Risk Factors for Cardiovascular Disease in the Elderly in Taiwan

The Kaohsiung Journal of Medical Sciences - Tập 20 - Trang 279-286 - 2004
Herng-Chia Chiu1, Lih-Wen Mau1, Yong-Yuan Chang1
1Graduate Institute of Public Health, Kaohsiung Medical University, Taipei, Taiwan

Tóm tắt

The major objective of the present study was to identify biologic and behavioral risk factors of cardiovascular disease (CVD) in the elderly population in Taiwan. It is hypothesized that the selected risk factors are significantly associated with the prevalence of CVD. Data came from a nationwide geriatric survey in 1991. Stratified proportional sampling was used to recruit 2,600 subjects. These were evaluated by family physicians working for the Departments of Family Medicine at four medical centers in four major cities in Taiwan. Univariate and multivariate logistic regression analyses were used to examine the associations between risk factors and the prevalence of CVD. The prevalence of CVD was 38.31%. Patients with CVD consistently had higher values for each selected risk factor except high‐density lipoprotein‐cholesterol (HDL‐C) and glucose concentrations. The findings also indicated that hypertension, hypertriglyceridemia, low HDL‐C concentration, ex‐drinking status, and overweight were significantly associated with the prevalence of CVD among the elderly in Taiwan. The findings not only confirm the risk factors for CVD, but also invite more attention to be given to the importance of biologic and behavioral risk factors in CVD.


Tài liệu tham khảo

1996, Public Health in Taiwan Area 10.1016/1047-2797(92)90060-4 10.1093/oxfordjournals.aje.a120730 1997, Health and Vital Statistics, 2. Vital Statistics TsengWP.Epidemiological Study of Coronary Heart Disease and Stroke Among Taipei San‐Chih Rural Population. Report to Department of Health 1974:1‐10. Lee YT, 1994, Coronary Heart Diseases of the Taiwan Elderly, Proceedings of the Chinese Geriatric Association TsengYZ.Epidemiological Study on Cardiovascular Disease of San‐Chih Residents. Report to the Department of Health Project Number DOH83‐TD‐082 1994. Gupta R, 1995, Prevalence of coronary heart disease and coronary risk factors in an urban population of Rajasthan, Indian Heart J, 47, 331 10.7326/0003-4819-62-6-1170 Huang PJ, 1977, Lipid abnormalities in Chinese with angiographically proven coronary artery disease, J Formosan Med Assoc, 76, 612 10.1093/oxfordjournals.aje.a117632 10.1016/S0021-9150(96)05991-6 10.1161/01.CIR.94.10.2381 10.1093/ije/18.2.355 10.1161/01.ATV.16.2.262 10.1016/0895-4356(94)90208-9 10.1038/sj.ijo.0800410 Huang YH, 1995, Correlates of coronary arterial disease in the elderly, Chin J Fam Med, 5, 74 Ding YA, 1982, Lipid abnormalities of atherosclerotic diseases in Chinese men, J Formosan Med Assoc, 81, 559 Ding YA, 1984, Lipid and lipoprotein abnormalities in Chinese subjects with ischemic cerebrovascular disease, J Formosan Med Assoc, 83, 1076 ChenCJ.Prospective Study on Multiple Risk Factors for Chronic Diseases in Middle‐Aged Elderly Subjects II: Nested Case‐Control Study on Multiple Risk Factors of Fatal Stroke and Myocardial Infarction. Report to Department of Health Executive Yuan Republic of China 1993. 10.1016/0021-9150(95)05616-5 10.1161/01.CIR.67.5.968 10.1093/oxfordjournals.aje.a009303 10.1016/0140-6736(93)92987-5 10.1097/00001648-199703000-00005 10.1016/S0140-6736(94)92883-5 10.1093/ije/18.4.808 10.1161/01.STR.26.5.790 10.1016/0021-9150(94)05564-Y 10.1161/01.ATV.16.4.499 10.1159/000175869 10.1056/NEJM196510282731802 10.1093/ije/12.1.26 10.1016/0021-9150(85)90156-X Medae TW, 1989, Haemostatic function and ischaemic heart disease: principal results of the from the 11‐year follow‐up of the Pairs Prospective Study, Diabetologia, 32, 300 10.1056/NEJM198006193022503 10.1007/BF00145359 Ding YA, 1992, Plasma triglycerides: a cardiovascular risk factor?, Zhonghua Yi Xue Za Zhi (Taipei), 49, 297 WuCW PanWH ChenCJ.Body‐Fluid Transmitted Viruses and Cardiovascular Risk Factors in a Community Based Prospective Study. Report to Department of Health Executive Yuan Republic of China 1993. 10.1016/0021-9150(87)90264-4 Fontbonne A, 1986, Hypertriglyceridaemia as a risk factor of coronary heart disease mortality in subjects with impaired glucose tolerance or diabetes: results Northwick Park Heart Study, Lancet, 533 10.2337/diab.23.2.105 10.1002/dmr.5610030206 10.1002/(SICI)1099-0895(199603)12:1<37::AID-DMR156>3.0.CO;2-Q 10.1016/S0021-9150(97)00180-9 Howard G, 1994, Active and passive smoking are associated with increased carotid wall thickness, Arch Intern Med, 154, 1277, 10.1001/archinte.1994.00420110125014 10.1006/pmed.1995.1007