Population Attributable Risk (PAR) of Cardiovascular Diseases (CVD) Risk Factors; Bayesian Methods
سال انتشار: 1400
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 298
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شناسه ملی سند علمی:
JR_ZUMS-29-134_005
تاریخ نمایه سازی: 11 اردیبهشت 1400
چکیده مقاله:
Background & Objective: Cardiovascular disease (CVD) is the main cause of morbidity and mortality in most countries. By identifying the population attributable risk (PAR) of the main risk factors of CVDs, the overall effect of various exposures on a population can be determined; the findings could be used in CVD prevention. The present study aimed to explore the PAR of some factors, including physical exercise, hypertension, obesity, high cholesterol level, low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglyceride (TG), cigarette, hookah smoking, and drug and alcohol abuse, for CVDs.
Materials & Methods: This study was done in Yazd Province, Iran. The PAR of the above-mentioned factors were assessed. The used data were obtained from the first stage of the Shahedieh Cohort Study, conducted on over ۱۰ ۰۰۰ residents (aged ۳۵-۷۰ years) of Shahedieh and annexed cities. PAR and the related Bayesian credible interval were calculated using R ۳.۴.۳ software.
Results: Of ۹۹۶۷ studied subjects, ۷.۹۵% had CVD. The most usual risk factors for CVDs were inadequate physical exercise and abdominal obesity (waist-to-hip ratio [WHR]). Age was the strongest determinant of CVD. PAR for inadequate physical exercise was ۲۵.۴۸% in women and ۱۴.۱۴ % in men; WHR PAR was ۴۶.۹۳% in women and ۳۱.۴۲ in men.
Conclusion: Age cannot be controlled, so that CVDs are mainly attributed to high blood pressure. Therefore, blood pressure control should be considered as a primary strategy to reduce CVD incidence.
کلیدواژه ها:
نویسندگان
Maral Ostovarfar
Dept. of Biostatistics and Epidemiology, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Hosein Fallahzadeh
Research Center of Prevention & Epidemiology of Non-Communicable Diseases, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Maryam Askari
Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Jeyran Ostovarfar
Dept. of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
Masoud Mirzaei
Dept. of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
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