Prevalence of Arterial Hypertension in Urban Population of Ukraine Depending on the Degree and Type of Obesity
The objective of this study was subanalysis of the prevalence and detection of arterial hypertension (AH) among patients with overweight and obesity depending on the degree and type of obesity in a large population study of risk factors carried out in Ukraine on urban population in 2009–2013. It is found that in analyzed urban population of Ukraine, normal body weight had only 29.3 % of residents, and 70.7 % had total overweight and obesity of I–III degree. There was a trend to increasing prevalence of overweight and obesity with age among both men and women. It is revealed that with increasing body weight and age, AH detection in the population increases. The percentage of AH detection in the population increased from 29.8 % at normal body weight to 75.0 % at obesity of II–III degrees. It is found that regardless of sex, the onset and progression of abdominal obesity is associated with increased detection of arterial hypertension. Thus, according to the ESC guidelines (2012), among women with waist circumference (WC) ≥ 80 cm, AH was detected in 57.2 %, among men with WC ≥ 94 cm — in 44.1 %. According to the AHA criteria (2013), among women with WC ≥ 88 cm, AH was diagnosed in 63.6 %, among men with WC ≥ 102 cm — in 47.3 %.
Horbas' I.M., Smyrnova I.P., Kvasha O.O., Dorohoy A.P. Otsinka efektyvnosti «Prohramy profilaktyky i likuvannya arterial'noyi hipertenziyi v Ukrayini» za danymy epidemiolohichnykh doslidzhen'// Arteryal'naya hypertenzyya. – 2010. – №6 (14). – S.51-82. (in Ukr).
Kovalenko V.M., Kornats'kyy V.M. ta spivavt. Rehional'ni medyko-sotsial'ni problemy khvorob systemy krovoobihu. Dynamika ta analiz./ Analitychno-statystychnyy posibnyk. Kyiv. –2013. – 239 p. (in Ukr.).
Mitchenko E.I., Mamedov M.N., Kolesnik T.V., Deev A.D. Sovremennyi profil faktorov riska serdechno-sosudistih zabolevaniy v gorodskoi populatsii Ukraini // Ukrainskyi kardiologichnyi zurnal. – 2013. Dodatok 4. – P.76-83 (in Russ).
Cirenko Yu.M. Klinichni rekomendatsiyi z arterial'noyi hipertenziyi Yevropeys'koho tovarystva hipertenziyi (ESH) ta Yevropeys'koho tovarystva kardiolohiv (ESC) 2013 roku. // Arteryal'naya hypertenzyya. – 2013. – №4 (30). –S 160. (in Ukr.).
Fadeenko H.D. Ozhyrenye y rysk serdechno-sosudystыkh zabolevanyy // Liky Ukrayiny.– 2009.– № 7 (133).– S. 55-64. (in Russ)
Allison D.B., Gallagher D., Heo M. et al. Body mass index and all-cause mortali among people age 70 and over: the longitudinal study of aging // Int. J. Obesity.– 1997.– Vol. 21.–P. 424–431.
2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults// Circulation is available at http://circ.ahajournals.org
Donahue R.P., Abbot R.D., Bloom E. et al. Central obesity and coronary heart disease in men // Lancet.– 1987.– Vol. 1.–P. 821–824
European Guidelines on cardiovascular disease prevention in clinical practice (version 2012) // Eur. Heart J.-2012.-Vol.33.-P.1635-1701
Hubert J.W., Feinleib M., McNamara P.M. et al. Obesity as an independent risk factor for cardiovascular disease: a 26-year followup of participant in the Framingham Heart Study //Circulation.– 1983.– Vol. 67.– Р. 968–977
SAS/STAT User’s Guide, Version 6, Forth Edition, Vol.1 & 2, SAS Institute Inc., Cary, NC, USA, 1990
Stevens J., Caiy J., Pamuk E.R. et al. The effect of age on the association between body-mass index and mortality // New Engl. J. Med.–1998.– Vol. 338.– P. 1–7.
WHO MONICA Project. MONICA Manual. (1998–1999).
This work is licensed under a Creative Commons Attribution 4.0 International License.
© "Publishing House "Zaslavsky", 1997-2019