The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey

Objective: The Prospective Urban Rural Epidemiology (PURE) study is a prospective cohort study that collects data on social, environmental, and individual risk factors and chronic diseases among residents of 25 countries in the range of 35 to 70 years of age, living in rural and urban areas. The PUR...

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Main Authors: Aytekin Oğuz, Özge Telci Çaklılı, Burcu Tümerdem Çalık, Pure Investigators
Format: Article
Language:English
Published: KARE Publishing 2018-10-01
Series:Türk Kardiyoloji Derneği Arşivi
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-32967
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author Aytekin Oğuz
Özge Telci Çaklılı
Burcu Tümerdem Çalık
Pure Investigators
author_facet Aytekin Oğuz
Özge Telci Çaklılı
Burcu Tümerdem Çalık
Pure Investigators
author_sort Aytekin Oğuz
collection DOAJ
description Objective: The Prospective Urban Rural Epidemiology (PURE) study is a prospective cohort study that collects data on social, environmental, and individual risk factors and chronic diseases among residents of 25 countries in the range of 35 to 70 years of age, living in rural and urban areas. The PURE study is directed by the Population Health Research Institute of McMaster University in Canada. In Turkey, the study is conducted by the Metabolic Syndrome Society. Methods: In Turkey, the study is being conducted in 8 cities. The initial fieldwork began in 2008. Questionnaires were completed, and anthropometric measurements, blood and urine samples, handgrip strength evaluations, electrocardiogram readings, and spirometer and body composition measurements were obtained. Each year, participants were followed up via telephone. Every third year, questionnaires, field measurements, and biological data sampling were repeated. Results: PURE Turkey has 4056 participants (female: 60.7%, male: 39.3%; mean age: 50+-9.1 years). Among them, 43.9% had metabolic syndrome and 52.8% were obese. The prevalence of hypertension was 41.1% and proportion of controlled hypertension was 34%. A total of 2098 (51.7%) of the participants had a total cholesterol of ≥200 mg/dL or were using a lipid lowering agent. In patients with diabetes, 79.8% had low-density lipoprotein cholesterol levels ≥100 mg/dL. Although a dramatic change was not observed in those parameters in the follow-up years, the prevalence of diabetes mellitus increased from 13.7% in 2008 to 21% in 2015. The baseline and follow-up data of the PURE study were analyzed with the other countries participating in the study and reported for international publication. Conclusion: The PURE study is a large, ongoing, prospective epidemiological study that is investigating the 'causes of the causes' of noncommunicable diseases in the world. In addition to revealing the health status of nations, the study also has the potential to affect health politics.
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spelling doaj.art-b106e419077f4ab6ba6d0549346bfa802023-02-15T16:21:13ZengKARE PublishingTürk Kardiyoloji Derneği Arşivi1016-51692018-10-0146761362310.5543/tkda.2018.32967TKDA-32967The Prospective Urban Rural Epidemiology (PURE) study: PURE TurkeyAytekin Oğuz0Özge Telci Çaklılı1Burcu Tümerdem Çalık2Pure InvestigatorsDepartment of Internal Medicine, Istanbul Medeniyet University Medical School, Istanbul, TurkeyDepartment of Internal Medicine, Kocaeli State Hospital, Kocaeli, TurkeyDepartment of Health Management, Marmara University Health Sciences Faculty, Istanbul, TurkeyObjective: The Prospective Urban Rural Epidemiology (PURE) study is a prospective cohort study that collects data on social, environmental, and individual risk factors and chronic diseases among residents of 25 countries in the range of 35 to 70 years of age, living in rural and urban areas. The PURE study is directed by the Population Health Research Institute of McMaster University in Canada. In Turkey, the study is conducted by the Metabolic Syndrome Society. Methods: In Turkey, the study is being conducted in 8 cities. The initial fieldwork began in 2008. Questionnaires were completed, and anthropometric measurements, blood and urine samples, handgrip strength evaluations, electrocardiogram readings, and spirometer and body composition measurements were obtained. Each year, participants were followed up via telephone. Every third year, questionnaires, field measurements, and biological data sampling were repeated. Results: PURE Turkey has 4056 participants (female: 60.7%, male: 39.3%; mean age: 50+-9.1 years). Among them, 43.9% had metabolic syndrome and 52.8% were obese. The prevalence of hypertension was 41.1% and proportion of controlled hypertension was 34%. A total of 2098 (51.7%) of the participants had a total cholesterol of ≥200 mg/dL or were using a lipid lowering agent. In patients with diabetes, 79.8% had low-density lipoprotein cholesterol levels ≥100 mg/dL. Although a dramatic change was not observed in those parameters in the follow-up years, the prevalence of diabetes mellitus increased from 13.7% in 2008 to 21% in 2015. The baseline and follow-up data of the PURE study were analyzed with the other countries participating in the study and reported for international publication. Conclusion: The PURE study is a large, ongoing, prospective epidemiological study that is investigating the 'causes of the causes' of noncommunicable diseases in the world. In addition to revealing the health status of nations, the study also has the potential to affect health politics.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-32967diabeteshyperlipidemia; hypertension; prospective urban rural epidemiology; turkey.
spellingShingle Aytekin Oğuz
Özge Telci Çaklılı
Burcu Tümerdem Çalık
Pure Investigators
The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey
Türk Kardiyoloji Derneği Arşivi
diabetes
hyperlipidemia; hypertension; prospective urban rural epidemiology; turkey.
title The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey
title_full The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey
title_fullStr The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey
title_full_unstemmed The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey
title_short The Prospective Urban Rural Epidemiology (PURE) study: PURE Turkey
title_sort prospective urban rural epidemiology pure study pure turkey
topic diabetes
hyperlipidemia; hypertension; prospective urban rural epidemiology; turkey.
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-32967
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