Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries: Results from the European Society of Cardiology ESC-EORP EUROASPIRE V registry.
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Kotseva Kornelia, De Backer Guy, De Bacquer Dirk, Rydén Lars, Hoes Arno, Grobbee Diederick, Maggioni Aldo, Marques-Vidal Pedro, Jennings Catriona, Abreu Ana, Aguiar Carlos, Badariene Jolita, Bruthans Jan, Castro Conde Almudena, Cifkova Renata, Crowley Jim, Davletov Kairat, Deckers Jaap, De Smedt Delphine, De Sutter Johan, Dilic Mirza, Dolzhenko Marina, Dzerve Vilnis, Erglis Andrejs, Fras Zlatko, Gaita Dan, Gotcheva Nina, Heuschmann Peter, Hasan-Ali Hosam, Jankowski Piotr, Lalic Nebojsa, Lehto Seppo, Lovic Dragan, Mancas Silvia, Mellbin Linda, Milicic Davor, Mirrakhimov Erkin, Oganov Rafael, Pogosova Nana, Reiner Zeljko, Stöerk Stefan, Tokgözoğlu Lâle, Tsioufis Costas, Vulic Dusko, Wood David, EUROASPIRE Investigators*
Аннотация
DESIGN: A cross-sectional ESC-EORP survey (EUROASPIRE V) at 131 centres in 81 regions in 27 countries.
METHODS: Patients (<80 years old) with verified coronary artery events or interventions were interviewed and examined ≥6 months later.
RESULTS: A total of 8261 patients (females 26%) were interviewed. Nineteen per cent smoked and 55% of them were persistent smokers, 38% were obese (body mass index ≥30 kg/m2), 59% were centrally obese (waist circumference: men ≥102 cm; women ≥88 cm) while 66% were physically active <30 min 5 times/week. Forty-two per cent had a blood pressure ≥140/90 mmHg (≥140/85 if diabetic), 71% had low-density lipoprotein cholesterol ≥1.8 mmol/L (≥70 mg/dL) and 29% reported having diabetes. Cardioprotective medication was: anti-platelets 93%, beta-blockers 81%, angiotensin-converting enzyme inhibitors/angiotensin receptor blockers 75% and statins 80%.
CONCLUSION: A large majority of coronary patients have unhealthy lifestyles in terms of smoking, diet and sedentary behaviour, which adversely impacts major cardiovascular risk factors. A majority did not achieve their blood pressure, low-density lipoprotein cholesterol and glucose targets. Cardiovascular prevention requires modern preventive cardiology programmes delivered by interdisciplinary teams of healthcare professionals addressing all aspects of lifestyle and risk factor management, in order to reduce the risk of recurrent cardiovascular events.