The aim of our study was to assess the prevalence of hypercholesterolemia (HH), obesity, hypertension, high-normal blood pressure and isolated systolic hypertension (ISH) as cardiovascular disease risk factors among visitors of Health Centers (HC) in Russia and its regions.
The data of 435299 men and women aged 25–64 years who visited HC in more than 20 regions of Russia from 2010 to 2015 were analyzed.
The prevalence of HH in men and women was 30.4% and 25.9% consecutively, obesity - 15.7% and 21.6%, hypertension - 19.3% and 15.1%. The prevalence of high-normal blood pressure among visitors of HC aged 20–85 was 17.7% and 14.4% in men and women respectively (total prevalence 15.9%). Prevalence of ISH was 6.5% in men, 8.3% in women (total prevalence 7.5%). Stage 1 ISH was observed in 16.6% of women and 16.7% of men (16.7% of sample), the prevalence of stage 2 was 5.9% in both men and women (5.9% of sample), stage 3 ISH was in 1.7% of men and 1.8% of women (1.8% of sample). HH and obesity are found to be more common in women, hypertension - in men. Standardized evaluation of obesity prevalence varies depending on the region from 10.3% in Kurgan region to 48.5% in Belgorod region, hypertension - from 12.4% in Kurgan region to 55.0% in Bryansk region, HH - from 24.1% in Moscow to 60.9% in Saratov region. According to the standardized evaluation the prevalence of obesity, HH and hypertension in Moscow, Kurgan region and Chuvash republic is lower than in average in Russia. Obesity in Belgorod region (48.5%), hypertension in Bryansk region (55.0%) and HH in Saratov region (60.9%) are two times more prevalent than in average in Russia.
Analysis of the cardiovascular risk factors in visitors of the HC in Russia revealed a favorable situation in Moscow, Kurgan region and the Chuvash Republic. However, in most regions, the prevalence of obesity, hypertension and HH is quite high, suggesting the need to enhance measures for the prevention of cardiovascular diseases, changing lifestyle and food habits, correction of therapy.
1Sechenov First Moscow State Medical University, Moscow, RUSSIA, 2 Peoples’ Friendship University of Russia, Moscow, Russia
3Federal Research Institute for Health organization and Informatics of Ministry of Health of the Russian Federation, Moscow, Russia
4Pirogov Russian National Research Medical University - Department of Medical Cybernetics and Informatics MBF, Moscow, Russia
5Central State Medical Academy Management Department of the President of the Russian Federation, Moscow, Russia