Prevalence of Peripheral Arterial Disease and Associated Vascular Risk Factors in 65-Years-Old People of Northern Barcelona

Objective: To determine the prevalence and risk factors associated with peripheral arterial disease (PAD) in Northern Barcelona at 65 years of age. Methods: A single-center, cross-sectional study, including males and females 65 years of age, health care cardholders of Barcelona Nord. PAD was defined...

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Main Authors: Gabriela Gonçalves-Martins, Daniel Gil-Sala, Cristina Tello-Díaz, Xavier Tenezaca-Sari, Carlos Marrero, Teresa Puig, Raquel Gayarre, Joan Fité, Sergi Bellmunt-Montoya
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/19/4467
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author Gabriela Gonçalves-Martins
Daniel Gil-Sala
Cristina Tello-Díaz
Xavier Tenezaca-Sari
Carlos Marrero
Teresa Puig
Raquel Gayarre
Joan Fité
Sergi Bellmunt-Montoya
author_facet Gabriela Gonçalves-Martins
Daniel Gil-Sala
Cristina Tello-Díaz
Xavier Tenezaca-Sari
Carlos Marrero
Teresa Puig
Raquel Gayarre
Joan Fité
Sergi Bellmunt-Montoya
author_sort Gabriela Gonçalves-Martins
collection DOAJ
description Objective: To determine the prevalence and risk factors associated with peripheral arterial disease (PAD) in Northern Barcelona at 65 years of age. Methods: A single-center, cross-sectional study, including males and females 65 years of age, health care cardholders of Barcelona Nord. PAD was defined as an ankle–brachial index (ABI) < 0.9. Attending subjects were evaluated for a history of common cardiovascular risk factors. A REGICOR score was obtained, as well as a physical examination and anthropometric measurements. Results: From November 2017 to December 2018, 1174 subjects were included: 479 (40.8%) female and 695 (59.2%) male. Overall prevalence of PAD was 6.2% (95% CI: 4.8–7.6%), being 7.9% (95% CI: 5.9–9.9%) in males and 3.8% (95% CI: 2.1–5.5%) in females. An independent strong association was seen in male smokers and diabetes, with ORs pf 7.2 (95% CI: 2.8–18.6) and 1.8 (95% CI: 1.0–3.3), respectively, and in female smokers and hypertension, with ORs of 5.2 (95% CI: 1.6–17.3) and 3.3 (95% CI: 1.2–9.0). Male subjects presented with higher REGICOR scores (<i>p</i> < 0.001). Conclusion: Higher-risk groups are seen in male subjects with a history of smoking and diabetes and female smokers and arterial hypertension, becoming important subgroups for our primary healthcare centers and should be considered for ABI screening programs.
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spelling doaj.art-92ea359a5b6c4cc38dc94b4face1f7c82023-11-22T16:19:51ZengMDPI AGJournal of Clinical Medicine2077-03832021-09-011019446710.3390/jcm10194467Prevalence of Peripheral Arterial Disease and Associated Vascular Risk Factors in 65-Years-Old People of Northern BarcelonaGabriela Gonçalves-Martins0Daniel Gil-Sala1Cristina Tello-Díaz2Xavier Tenezaca-Sari3Carlos Marrero4Teresa Puig5Raquel Gayarre6Joan Fité7Sergi Bellmunt-Montoya8Angiology, Vascular and Endovascular Surgery Department, Hospital Vall d’Hebron, 08035 Barcelona, SpainAngiology, Vascular and Endovascular Surgery Department, Hospital Vall d’Hebron, 08035 Barcelona, SpainAngiology, Vascular and Endovascular Surgery Department, Hospital Vall d’Hebron, 08035 Barcelona, SpainAngiology, Vascular and Endovascular Surgery Department, Hospital Vall d’Hebron, 08035 Barcelona, SpainAngiology, Vascular and Endovascular Surgery Department, Hospital Vall d’Hebron, 08035 Barcelona, SpainDepartment of Clinical Epidemiology and Public Health, Hospital de la Santa Creu i Sant Pau. IIB Sant Pau, 08041 Barcelona, SpainPrimary Care Department, Institut Català de la Salut, 08041 Barcelona, SpainAngiology, Vascular and Endovascular Surgery Department, Hospital de la Santa Creu i Sant Pau, Institut de Recerca Biomèdica de Sant Pau (IIB-Sant Pau), CIBERCV, 08041 Barcelona, SpainAngiology, Vascular and Endovascular Surgery Department, Hospital Vall d’Hebron, 08035 Barcelona, SpainObjective: To determine the prevalence and risk factors associated with peripheral arterial disease (PAD) in Northern Barcelona at 65 years of age. Methods: A single-center, cross-sectional study, including males and females 65 years of age, health care cardholders of Barcelona Nord. PAD was defined as an ankle–brachial index (ABI) < 0.9. Attending subjects were evaluated for a history of common cardiovascular risk factors. A REGICOR score was obtained, as well as a physical examination and anthropometric measurements. Results: From November 2017 to December 2018, 1174 subjects were included: 479 (40.8%) female and 695 (59.2%) male. Overall prevalence of PAD was 6.2% (95% CI: 4.8–7.6%), being 7.9% (95% CI: 5.9–9.9%) in males and 3.8% (95% CI: 2.1–5.5%) in females. An independent strong association was seen in male smokers and diabetes, with ORs pf 7.2 (95% CI: 2.8–18.6) and 1.8 (95% CI: 1.0–3.3), respectively, and in female smokers and hypertension, with ORs of 5.2 (95% CI: 1.6–17.3) and 3.3 (95% CI: 1.2–9.0). Male subjects presented with higher REGICOR scores (<i>p</i> < 0.001). Conclusion: Higher-risk groups are seen in male subjects with a history of smoking and diabetes and female smokers and arterial hypertension, becoming important subgroups for our primary healthcare centers and should be considered for ABI screening programs.https://www.mdpi.com/2077-0383/10/19/4467peripheral arterial diseasecardiovascular risk factorsasymptomaticankle–brachial indexprevalencescreening
spellingShingle Gabriela Gonçalves-Martins
Daniel Gil-Sala
Cristina Tello-Díaz
Xavier Tenezaca-Sari
Carlos Marrero
Teresa Puig
Raquel Gayarre
Joan Fité
Sergi Bellmunt-Montoya
Prevalence of Peripheral Arterial Disease and Associated Vascular Risk Factors in 65-Years-Old People of Northern Barcelona
Journal of Clinical Medicine
peripheral arterial disease
cardiovascular risk factors
asymptomatic
ankle–brachial index
prevalence
screening
title Prevalence of Peripheral Arterial Disease and Associated Vascular Risk Factors in 65-Years-Old People of Northern Barcelona
title_full Prevalence of Peripheral Arterial Disease and Associated Vascular Risk Factors in 65-Years-Old People of Northern Barcelona
title_fullStr Prevalence of Peripheral Arterial Disease and Associated Vascular Risk Factors in 65-Years-Old People of Northern Barcelona
title_full_unstemmed Prevalence of Peripheral Arterial Disease and Associated Vascular Risk Factors in 65-Years-Old People of Northern Barcelona
title_short Prevalence of Peripheral Arterial Disease and Associated Vascular Risk Factors in 65-Years-Old People of Northern Barcelona
title_sort prevalence of peripheral arterial disease and associated vascular risk factors in 65 years old people of northern barcelona
topic peripheral arterial disease
cardiovascular risk factors
asymptomatic
ankle–brachial index
prevalence
screening
url https://www.mdpi.com/2077-0383/10/19/4467
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