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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
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Medicina 2017, 53(4), 268-276; https://doi.org/10.1016/j.medici.2017.07.002 (registering DOI)

Prevalence of cardiovascular disease risk factors in Tallinn, Estonia

1
School of Natural Sciences and Health, Tallinn University, Tallinn, Estonia
2
Centre of Cardiology, North Estonia Medical Centre, Tallinn, Estonia
3
Institute of Cardiovascular Medicine, Tallinn University of Technology, Tallinn, Estonia
*
Author to whom correspondence should be addressed.
Received: 4 October 2016 / Revised: 27 June 2017 / Accepted: 11 July 2017 / Published: 25 July 2017
PDF [690 KB, uploaded 27 February 2018]

Abstract

Background and objective: Cardiovascular diseases are still a major public health concern in Estonia despite the decline in the mortality rate during the past decade. For better preventive strategies we aimed to investigate the prevalence of cardiovascular disease risk factors and their relations with age, gender and ethnicity.
Materials and methods: The cross-sectional study was carried out in Tallinn, Estonia. Two hundred individuals from each of the sex and 10-year age group (range 20–65 years of age) were randomly selected and invited to participate. Final study sample consisted of 511 men and 600 women (mean age of 46 years). Physiological measurements were taken and blood samples were drawn for standard measurements of the following markers: total cholesterol, high- and low-density lipoprotein cholesterol, apolipoproteins, triglycerides, glucose and inflammatory markers.
Results: Overall, 31% of the study subjects had high blood pressure, 23% had metabolic syndrome, and 55% were overweight/obese. The prevalence of all risk factors increased with age amongst both genders. The proportion of individuals having increased cholesterol, apolipoprotein B-100, and homocysteine levels was very high amongst both genders (60–80%). More Russians and other ethnic minorities compared to ethnic Estonians had calculated 10-year CHD risk ≥ 10%.
Conclusions: The study established a high prevalence of cardiovascular disease risk factors in Estonian adults (20–65 years of age). Younger portion of the population and some extent ethnic considerations should be taken into account when designing future studies, health prevention activities and interventions.
Keywords: Cardiovascular risk factors; Coronary heart disease; Epidemiology; Ethnic groups Cardiovascular risk factors; Coronary heart disease; Epidemiology; Ethnic groups
This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License (CC BY-NC-ND) (CC BY-NC-ND).

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Kaldmäe, M.; Zemtsovskaja, G.; Abina, J.; Land, T.; Viigimaa, M. Prevalence of cardiovascular disease risk factors in Tallinn, Estonia. Medicina 2017, 53, 268-276.

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