Incidence of Cardiovascular Risk Factors in Oskoo (Northwest Iran): An Approach through WHO CVD-risk Management Package for Low-and Medium-Resource Settings on 37,329 Adults ?30 Years Old.

Abstract

The aim of this study was to determine incidence of cardiovascular disease (CVD) risk factors [hypertension (HTN), obesity, Dyslipidemia (DLP), diabetes mellitus (DM) and smoking] in Oskoo.This study was planned according to WHO protocol "WHO CVD-risk management package for low and medium-resource settings" and named "East Azerbaijan healthy heart program". The pilot study of this program was done in Oskoo in 2007-2009. In this study, demographic data and CVD risk factors of 37,329 adults aged ?30 years old living in Oskoo were collected. In addition, blood samples of 17,388 adults ?40 years old were taken (free of charge) for assessment of serum glucose and lipid profile.The study covered 93.52% of Oskoo town population aged?30 years old. We studied 18637 male (91.50% coverage) and 18692 female (95.52% coverage) participants. The incidence of HTN [SBP?140 & DBP?90 mmHg] was 16.25% (M:15.08%, F:17.29%), pre-hypertension [SBP=120-139 & DBP=80-89 mmHg] =37.78% (M:41.38%, F:34.18%), DM [fast blood glucose (FBS)?126mg/dl] was 7.45% (M:6.35%, F:8.54%), smoking was 9.40% (M:17.00%, F:1.57%), hypercholesterolemia (>200mg/dl) was 47.64% (M:42.46%, F:52.81%) and obesity [body mass index (BMI) ?27] was 50.47% (M:38.79%, F:62.09%).Considering high incidence of CVD risk factors (except smoking) in Oskoo adults ?30 years, it is recommended that this pilot study expanded to all of East Azerbaijan. Free of charge taking blood samples from people ? 40 years to evaluate lipid profile and glucose levels is worthy to early detecting the prevalent DM or DLP in this target population.