Assessment of cardiovascular risk in Kyrgyz Republic

Objective:  An analysis of the current situation in the Kyrgyz Republic demonstrates that the areas of concern in care system for patients with cardiovascular diseases (CVD) are the insufficient and untimely identification of cardiovascular risk factors, as well as their ineffective management due t...

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Main Authors: Ryskul B. Kydyralieva, Kanzaada Sh. Dzhorupbekova, Almazbek Ch. Akunov
Format: Article
Language:English
Published: Center for Scientific Research and Development of Education. 2020-11-01
Series:Heart Vessels and Transplantation
Subjects:
Online Access:https://www.hvt-journal.com/articles/art221
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author Ryskul B. Kydyralieva
Kanzaada Sh. Dzhorupbekova
Almazbek Ch. Akunov
author_facet Ryskul B. Kydyralieva
Kanzaada Sh. Dzhorupbekova
Almazbek Ch. Akunov
author_sort Ryskul B. Kydyralieva
collection DOAJ
description Objective:  An analysis of the current situation in the Kyrgyz Republic demonstrates that the areas of concern in care system for patients with cardiovascular diseases (CVD) are the insufficient and untimely identification of cardiovascular risk factors, as well as their ineffective management due to the incomplete implementation of existing risk stratification guidelines and decision-making. This study assesses distribution of total cardiovascular risk among the population of the Kyrgyz Republic using the WHO/ISH risk scale.  In addition, the distribution of the main risk factors separately is calculated, as well as the frequency of some additional CVD risk factors that are not included into the WHO/ISH evaluation scale is estimated. Methods: This research was carried out within the framework of the international project "STEPS". The survey used a questionnaire developed by WHO and adapted to the Kyrgyz Republic. Overall, 2417 people were selected at the age of 25 to 65 years, of which 59.0% are women and 41.0% are men. The mean age in general was 43.9 (11.5) years. Of these, mean age for  men was 44.0 (11.2) years and for  women - 43.8  (11.7) years (p˃0.05). Results: According to the WHO / ISH chart, the proportion of low, medium, high and very high risk for age group of 40-65 years was 73.9%, 4.6% and 21.4%, respectively. According to the results of the study, among respondents aged 40 to 65 years, a high prevalence of the main risk factors for CVD was revealed (arterial hypertension - 61.5%, hypercholesterolemia - 31.6%, smoking - 19.0%, diabetes mellitus 11.1%) and other additional risk factors for CVD (insufficient intake of fruits and vegetables - 75.4%, obesity - 36.5%, physical inactivity - 29.3% and excessive salt intake - 14.0%). Conclusion:  Thus, very high-risk of CVD in our population was presented in 21.4% of individuals, while low risk prevailed – 73.9%.  The most frequent risk factors were arterial hypertension, hypercholesterolemia, obesity and physical inactivity, insufficient consumption of fruit and vegetables followed by smokin, diabetes and excessive salt consumption.
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spelling doaj.art-2668bc2613e148129c6a0a7bdbbaa15a2022-12-21T20:48:14ZengCenter for Scientific Research and Development of Education.Heart Vessels and Transplantation1694-78861694-78942020-11-014412713110.24969/hvt.2020.221art221Assessment of cardiovascular risk in Kyrgyz RepublicRyskul B. KydyralievaKanzaada Sh. DzhorupbekovaAlmazbek Ch. AkunovObjective:  An analysis of the current situation in the Kyrgyz Republic demonstrates that the areas of concern in care system for patients with cardiovascular diseases (CVD) are the insufficient and untimely identification of cardiovascular risk factors, as well as their ineffective management due to the incomplete implementation of existing risk stratification guidelines and decision-making. This study assesses distribution of total cardiovascular risk among the population of the Kyrgyz Republic using the WHO/ISH risk scale.  In addition, the distribution of the main risk factors separately is calculated, as well as the frequency of some additional CVD risk factors that are not included into the WHO/ISH evaluation scale is estimated. Methods: This research was carried out within the framework of the international project "STEPS". The survey used a questionnaire developed by WHO and adapted to the Kyrgyz Republic. Overall, 2417 people were selected at the age of 25 to 65 years, of which 59.0% are women and 41.0% are men. The mean age in general was 43.9 (11.5) years. Of these, mean age for  men was 44.0 (11.2) years and for  women - 43.8  (11.7) years (p˃0.05). Results: According to the WHO / ISH chart, the proportion of low, medium, high and very high risk for age group of 40-65 years was 73.9%, 4.6% and 21.4%, respectively. According to the results of the study, among respondents aged 40 to 65 years, a high prevalence of the main risk factors for CVD was revealed (arterial hypertension - 61.5%, hypercholesterolemia - 31.6%, smoking - 19.0%, diabetes mellitus 11.1%) and other additional risk factors for CVD (insufficient intake of fruits and vegetables - 75.4%, obesity - 36.5%, physical inactivity - 29.3% and excessive salt intake - 14.0%). Conclusion:  Thus, very high-risk of CVD in our population was presented in 21.4% of individuals, while low risk prevailed – 73.9%.  The most frequent risk factors were arterial hypertension, hypercholesterolemia, obesity and physical inactivity, insufficient consumption of fruit and vegetables followed by smokin, diabetes and excessive salt consumption.https://www.hvt-journal.com/articles/art221cardiovascular diseases cardiovascular risk the who/ish risk scale risk factors hypertension obesity smoking diabetes
spellingShingle Ryskul B. Kydyralieva
Kanzaada Sh. Dzhorupbekova
Almazbek Ch. Akunov
Assessment of cardiovascular risk in Kyrgyz Republic
Heart Vessels and Transplantation
cardiovascular diseases
cardiovascular risk
the who/ish risk scale
risk factors
hypertension
obesity
smoking
diabetes
title Assessment of cardiovascular risk in Kyrgyz Republic
title_full Assessment of cardiovascular risk in Kyrgyz Republic
title_fullStr Assessment of cardiovascular risk in Kyrgyz Republic
title_full_unstemmed Assessment of cardiovascular risk in Kyrgyz Republic
title_short Assessment of cardiovascular risk in Kyrgyz Republic
title_sort assessment of cardiovascular risk in kyrgyz republic
topic cardiovascular diseases
cardiovascular risk
the who/ish risk scale
risk factors
hypertension
obesity
smoking
diabetes
url https://www.hvt-journal.com/articles/art221
work_keys_str_mv AT ryskulbkydyralieva assessmentofcardiovascularriskinkyrgyzrepublic
AT kanzaadashdzhorupbekova assessmentofcardiovascularriskinkyrgyzrepublic
AT almazbekchakunov assessmentofcardiovascularriskinkyrgyzrepublic