30-year trends in major cardiovascular risk factors in the Czech population, Czech MONICA and Czech post-MONICA, 1985 - 2016/17 - PubMed (original) (raw)

. 2020 May 11;15(5):e0232845.

doi: 10.1371/journal.pone.0232845. eCollection 2020.

Jan Bruthans 1, Peter Wohlfahrt 1, Alena Krajčoviechová 1, Pavel Šulc 1, Marie Jozífová 1, Lenka Eremiášová 2, Jan Pudil 2, Aleš Linhart 2, Jiří Widimský Jr 3, Jan Filipovský 4, Otto Mayer Jr 4, Zdenka Škodová 5, Rudolf Poledne 6, Petr Stávek 6, Věra Lánská 7

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30-year trends in major cardiovascular risk factors in the Czech population, Czech MONICA and Czech post-MONICA, 1985 - 2016/17

Renata Cífková et al. PLoS One. 2020.

Abstract

Background: Compared with Western Europe, the decline in cardiovascular (CV) mortality has been delayed in former communist countries in Europe, including the Czech Republic. We have assessed longitudinal trends in major CV risk factors in the Czech Republic from 1985 to 2016/17, covering the transition from the totalitarian regime to democracy.

Methods: There were 7 independent cross-sectional surveys for major CV risk factors conducted in the Czech Republic in the same 6 country districts within the WHO MONICA Project (1985, 1988, 1992) and the Czech post-MONICA study (1997/98, 2000/01, 2007/08 and 2016/2017), including a total of 7,606 males and 8,050 females. The population samples were randomly selected (1%, aged 25-64 years).

Results: Over the period of 31/32 years, there was a significant decrease in the prevalence of smoking in males (from 45.0% to 23.9%; p < 0.001) and no change in females. BMI increased only in males. Systolic and diastolic blood pressure decreased significantly in both genders, while the prevalence of hypertension declined only in females. Awareness of hypertension, the proportion of individuals treated by antihypertensive drugs and consequently hypertension control improved in both genders. A substantial decrease in total cholesterol was seen in both sexes (males: from 6.21 ± 1.29 to 5.30 ± 1.05 mmol/L; p < 0.001; females: from 6.18 ± 1.26 to 5.31 ± 1.00 mmol/L; p < 0.001).

Conclusions: The significant improvement in most CV risk factors between 1985 and 2016/17 substantially contributed to the remarkable decrease in CV mortality in the Czech Republic.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1

Fig 1

A. Smoking habits by age groups and gender between 1985 and 2016/17 in 6 districts of the Czech Republic. B. Body mass index (BMI) by age groups and gender between 1985 and 2016/17 in 6 districts of the Czech Republic. C. Systolic blood pressure (SBP) by age groups and gender between 1985 and 2016/17 in 6 districts of the Czech Republic. D. Diastolic blood pressure (DBP) by age groups and gender between 1985 and 2016/17 in 6 districts of the Czech Republic. E. HDL-cholesterol by age groups and gender between 1985 and 2016/17 in 6 districts of the Czech Republic.

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References

    1. Timmis A, Townsend N, Gale CP, Torbica A, Lettino M, Petersen SE, et al. European Society of Cardiology: Cardiovascular Disease Statistics 2019. Eur Heart J. 2020;41(1): 12–85. 10.1093/eurheartj/ehz859 - DOI - PubMed
    1. Sans S, Kesteloot H, Kromhout D. The burden of cardiovascular diseases mortality in Europe. Task Force of the European Society of Cardiology on Cardiovascular Mortality and Morbidity Statistics in Europe. Eur Heart J. 1997;18(12): 1231–48. - PubMed
    1. Müller-Nordhorn J, Rossnagel K, Mey W, Willich SN. Regional variation and time trends in mortality from ischaemic heart disease: East and West Germany 10 years after reunification. J Epidemiol Community Health. 2004;58(6): 481–485. 10.1136/jech.2003.013367 - DOI - PMC - PubMed
    1. Helis E, Augustincic L, Steiner S, Chen L, Turton P, Fodor JG. Time trends in cardiovascular and all-cause mortality in the 'old' and 'new' European Union countries. Eur J Cardiovasc Prev Rehabil. 2011;18(3):347–59. 10.1177/1741826710389361 - DOI - PubMed
    1. Hartley A, Marshall DC, Salciccioli JD, Sikkel MB, Maruthappu M, Shalhoub J. Trends in mortality from ischemic heart disease and cerebrovascular disease in Europe: 1980 to 2009. Circulation. 2016;133(20):1916–26. 10.1161/CIRCULATIONAHA.115.018931 - DOI - PubMed

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The study was supported by grant No. 15-27109A provided by the Ministry of Health of the Czech Republic.

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