

Ce, Grim; Grim, CM; Petersen, JR; Li, J; Tavill, F; Nn, Kipshidze; Chawla, Paramjit; Kipshidze, Nicholas

doi:10.1038/sj.jhh.1000795

Cited by 6 publications

(7 citation statements)

References 7 publications

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“…Although 23.6% prevalence of smoking in this study was compatible to previously reported 27.7% ( Grim et al, 1999 ), prevalences of other vascular risk factors were much lower in this study including HTN (26.0% vs. 56%), DM (4.6% vs. 10.0%), and HLD (31.0% vs. 7.6%). However, Grim et al (1999) study was conducted almost 20 years ago, and recent meta-analysis of HTN in low- and middle-income countries shows 31.5% prevalence in Europe and Central Asia, which is comparable with 26.0% reported here ( Sarki, Nduka, Stranges, Kandala, & Uthman, 2015 ). In addition, prevalence of DM in Georgia recently was reported to be 2.2%, which is close to observed 4.6% in this study, while HLD prevalence of 8.7% is exactly the same as documented here ( Wilkins et al, 2017 ).…”

Section: Discussionsupporting

confidence: 90%

Mild Cognitive Impairment in Republic of Georgia

Janelidze

Mikeladze²,

Bochorishvili³

et al. 2018

Gerontology and Geriatric Medicine

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Objective: The goal of this study was to estimate the prevalence of mild cognitive impairment (MCI) in Georgia. Method: A population-based study was conducted using Georgian version of the Montreal Cognitive Assessment (MoCA) and its cognitive domain index score. Results: Of the initial cohort of 1,000 subjects, 851 met inclusion criteria. The prevalence of MCI was 13.3%, and it was associated with age >65 years (odds ratio [OR] = 4.51, 95% confidence interval [CI] = [3.00, 6.75]), urban residence (OR = 0.53, 95% CI = [0.33, 0.88]), lower education (OR = 3.99, 95% CI = [2.66, 5.93]), and hypertension (OR = 2.51, 95% CI = [1.68, 3.76]), while amnestic MCI was documented in 9.3%, with higher risk in older subjects (OR = 2.69, 95% CI = [1.66, 4.20]), and diabetics (OR = 2.69, 95% CI = [1.25, 5.98]). Conclusion: In this first population-based study of MCI in Georgia, prevalence was comparable with those reported from the United States and Europe. Observed association of MCI with cardiovascular risk factors has important clinical implication for dementia prevention in Georgia.

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Section: Discussionsupporting

confidence: 90%

Mild Cognitive Impairment in Republic of Georgia

Janelidze

Mikeladze²,

Bochorishvili³

et al. 2018

Gerontology and Geriatric Medicine

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“…32 As expected, this study showed clear gender differences in the prevalence of hypertension, with men being more likely to be hypertensive than women, even after adjusting for various sociodemographic and lifestyle factors, family history of hypertension, and excess body weight. Surveys conducted in other countries in transition [33][34][35] found similar gender differences in the prevalence of hypertension.…”

Section: Discussionmentioning

confidence: 60%

Epidemiology of hypertension and associated cardiovascular risk factors in a country in transition: a population based survey in Tirana City, Albania

Shapo

Pomerleau²,

McKee³

2003

Journal of Epidemiology & Community Health

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Study objective: To describe the prevalence of hypertension and other cardiovascular risk factors on the adult population of Tirana City (Albania). Design: Cross sectional survey. Setting: Tirana City in mid-2001. Participants: 1120 adults aged 25 years and over (response rate=72.7%). Main results: Overall, hypertension prevalence (blood pressure =140 and/or 90 mm Hg, or known hypertensive receiving anti-hypertensive treatment) was 31.8% (36.6% and 27.4% in men and women respectively). Age standardised prevalence of hypertension (adjusted to the adult population of Tirana) was 30.2% (99% confidence intervals 29.8% to 30.6%) in men and 22.7% (22.3% to 23.1%) in women. Men were significantly more likely to be hypertensive than women (p value=0.001). Of those who had been diagnosed with hypertension, 87% were receiving anti-hypertensive therapy and more than half of them (52%) were adequately controlled. The prevalence of hypertension increased with increasing age and was more common in the obese in both sexes. While the prevalence of hypertension matched that in other industrialised and transition countries, the combination of hypertension with other cardiovascular risk factors was rather less common. Conclusion: These findings provide important new evidence on the prevalence of hypertension and its association with other cardiovascular risk factors in Albania. Albania is in a state of rapid transition, with evidence that risk factors for non-communicable diseases have already increased considerably over the past two decades. These finding provide a unique baseline against which future change can be compared.

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“…A rural village north of Tbilisi was also surveyed and similar results were found. 1 These studies demonstrated that hypertension in Georgia had reached epidemic proportions.…”

Section: Methodsmentioning

confidence: 99%

“…By the end of the 1990s, 70% of all deaths were attributed to cardiovascular causes; over half of these deaths were in people still considered to be in their productive years. 1 The morbidities associated with these chronic diseases were contributing to an economic downturn through a lack of worker production, reduced efficiency, lack of employment tax revenue, and the corresponding increase in expenditures within the country's health budget. [2][3][4] The second problem was the lack of doctors and nurses competently trained to address the management of chronic diseases and other common ailments within communities using strategies focused on primary and secondary prevention.…”

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confidence: 99%

A Family Medicine Training Program in the Republic of Georgia: Incorporating a Model of Chronic Disease Management

Sanders¹

2007

The Journal of the American Board of Family Medicine

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Background: This study describes a different approach to increase the number of family medicine physicians trained with specific competencies in the management of chronic disease.Methods: In 1999 the Republic of Georgia initiated an ambitious program designed to retrain practicing physicians in the specialty of family medicine. At 2 of the implementation sites, the Center for International Health worked with local health authorities to augment the official 940-hour curriculum to include lesson plans, workshops, and practicum experiences emphasizing a model of chronic disease management, giving particular attention to hypertension.Results: The population served by the training sites has benefited in a cost-effective manner by achieving blood pressure control for as little as $8 per year per patient; the physician learners have performed above their peer group on standardized national testing.Conclusion: Family medicine training programs in resource-poor settings can incorporate chronic disease management models into their curriculum and achieve high-quality patient care outcomes.

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Prevalence of cardiovascular risk factors in the Republic of Georgia

Cited by 6 publications

References 7 publications

Mild Cognitive Impairment in Republic of Georgia

Mild Cognitive Impairment in Republic of Georgia

Epidemiology of hypertension and associated cardiovascular risk factors in a country in transition: a population based survey in Tirana City, Albania

A Family Medicine Training Program in the Republic of Georgia: Incorporating a Model of Chronic Disease Management

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