The Effect of Parental Medical History on the Prevalence of Cerebrovascular Diseases in Their Children in an Iranian Population

Introduction: still a controversial issue, family history is known as a risk factor for the development of Cerebrovascular Diseases (CVD). In this study, we aimed to evaluate the relationship between parental history and risk of CVD in their offspring in Iranian population. Methods: Isfahan Cohort S...

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Main Authors: Alireza Khosravi, Mohaddeseh Behjati, Minoo Dianatkhah, Fatemeh Noori, Majid Nejati, Nizal Sarrafzadegan
Format: Article
Language:English
Published: Iran University of Medical Sciences 2018-09-01
Series:Basic and Clinical Neuroscience
Subjects:
Online Access:http://bcn.iums.ac.ir/browse.php?a_code=A-10-1042-1&slc_lang=en&sid=1
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author Alireza Khosravi
Mohaddeseh Behjati
Minoo Dianatkhah
Fatemeh Noori
Majid Nejati
Nizal Sarrafzadegan
author_facet Alireza Khosravi
Mohaddeseh Behjati
Minoo Dianatkhah
Fatemeh Noori
Majid Nejati
Nizal Sarrafzadegan
author_sort Alireza Khosravi
collection DOAJ
description Introduction: still a controversial issue, family history is known as a risk factor for the development of Cerebrovascular Diseases (CVD). In this study, we aimed to evaluate the relationship between parental history and risk of CVD in their offspring in Iranian population. Methods: Isfahan Cohort Study (ICS) included total 6504 healthy participants which were randomly selected through a two-stage cluster sampling method from three districts. The participants were followed prospectively for 10 years. The diagnosis of CVD were confirmed by expert panelist. Clinically validated history of CVD was established for definition of parental history of CVD. Types of history were categorized into paternal, maternal, both parents, and no history. Results: The prevalence of CVD is generally higher among female offspring compared with male ones (P<0.001). The relative risk of CVD with maternal history was not significant (95%CI=0.95-2.29). By adjusted model analysis, history of CVD in both parents affected the risk of CVD in their male children (RR=2.13, P=0.033, 95%CI). By crude model analysis, maternal history of CVD (P=0.047), history of CVD in both parents (P=0.032), and maternal history of hypertension (P=0.005) were determined as risk factors of CVD in offspring. Indeed, the mean age of CVD in offspring decreases based on this order: history of hypertension in parents, paternal history of CVD in both parents, maternal history of CVD, and no history (P<0.001). Conclusion: Early and regular screening for CVD development is necessary in female offspring of the families with the present history of CVD from maternal side. This group are at risk and should be considered as the target group for screening and taking preventive measures.
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spelling doaj.art-a1a2b9932e514918811ab2fa17e907812024-03-02T19:16:36ZengIran University of Medical SciencesBasic and Clinical Neuroscience2008-126X2228-74422018-09-0195367372The Effect of Parental Medical History on the Prevalence of Cerebrovascular Diseases in Their Children in an Iranian PopulationAlireza Khosravi0Mohaddeseh Behjati1Minoo Dianatkhah2Fatemeh Noori3Majid Nejati4Nizal Sarrafzadegan5 Hypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran. Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Science, Tehran, Iran. Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Science, Isfahan, Iran. Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Science, Isfahan, Iran. Anatomical Sciences Research Center, Kashan University of Medical Sciences, Kashan, Iran. Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Science, Isfahan, Iran. Introduction: still a controversial issue, family history is known as a risk factor for the development of Cerebrovascular Diseases (CVD). In this study, we aimed to evaluate the relationship between parental history and risk of CVD in their offspring in Iranian population. Methods: Isfahan Cohort Study (ICS) included total 6504 healthy participants which were randomly selected through a two-stage cluster sampling method from three districts. The participants were followed prospectively for 10 years. The diagnosis of CVD were confirmed by expert panelist. Clinically validated history of CVD was established for definition of parental history of CVD. Types of history were categorized into paternal, maternal, both parents, and no history. Results: The prevalence of CVD is generally higher among female offspring compared with male ones (P<0.001). The relative risk of CVD with maternal history was not significant (95%CI=0.95-2.29). By adjusted model analysis, history of CVD in both parents affected the risk of CVD in their male children (RR=2.13, P=0.033, 95%CI). By crude model analysis, maternal history of CVD (P=0.047), history of CVD in both parents (P=0.032), and maternal history of hypertension (P=0.005) were determined as risk factors of CVD in offspring. Indeed, the mean age of CVD in offspring decreases based on this order: history of hypertension in parents, paternal history of CVD in both parents, maternal history of CVD, and no history (P<0.001). Conclusion: Early and regular screening for CVD development is necessary in female offspring of the families with the present history of CVD from maternal side. This group are at risk and should be considered as the target group for screening and taking preventive measures.http://bcn.iums.ac.ir/browse.php?a_code=A-10-1042-1&slc_lang=en&sid=1Parental Medical history Cerebrovascular Children
spellingShingle Alireza Khosravi
Mohaddeseh Behjati
Minoo Dianatkhah
Fatemeh Noori
Majid Nejati
Nizal Sarrafzadegan
The Effect of Parental Medical History on the Prevalence of Cerebrovascular Diseases in Their Children in an Iranian Population
Basic and Clinical Neuroscience
Parental
Medical history
Cerebrovascular
Children
title The Effect of Parental Medical History on the Prevalence of Cerebrovascular Diseases in Their Children in an Iranian Population
title_full The Effect of Parental Medical History on the Prevalence of Cerebrovascular Diseases in Their Children in an Iranian Population
title_fullStr The Effect of Parental Medical History on the Prevalence of Cerebrovascular Diseases in Their Children in an Iranian Population
title_full_unstemmed The Effect of Parental Medical History on the Prevalence of Cerebrovascular Diseases in Their Children in an Iranian Population
title_short The Effect of Parental Medical History on the Prevalence of Cerebrovascular Diseases in Their Children in an Iranian Population
title_sort effect of parental medical history on the prevalence of cerebrovascular diseases in their children in an iranian population
topic Parental
Medical history
Cerebrovascular
Children
url http://bcn.iums.ac.ir/browse.php?a_code=A-10-1042-1&slc_lang=en&sid=1
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