| Abstract |
Introduction
Cardiovascular diseases are included in the major public health problems and they
are the main cause of mortality in the developed western world. The 10‐year risk of
mortality from cardiovascular diseases (HeartScore) is calculated by gender & age
and is based on the values of 3 factors: total cholesterol, systolic blood pressure and
smoking habit.
Aim
The aim of the present study is the calculation of the 10‐year cardiovascular risk in 2
cohorts of men aged 40‐60 years as well as the exploration of 10‐years’ mortality.
Methods
The 10‐year cardiovascular risk of 627 (cohort 1960) and 93 (cohort 1997) of men
from Crete aged 40‐60 years who had not any cardiovascular disease was calculated.
Their differences were identified and the reasons for the changes after 37 years
were probed. Subsequently, mortality’s rates from cardiovascular diseases after 10
and 13 years for the 1960’s and 1997’s cohorts, respectively, were compared.
Results
The prevalence of elevated (>5%) cardiovascular risk was assessed more than double
in healthy men of the 1997’s cohort (33.3%) than the corresponding of the 1960’s
cohort (14.8%). Additionally, smoking habit had the highest percentage (53.7%) in
creating the mean levels of percentage cardiovascular risk for the cohort of 1960,
while total cholesterol had the highest corresponding figure (50.3%) for the cohort of
1997. This fact implies changes in men’s habits related to diet, exercise and smoking
after 37 years. So, it was estimated that slightly more men smoked in 1960; they
exercised more, they were less overweight/obese and the proportion of men with
elevated total cholesterol was lower than that in 1997. The proportion of men with
Δημόσια Υγεία & Διοίκηση Υπηρεσιών Υγείας Τμήμα Ιατρικής – Πανεπιστήμιο Κρήτης
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elevated blood pressure was found not to have changed significantly. Finally, the 10‐
year mortality (incidence rate) from cardiovascular diseases was found higher among
men of the cohort of 1997.
Conclusions
The rapid increase of 10‐year cardiovascular risk after 37 years requires the need for
a return to traditional nutrition and lifestyle that existed 50 years ago in Crete, with
main leaders the international actions on prevention and health promotion.
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Εκτίμηση 10ετή καρδιαγγειακού κινδύνου και θνησιμότητα από καρδιαγγειακά νοσήματα σε άνδρες 40-60 μεταξύ 1960 & 1997
