cardiovascular risk profile of elderly men and women sample of slovakia z. mikes, j. odraska, p....
TRANSCRIPT
CARDIOVASCULAR RISK PROFILEOF ELDERLY MEN AND WOMEN
SAMPLE OF SLOVAKIA
Z. Mikes, J. Odraska, P. Hlivak, K. JakubovitsovaZ. Mikes, J. Odraska, P. Hlivak, K. JakubovitsovaDepartment of Geriatrics, Faculty of Medicine Department of Geriatrics, Faculty of Medicine
Bratislava, Slovak RepublicBratislava, Slovak Republic
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males 1999
males 1970
females 1999
females 1970
Population trends in Slovakia
Risk profile of the Slovak elderly population
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THE GOAL OF THE STUDY
• to estimate the cardiovascular risk profile of the elderly home residentsin
Bratislava, capital of the countryBratislava, capital of the country
Home for elderly, former castle of comes Amade where son of Maria Theresia, Emperor Jozef the IInd was born
Gabcikovo, rural region Gabcikovo, rural region with the highest with the highest
cardiovascular mortality in cardiovascular mortality in the countrythe country
Cohort and methods 500500 inhabitants of two Bratislava inhabitants of two Bratislava''s s elderlyelderly homes homes (280 men, (280 men,
mean age 76.3 yrs. and 220 females, mean age 79.8 yrs)mean age 76.3 yrs. and 220 females, mean age 79.8 yrs) identical age group from rural district (Gabcikovo)identical age group from rural district (Gabcikovo)
QQuestionnaireuestionnaire family historyfamily history ririsk factors of atherosclerosis (RF),sk factors of atherosclerosis (RF), index of daily physical activitiesindex of daily physical activities / / BartelBartel’s’s index index cognitive functions cognitive functions / Mini-Mental Stage Examination/ Mini-Mental Stage Examination height and weight measuring, height and weight measuring, repeated blood pressure measuring in reference conditionsrepeated blood pressure measuring in reference conditions
21%
6%
61%
12%
normal values of TGL and Chol
total cholesterol
triacylglycerolscombined hyperlipidemia
metropolitan
Combined hyperlipidemia mmol/L -Males
30%6%
40%
24%rural
47%
34%
7%12%
normal values of TGL and Chol
total cholesterol
triacylglycerolscombined hyperlipide
metropolitan
Combined hyperlipidemia mmol/L -Females
37%
5% 39%
19%
rural
45%
12%
35%
8%
BMI 25
BMI 25-30
BMI 30immobile
metropolitan
BMI -Males
32%
12% 44%
12%
rural
29%
18%
33%
20%
BMI 25
BMI 25-30
BMI 30immobile
metropolitan
BMI -Females
34%27%
22%
17%
rural
25%
36% 33%
6%
Non-smokers
Smokers
Ex-smokerso information about smoking
metropolitan
Smoking-Males
43%
32%20%
5%
rural
6%
13%
72%
9%
Non-smokers
Smokers
Ex-smokersinformation about smoking
metropolitan
Smoking-Females
3%
5%
80%
12%
rural
17%
23%
12%48%
Hypertension I. Stage
Hypertension II. Stage
Hypertension III. StageNormal blood pressure
metropolitan
Blood Pressure - Males
15%
17%
5%
63%
rural
22%
44%
12%22%
Hypertension I. Stage
Hypertension II. Stage
Hypertension III. StageNormal blood pressure
metropolitan
Blood Pressure - Females
25%
49%
2%24%
rural
43%
9%5%
43%
diabetes mellitus
impaired glucose tolerance
non information on DM availablenormal glycaemia
metropolitan
Diabetes-Males
13%
15%
21%51%
rural
6%
30%
8%
56%
diabetes mellitus
impaired glucose tolerance
non information on DM availablenormal glycaemia
metropolitan
Diabetes -Females
6%17% 50%
27%
rural
42%
21%
31%
1%5%
1 RF
2 FR
3 FR RF
metropolitan
Risk factors commbination - Males
51%
0%12%
32%
5%
rural
5 RF
42%
26% 26%
1%5%
1 RF
2 FR
3 FR RF
metropolitan
Risk factors combination - Females
40%
2%
36% 19%
3%
rural
5 RF
16%
20%
35%
9%
20%
severe cognitive impairment
intermediate cognitive impairment
light impairmentnormal
metropolitan
Cognitive functions -Males
39%15%
22%
24%
rural
no information
17%
20%
34%
4%25%
severe cognitive impairment
intermediate cognitive impairment
light impairmentnormal
metropolitan
Cognitive functions - Females
63%
8%
27%
2%
rural
no information
21%
11%10%
58%
highly dependent
dependent
mild degree dependencyself-dependent
metropolitan
Activities of Daily Life (ADL) - Males
10%
24%
12%54%
rural
9%
26%
19%46%
highly dependent
dependent
mild degree dependencyself -dependent
metropolitan
Activities of Daily Life (ADL) - Females
14%32%
28%
26%
rural