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Lifestyle and Risk Factor Management in People at High Risk of Cardiovascular Disease. A Report from the European Society of Cardiology European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV Cross-Sectional Survey in 14 European Regions

2016-09-16Journal article Open access
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dc.contributor.authorKotseva, K
dc.contributor.authorDe Bacquer, D
dc.contributor.authorDe Backer, G
dc.contributor.authorRydén, L
dc.contributor.authorJennings, C
dc.contributor.authorGyberg, V
dc.contributor.authorAbreu, A
dc.contributor.authorAguiar, C
dc.contributor.authorConde, Almudena C
dc.contributor.authorDavletov, K
dc.contributor.authorDilic, M
dc.contributor.authorDolzhenko, M
dc.contributor.authorGaita, D
dc.contributor.authorGeorgiev, B
dc.contributor.authorGotcheva, N
dc.contributor.authorLalic, N
dc.contributor.authorLaucevicius, A
dc.contributor.authorLovic, D
dc.contributor.authorMancas, S
dc.contributor.authorMiličić, D
dc.contributor.authorOganov, R
dc.contributor.authorPajak, A
dc.contributor.authorPogosova, N
dc.contributor.authorReiner, Ž
dc.contributor.authorVulic, D
dc.contributor.authorWood, D
dc.contributor.authorThe Euroaspire Investigators
dc.date.accessioned2016-11-10T15:33:10Z
dc.date.available2016-11-10T15:33:10Z
dc.date.issued2016-09-16
dc.description.abstractBACKGROUND: European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV in primary care was a cross-sectional survey carried out by the European Society of Cardiology, EURObservational Research Programme in 2014-2015 in 71 centres from 14 European countries. The main objective was to determine whether the 2012 Joint European Societies' guidelines on cardiovascular disease (CVD) prevention in people at high CVD risk have been followed in clinical practice. METHODS: Patients without a history of atherosclerotic disease started on either blood pressure and/or lipid and/or glucose-lowering treatments were identified and interviewed at least six months after the start of medication. RESULTS: Medical notes of 6700 patients were reviewed, and 4579 patients (58.7% women; mean age 58.8 (standard deviation (SD) 11.3) years) interviewed (interview rate 68.3%). Overall, 16.6% were smokers, 39.9% were overweight (body mass index (BMI)≥25 and <30 kg/m2), 43.5% obese (BMI ≥30 kg/m2) and 63.9% centrally obese (waist circumference of ≥88 cm for women, ≥102 cm for men). The medical risk factor control was very poor, with less than half (42.8%) of the patients on blood pressure lowering medication reaching the target of <140/90 mm Hg (<140/80 mm Hg in people with self-reported diabetes). Among treated dyslipidaemic patients only 32.7% attained the low-density lipoprotein (LDL)-cholesterol target of <2.5 mmol/l. Among people treated for type 2 diabetes mellitus, 58.5% achieved the glycated haemoglobin (HbA1c) target of <7.0%. CONCLUSION: The EUROASPIRE IV survey shows that large proportions of patients at high CVD risk have unhealthy lifestyle habits and uncontrolled blood pressure, lipids and diabetes. The present data make it clear that more efforts must be taken to improve cardiovascular prevention in people at high CVD risk.pt_PT
dc.identifier.citationEur J Prev Cardiol. 2016; 23 (18): 2007-2018pt_PT
dc.identifier.doi10.1177/2047487316667784pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2577
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSAGE Publicationspt_PT
dc.subjectHSM CARpt_PT
dc.subjectCardiovascular Diseases/epidemiologypt_PT
dc.subjectCardiovascular Diseases/prevention & controlpt_PT
dc.subjectCross-Sectional Studiespt_PT
dc.subjectEurope/epidemiologypt_PT
dc.subjectGuideline Adherence
dc.subjectLife Style
dc.subjectMorbidity/trends
dc.subjectPrimary Prevention/methods
dc.subjectRetrospective Studies
dc.subjectSecondary Prevention/methods
dc.subjectSurveys and Questionnaires
dc.subjectSurvival Rate/trends
dc.titleLifestyle and Risk Factor Management in People at High Risk of Cardiovascular Disease. A Report from the European Society of Cardiology European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) IV Cross-Sectional Survey in 14 European Regionspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage2018pt_PT
oaire.citation.startPage2007pt_PT
oaire.citation.titleEuropean Journal of Preventive Cardiologypt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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