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Original article

Vol. 146 No. 3334 (2016)

Clustering of cardiovascular disease risk factors among male youths in Southern Switzerland: preliminary study

  • Maristella Santi
  • Sebastiano A. G. Lava
  • Giacomo D. Simonetti
  • Andreas Stettbacher
  • Mario G. Bianchetti
  • Franco Muggli
DOI
https://doi.org/10.4414/smw.2016.14338
Cite this as:
Swiss Med Wkly. 2016;146:w14338
Published
14.08.2016

Summary

PRINCIPLES: The distribution of cardiovascular disease risk factors among youths in Southern Switzerland is poorly understood. The aim of this preliminary study was therefore to describe the prevalence of cardiovascular disease risk factors in 18- to 20-year-old males undergoing medical examination to assess fitness for recruitment into the army.

METHODS: Between 2009 and 2013, 1541 (21%) out of 7310 conscripts volunteered for answering a structured questionnaire addressing smoking behaviour, sedentariness and familial cardiovascular risk factors, as well as for measurement of blood pressure, lipidaemia and waist circumference.

RESULTS: Height, weight, body fatness and blood pressure were not statistically different between conscripts who had or had not volunteered to participate in the study. The following risk factors were detected: smoking (n = 656; 43% of the study participants), sedentariness (n = 594; 39%), positive cardiovascular family history (n = 235; 15%), blood pressure ≥140/90 mm Hg (n = 88; 5.7%), total cholesterol ≥5.2 mmol/l (n = 83; 5.4%), waist circumference ≥1.02 m (n = 55; 3.6%). No cardiovascular risk factor was detected in 434 (28%), one factor in 612 (40%) and two or more factors in 495 (32%) participants.

CONCLUSIONS: This preliminary cross-sectional survey generated the first analysis of cardiovascular risk factors among ostensibly healthy male youths living in Southern Switzerland. The main finding is that two or more cardiovascular disease risk factors are present in approximately one third of them. Since smoking and sedentary lifestyle, the most commonly detected cardiovascular risk factors, are preventable, youths represent an opportunity for the promotion of lifestyles that will affect the development and progression of atherosclerotic disease.

References

  1. Gidding SS. Cardiovascular risk factors in adolescents. Curr Treat Options Cardiovasc Med. 2006;8(4):269–75.
  2. Perk J, De Backer G, Gohlke H, Graham I, Reiner Z, Verschuren M, et al.; European Association for Cardiovascular Prevention & Rehabilitation (EACPR); ESC Committee for Practice Guidelines (CPG). European Guidelines on cardiovascular disease prevention in clinical practice (version 2012). The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of nine societies and by invited experts). Eur Heart J. 2012;33(13):1635–701.
  3. Staub K, Wyss T, Lehmann S, Abel T, Frank Rühli F. Die Gesundheit junger Schweizer Männer: Monitoring-Ergebnisse der Armee-Rekrutierung. Praxis (Bern 1994). 2015;104(22):1203–10.
  4. Wilton A, De Greef A, Shennan A. Rapid assessment of blood pressure in the obstetric day unit using Microlife MaM technology. Hypertens Pregnancy. 2007;26(1):31–7.
  5. Cândido AP, Benedetto R, Castro AP, Carmo JS, Nicolato RL, Nascimento-Neto RM, et al. Cardiovascular risk factors in children and adolescents living in an urban area of Southeast of Brazil: Ouro Preto Study. Eur J Pediatr. 2009;168(11):1373–82.
  6. Lambert M, Delvin EE, Levy E, O’Loughlin J, Paradis G, Barnett T, McGrath JJ. Prevalence of cardiometabolic risk factors by weight status in a population-based sample of Quebec children and adolescents. Can J Cardiol. 2008;24(7):575–83.
  7. Müller-Riemenschneider F, Nocon M, Willich SN. Prevalence of modifiable cardiovascular risk factors in German adolescents. Eur J Cardiovasc Prev Rehabil. 2010;17(2):204–10.
  8. Shay CM, Ning H, Daniels SR, Rooks CR, Gidding SS, Lloyd-Jones DM. Status of cardiovascular health in US adolescents: prevalence estimates from the National Health and Nutrition Examination Surveys (NHANES) 2005–2010. Circulation. 2013;127(13):1369–76.
  9. ESH/ESC Task Force for the Management of Arterial Hypertension. 2013 practice guidelines for the management of arterial hypertension of the European Society of Hypertension (ESH) and the European Society of Cardiology (ESC). J Hypertens. 2013;31(10):1925–38.
  10. Vetterli DC, Lava SAG, Essig S, Milosevic G, Cajöri G, Uehlinger DE, Moor MB. Risk behavior and reciprocity of organ donation attitudes in young men. Transplant Proc. 2015;47(6):1560–6.
  11. de Groot E, van Leuven SI, Duivenvoorden R, Meuwese MC, Akdim F, Bots ML, Kastelein JJ. Measurement of carotid intima-media thickness to assess progression and regression of atherosclerosis. Nat Clin Pract Cardiovasc Med. 2008;5(5):280–8.
  12. Sander GE, Giles TD. Vascular stiffness is a biomarker of global cardiovascular risk. J Clin Hypertens (Greenwich). 2014;16(9):625–6.

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