Cent Eur J Public Health 2018, 26(2):118-123 | DOI: 10.21101/cejph.a5192

Prevalence of risk factors in cardiovascular diseases in selected population of the Czech Republic

Vladimír Pavlík1, Jana Fajfrová1, Václav Šafka1, Lucie Pravdová1, Miroslav Urban1,2, Pavla Krutišová1,3, Milan Tuček4
1 Department of Military Internal Medicine and Military Hygiene, Faculty of Military Health Sciences, University of Defence, Hradec Králové, Czech Republic
2 Centre of Occupational Health, National Institute of Public Health, Prague, Czech Republic
3 Department of Emergency Medicine and Military General Medicine, Faculty of Military Health Sciences, University of Defence, Hradec Králové, Czech Republic
4 Institute of Hygiene and Epidemiology, First Faculty of Medicine, Charles University, Prague, Czech Republic

Objectives: The aim of the study is to describe current prevalence of selected risk factors in the Czech general population in a particular region and to compare the data with recently published results in the selected population of Czech soldiers. The work also deals with the advantages and disadvantages of methods determining overweight and obesity.

Methods: Within medical preventive examinations the data of 1,051 individuals (482 men, 569 women) were obtained. In this group anthropometric parameters such as height, body weight, Body Mass Index (BMI), and waist circumference were monitored. From biochemical parameters the following values were monitored: glycaemia, uric acid, total cholesterol, LDL-cholesterol, HDL-cholesterol, and triglycerides. Demographic data such as age, gender and achieved education were processed.

Results: Average BMI values in men were in the overweight range. Monitored average BMI values in women were up to standards. Monitored anthropometric parameters significantly increased with the age of examined individuals. The highest values of BMI and waist circumference were found in the over-50 age group. Selected biochemical parameters also increased with the age of examined individuals. Education did not have significant influence on the values of selected parameters. A statistically significant positive correlation was found between the values of BMI and waist circumference. The correlation coefficient in men was r = 0.804, p < 0.001, and in women r = 0.858, p < 0.001.

Conclusion: The work confirmed differences in anthropometric parameters between the civilian and military Czech male population due to a higher muscle mass percentage in the military population. The work also confirmed the significance of further anthropometric methods in diagnostics of overweight and obesity. The number of individuals with anthropometric and biochemical parameters out of the physiological range is increasing in the over-50 age category.

Keywords: cardiovascular diseases, overweight, obesity, anthropometry, preventive measures

Received: August 25, 2017; Revised: May 31, 2018; Accepted: May 31, 2018; Published: June 30, 2018  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Pavlík V, Fajfrová J, Šafka V, Pravdová L, Urban M, Krutišová P, Tuček M. Prevalence of risk factors in cardiovascular diseases in selected population of the Czech Republic. Cent Eur J Public Health. 2018;26(2):118-123. doi: 10.21101/cejph.a5192. PubMed PMID: 30102500.
Download citation

References

  1. Rosolová H, Nussbaumerová B, Mayer O Jr, Cífková R, Bruthans J. Success and failure of cardiovascular disease prevention in Czech Republic over the past 30 years. Czech part of the EUROASPIRE I-IV surveys. Physiol Res. 2017 Apr 5;66 Suppl 1:S77-84. Go to original source... Go to PubMed...
  2. Matoulek M, Svačina Š, Lajka J. The incidence of obesity and its complications in the Czech Republic. Vnitr Lek. 2010;56(10):1019-27. (In Czech.) Go to PubMed...
  3. Poledne R, Škodová Z. Changes in nutrition, cholesterol concentration, and cardiovascular disease mortality in the Czech population in the past decade. Nutrition. 2000;16(9):785-6. Go to original source... Go to PubMed...
  4. Fajfrová J, Pavlík V, Šafka V, Krutišová P, Zetocha J. Prevalence of selected risk factors of the metabolic syndrome in the Armed Forces of the Czech Republic. Mil Med Sci Lett. 2017;86(2):52-7. (In Czech). Go to original source...
  5. Kruschitz R, Wallner-Liebmann SJ, Hamlin MJ, Moser M, Ludvik B, Schnedl WJ, et al. Detecting body fat - a weighty problem BMI versus subcutaneous fat patterns in athletes and non-athletes. PLoS One. 2013 Aug 26;8(8):e72002. doi: 10.1371/journal.pone.0072002. Go to original source... Go to PubMed...
  6. Flegal KM, Shepherd JA, Looker AC, Graubard BI, Borrud LG, Ogden CL, et al. Comparisons of percentage body fat, body mass index, waist circumference, and waist-stature ratio in adults. Am J Clin Nutr. 2009;89(2):500-8. Go to original source... Go to PubMed...
  7. Lean ME, Han TS, Morrison CE. Waist circumference as a measure for indicating need for weight management. BMJ. 1995 Jul 15;311(6998):158-61. Go to original source... Go to PubMed...
  8. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation on Obesity, Geneva, 3-5 June 1997. Geneva: WHO; 1998.
  9. Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, et al. Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation. 2009 Oct 20;120(16):1640-5. Go to original source... Go to PubMed...
  10. Marín A, Medrano MJ, Gonzáles J, Pintado H, Compaired V, Bárcena M, et al. Risk of ischaemic heart disease and acute myocardial infarction in a Spanish population: observational prospective study in a primary-care setting. BMC Public Health. 2006 Feb 17;6:38. doi:10.1186/1471-2458-6-38. Go to original source... Go to PubMed...
  11. Flegal KM, Caroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999-2008. JAMA. 2010 Jan 20;303(3):235-41. Go to original source... Go to PubMed...
  12. Fajfrová J, Pavlík V, Psutka J, Husarová M, Krutišová P, Fajfr M. Prevalence of overweight and obesity in professional soldiers of the Czech Army over an 11-year period. Vojnosanit Pregl. 2016;73(5):422-8. Go to original source... Go to PubMed...
  13. Tomczak A, Bertrandt J, Klos A. Physical fitness and nutritional status of polish ground force unit recruits. Biol Sport. 2012;29(4):277-80. Go to original source... Go to PubMed...
  14. Sanderson PW, Clemes SA, Biddle SJ. Prevalence and socio-demographic correlates of obesity in the British Army. Ann Hum Biol. 2014;41(3):193-200. Go to original source... Go to PubMed...
  15. Ginter E, Simko V. Adult obesity at the beginning of the 21st century: epidemiology, pathophysiology and health risk. Bratisl Lek Listy. 2008;109(5):224-30. Go to PubMed...
  16. Seo DC, Choe S, Torabi MR. Is waist circumference ≥ 102/88 cm better than body mass index ≥ 30 to predict hypertension and diabetes development regardless of gender, age group, and race/ethnicity? Meta-analysis. Prev Med. 2017 Apr;97:100-8. Go to original source...
  17. Parish RC, Huang J, Mansi I. Screening for the metabolit syndrome in a public care hospital clinic population: a simple measurement of waist circumference. J Investig Med. 2011;59(1):22-6. Go to original source... Go to PubMed...
  18. Mullie P, Vansant G, Hulens M, Clarys P, Degrave E. Evaluation of body fat estimated from body mass index and impedance in Belgian male military candidates: comparing two methods for estimating body composition. Mil Med. 2008;173(3):266-70. Go to original source... Go to PubMed...
  19. Heinecke J. HDL and cardiovascular-disease risk - time for a new approach? N Engl J Med. 2011;364(2):170-1. Go to original source... Go to PubMed...
  20. Reiner Z, Catapano AL, De Backer G, Graham I, Taskinen MR, Wiklund O, et al; European Association for Cardiovascular Prevention & Rehabilitation. ESC/EAS Guidelines for the management of dyslipidaemias: the Task Force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and the European Atherosclerosis Society (EAS). Eur Heart J. 2011 Jul;32(14):1769-818. Go to original source... Go to PubMed...
  21. Wohlfahrt P, Krajčoviechová A, Bruthans J, Cífková R. Hypertension and hypercholesterolemia in the Czech population. Vnitr Lek. 2016;62(11):863-7. (In Czech.) Go to PubMed...
  22. Assmann G, Schulte H, Seedorf U. Cardiovascular risk assessment in the metabolic syndrome: results from the Prospective Cardiovascular Munster (PROCAM) Study. Int J Obes (Lond). 2008 May;32 Suppl 2:S11-6. Go to original source... Go to PubMed...
  23. Pavlík V, Fajfrová J, Husárová M, Hlúbik P. Prevention of obesity in the Army of the Czech Republic. Hygiena. 2011;56(3):85-8. (In Czech.)