Regional pattern of cardiovascular risk burden in Croatia [Prostorna distribucija kardiovaskularnog bremena u Hrvatskoj]

Kern, Josipa and Polašek, Ozren and Musić Milanović, Sanja and Džakula, Aleksandar and Fišter, Kristina and Strnad, Marija and Ivanković, Davor and Vuletić, Silvije (2009) Regional pattern of cardiovascular risk burden in Croatia [Prostorna distribucija kardiovaskularnog bremena u Hrvatskoj]. Collegium Antropologicum, 33 (S. 1). pp. 11-17. ISSN 0350-6134

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Abstract

The objective of this study was to investigate regional gradient of a synthetic cardiovascular burden (CVRB) in Croatia. Analysis was based on a multistage stratified sample representative of general adult population in six regions of Croatia (Croatian Adult Health Survey). Synthetic CVRB was defined by incidents (heart attack, stroke), blood pressure, overweight/obesity (BMI, waist circumference), and risky behaviours (smoking, physical inactivity, high alcohol consumption, inadequate nutrition). Total CVRB in Croatia was 44.7% for men and 50.3% for women. Combining both high and moderate CVRB, men were found to be under more risk than women (72.8% vs. 61.7%, respectively). The result showed an east-north-west gradient in continental Croatia, with high CVRB in Eastern (40.2%) and Central region (44.3%), City of Zagreb (45.7%) and Northern region (53.1%). Mountainous region had the lowest prevalence of respondents with high CVRB (39.2%). Coastal region with the prevalence of 46.3% of high CVRB was nearly the same as the City of Zagreb. The results suggest the presence of substantial regional differences in the cardiovascular risk burden.

Abstract in Croatian

Cilj ovog rada bio je ispitati postoji li gradijent u prostornoj distribuciji sintetičkog kardiovaskularnog bremena (CVRB) u Hrvatskoj. Analiza se temelji na višestupanjskom stratificiranom uzorku odrasle populacije u šest hrvatskih regija. Sintetički CVRB se definira incidentima (srčani infarkt, moždani udar), krvnim tlakom, prekomjernom tjelesnom težinom, abdominalnom debljinom i rizičnim ponašanjem (pušenje, fizička neaktivnost, pretjerano pijenje alkohola, neadekvatna prehrana). Ukupni CVRB u Hrvatskoj je procijenjen na 44,7% za muškarce i 50,3% za žene. Kombinirajući visoki i srednji rizik, prevalencija u muškaraca se procjenjuje na 72,8% a u žena na 61,7%. Rezultati pokazuju gradijent istok-sjever-zapad u kontinentalnom dijelu Hrvatske s visokim CVRB: u istočnoj regiji 40,2%, centralnoj 44,3%, gradu Zagrebu 45,7%, i sjevernoj regiji 53,1%. Gorska Hrvatska pokazuje najmanju prevalenciju visokog CVRB (39,2%). Jadranska regija s prevalencijom visokog CVRB od 46,3% je gotovo jednaka gradu Zagrebu.

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