Risk factors dynamics in multifactorial prevention of ischaemic heart disease.
The effectiveness of preventive measures in populations subjected to a different degree of preventive activity was according to the dynamics of risk factors (RF) tested in the course of four years. Among 6619 examined men aged 40-59 years, a high incidence of RF (79.2%), their connection with ischaemic heart disease (IHD), and frequent simultaneous incidence of several RF even in subjects without IHD were found. The four-year preventive intervention programme was efficient as regards a decline in the incidence of arterial hypertension (AH) from 24.8% to 19.8%, and smoking from 40.1% to 30.6%, simultaneously with a decrease in the mean level of these RF; these favourable changes did not occur in the control group. Data are analysed concerning the percentage of normalization and the incidence of an elevated BP level, cholesterol and body weight. The study proved the possibility of preventively influencing the incidence of AH in the population, and showed the importance of applying preventive measures in subjects with "borderline" values of RF, such as AH and overweight.
Chazova
L V
LV
Research Institute of Preventive Cardiology, USSR Cardiology Research Centre, Moscow.
Shishova
A M
AM
Gromov
V L
VL
D000328:Adult; D000787:Angina Pectoris / Q000517:prevention & control; D001835:Body Weight; D002784:Cholesterol / Q000097:blood; D003327:Coronary Disease / Q000517:prevention & control*; D006801:Humans; D006973:Hypertension / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000517:prevention & control; D012307:Risk Factors; D000074606:Smoking Prevention; D014586:USSR
D002784:Cholesterol