title: Cardiovascular disease risk factor patterns and their implications for intervention strategies in Vietnam.
abstract: Background. Data on cardiovascular disease risk factors (CVDRFs) in Vietnam are limited. This study explores the prevalence of each CVDRF and how they cluster to evaluate CVDRF burdens and potential prevention strategies. Methods. A cross-sectional survey in 2009 (2,130 adults) was done to collect data on behavioural CVDRF, anthropometry and blood pressure, lipidaemia profiles, and oral glucose tolerance tests. Four metabolic CVDRFs (hypertension, dyslipidaemia, diabetes, and obesity) and five behavioural CVDRFs (smoking, excessive alcohol intake, unhealthy diet, physical inactivity, and stress) were analysed to identify their prevalence, cluster patterns, and social predictors. Framingham scores were applied to estimate the global 10-year CVD risks and potential benefits of CVD prevention strategies. Results. The age-standardised prevalence of having at least 2/4 metabolic, 2/5 behavioural, or 4/9 major CVDRF was 28%, 27%, 13% in women and 32%, 62%, 34% in men. Within-individual clustering of metabolic factors was more common among older women and in urban areas. High overall CVD risk (≥20% over 10 years) identified 20% of men and 5% of women-especially at higher ages-who had coexisting CVDRF. Conclusion. Multiple CVDRFs were common in Vietnamese adults with different clustering patterns across sex/age groups. Tackling any single risk factor would not be efficient.
authors.affiliation: Department of Cardiology, Hanoi Medical University, 1 Ton-That-Tung Street, Dong-Da District, 10000 Hanoi, Vietnam.
authors.forename: Quang Ngoc
authors.initials: QN
authors.lastname: Nguyen
authors.forename: Son Thai
authors.initials: ST
authors.lastname: Pham
authors.forename: Loi Doan
authors.initials: LD
authors.lastname: Do
authors.forename: Viet Lan
authors.initials: VL
authors.lastname: Nguyen
authors.forename: Stig
authors.initials: S
authors.lastname: Wall
authors.forename: Lars
authors.initials: L
authors.lastname: Weinehall
authors.forename: Ruth
authors.initials: R
authors.lastname: Bonita
authors.forename: Peter
authors.initials: P
authors.lastname: Byass