Comparison of Cardiovascular and Metabolic Syndrome Risk Factors among War Veterans Suffering from Post Traumatic Stress Disease with Normal Healthy Men in Zanjan

سال انتشار: 1394
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 208

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شناسه ملی سند علمی:

JR_ZUMS-23-97_004

تاریخ نمایه سازی: 11 اردیبهشت 1400

چکیده مقاله:

Background and Objective: It seems that war veterans are at increased risk of cardiovascular diseases due to their existing disabilities and special mental and psychological conditions. This study was performed to evaluate the risk of cardiovascular disease and the prevalence of metabolic syndrome among Iran-Iraq war veterans living in Zanjan in ۲۰۱۱. Materials and Methods: ۳۶۰ men including ۱۲۰ war veterans with post-traumatic stress disorder (PTSD), ۱۲۰ war veterans with major depression and ۱۲۰ normal healthy men as the control group comprised this descriptive study and data was collected concerning their past medical history along with a comprehensive physical examination. The participants’ anthropometric index was measured by standard methods. Serum glucose, triglycerides, total cholesterol, HDL-cholesterol, insulin and liver enzymes were measured for all the participants after at least ۱۲ hours of fasting and ten-year risk estimation for cardiovascular events was performed via Framingham scoring system. Finally, the prevalence of cardiovascular risk factors and metabolic syndrome was compared among the groups. Results: The prevalence of metabolic syndrome in war veterans with and without PTSD was ۲۹.۲% and ۲۷.۵%, respectively, which was higher than the control group (۱۸.۳%). ۱۸.۴% of war veterans with PTSD was estimated to be of high risk for cardiovascular events in upcoming ten years which means higher than the other two study groups namely in war veterans without PTSD and normal subjects, respectively. The most common risk factor in veterans with PTSD was overweight and obesity as found in ۵۸% of them. Conclusions: Prevalence of metabolic syndrome in veterans with PTSD is higher than general population and they are at higher risk for cardiovascular events. Special attention to improve lifestyle and educational programs for prevention of cardiovascular disease is suggested. References ۱- Carrion VG, Weems CF, Ray R, Reiss AL. Toward an empirical definition of pediatric ptsd: the phenomenology of ptsd symptoms in youth. J Am Acad Child Adolesc Psychiatry. ۲۰۰۲ ۴۱: ۱۶۶-۷۳. ۲- Yehuda R. Post traumatic stress disorder: N Engl J Med. ۲۰۰۲ ۳۴۶: ۱۰۸-۱۴. ۳- Heppner PS, Crawford EF, Haji U, et al. The association of posttraumatic stress disorder and metabolic syndrome: a study of increased health risk in veterans. BMC Med. ۲۰۰۹ ۷: ۱ ۴- Shakeri J, Sadeghi Kh, Sadra K, Modaresi S. Examine the role of stressful life events and coping strategies in recurrent PTSD symptoms in a sample of war veterans. International congress of military medicine. 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کلیدواژه ها:

Keywords: Cardiovascular Risk Factors ، Metabolic Syndrome ، War Veterans

نویسندگان

فرانک شریفی

Zanjan Metabolic Disease Research Center, Zanjan University of Medical Sciences, Zanjan, Iran

آفاق انجم شعاع

Zanjan Metabolic Disease Research Center, Zanjan University of Medical Sciences, Zanjan, Iran

میترا پیامی

Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran

علیرضا حیدری صومعه

Foundation of Martyrs and Veterans Affairs Martyr of zanjan Province, Zanjan, Iran