Rozpowszechnienie nadciśnienia tętniczego w grupie przewlekle palących — wyniki programu wczesnego wykrywania raka płuc MOLTEST BIS

Abstract

Introduction. Arterial hypertension (AH) and cigarette smoking are a leading health and social problem in Polish population. Still around 24% of Poles are chronic smokers. Despite the high risk of cardio-vascular and oncological complications the number of papers assessing wellbeing and health condition of chronic smokers is low. Material and methods. As part of the Moltest Kardio+ program 425 citizens of pomorskie voivodeship (223 males, 52.47%) were examined. Inclusion criteria were age between 50 and 79 years and history of smoking with more than 30 pack years. Program consisted of one visit during which medical history, anthropometric measurements and three separate blood pressure measurements were taken. The results were then compared to the general population (NATPOL 2011 study). Results. There were no differences between SBP and DBP values in Moltest Kardio+ and NATPOL 2011 populations. Prevalence of AH was not significantly different in both populations. Significant differences in SBP according to number of pack years were noted. In Moltest study women had significantly lower BMI than those in general population, whereas men's BMI was significantly higher. Conclusions. Mean SBP and DBP values and prevalence of AH are not significantly different in these two groups. Number of pack years had a significant effect on SBP values in smokers. Entirely opposite relations between smoking and BMI index values were observed in female and male smokers. Higher prevalence of body mass disorders and concomitance of AH and chronic smoking in male smokers resulting in increased cardiovascular risk requires to undertake more intense preventive measures.