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Lifestyle and risk factor management in people at high cardiovascular risk from Bulgaria, Croatia, Poland, Romania and the United Kingdom who participated in both the EUROASPIRE III and IV primary care surveys

Gui De Backer UGent, Dirk De Bacquer UGent, Lars Rydén, Kornelia Kotseva UGent, Dan Gaita, Borislav Georgiev, Nina Gotcheva, Silvia Mancas, Davor Miličić, Andrzej Pająk, et al. (2016) EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY. 23(15). p.1618-1627
abstract
Objective: The objective of this study was to determine time trends in the implementation of European guidelines on the management of cardiovascular disease prevention in people at high cardiovascular risk. Methods: Cardiovascular disease prevention as reflected in the primary care arms of the EUROASPIRE III and IV surveys were compared in centres from Bulgaria, Croatia, Poland, Romania and the United Kingdom that participated in both surveys. All patients were free of cardiovascular disease but considered at high cardiovascular disease risk since they had been started on blood pressure and/or lipid and/or glucose lowering treatments. They were interviewed and examined by means of standardized methods 6 months after the start of therapy. Results: EUROASPIRE III comprised 2604 and EUROASPIRE IV 3286 subjects whereof 76% and 56% were interviewed. There were no major differences between the two surveys in age, gender, centres and reasons for inclusion. The prevalence of smoking was similar between EUROASPIRE III and IV. The proportion of smokers who did not intend to quit was significantly greater in EUROASPIRE IV compared with III. The prevalence of overweight or obesity was high and identical in both surveys. No significant differences were observed in physical activity. In participants not on blood pressure lowering treatment an elevated blood pressure was observed in 47% in both EUROASPIRE III and IV. In participants not on lipid lowering drugs the low-density lipoprotein cholesterol was 2.5mmol/l in 87% and 88% in EUROASPIRE III and IV respectively. In participants free from known diabetes fasting plasma glucose was 7mmol/l in 12% and 18% in EUROASPIRE III and IV. In subjects with known arterial hypertension blood pressure was at or below guideline recommended targets in 28% in EUROASPIRE III and 35% in IV. In participants on lipid lowering drugs the low-density lipoprotein cholesterol was<2.5mmol/l in 28% and 37% in EUROASPIRE III and IV. Glycated haemoglobin was<7.0% in participants with known diabetes in 62% and 60% in EUROASPIRE III and IV. Conclusions: The results from EUROASPIRE III and IV clearly demonstrate that the control of modifiable risk factors in people at high cardiovascular disease risk remains poor.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
Prevention, cardiovascular disease, primary care, high-risk, BLOOD-PRESSURE, PRIMARY PREVENTION, RANDOMIZED-TRIALS, CORONARY-PATIENTS, DRUG THERAPIES, POPULATION, DISEASE, METAANALYSIS, HEALTH, COUNTRIES
journal title
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY
Eur. J. Prev. Cardiol.
volume
23
issue
15
pages
1618 - 1627
Web of Science type
Article
Web of Science id
000384466700005
JCR category
CARDIAC & CARDIOVASCULAR SYSTEMS
JCR impact factor
3.606 (2016)
JCR rank
43/126 (2016)
JCR quartile
2 (2016)
ISSN
2047-4873
DOI
10.1177/2047487316645474
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
8151769
handle
http://hdl.handle.net/1854/LU-8151769
date created
2016-11-15 15:32:33
date last changed
2016-12-19 15:45:40
@article{8151769,
  abstract     = {Objective: The objective of this study was to determine time trends in the implementation of European guidelines on the management of cardiovascular disease prevention in people at high cardiovascular risk. 
Methods: Cardiovascular disease prevention as reflected in the primary care arms of the EUROASPIRE III and IV surveys were compared in centres from Bulgaria, Croatia, Poland, Romania and the United Kingdom that participated in both surveys. All patients were free of cardiovascular disease but considered at high cardiovascular disease risk since they had been started on blood pressure and/or lipid and/or glucose lowering treatments. They were interviewed and examined by means of standardized methods 6 months after the start of therapy. 
Results: EUROASPIRE III comprised 2604 and EUROASPIRE IV 3286 subjects whereof 76\% and 56\% were interviewed. There were no major differences between the two surveys in age, gender, centres and reasons for inclusion. The prevalence of smoking was similar between EUROASPIRE III and IV. The proportion of smokers who did not intend to quit was significantly greater in EUROASPIRE IV compared with III. The prevalence of overweight or obesity was high and identical in both surveys. No significant differences were observed in physical activity. In participants not on blood pressure lowering treatment an elevated blood pressure was observed in 47\% in both EUROASPIRE III and IV. In participants not on lipid lowering drugs the low-density lipoprotein cholesterol was 2.5mmol/l in 87\% and 88\% in EUROASPIRE III and IV respectively. In participants free from known diabetes fasting plasma glucose was 7mmol/l in 12\% and 18\% in EUROASPIRE III and IV. In subjects with known arterial hypertension blood pressure was at or below guideline recommended targets in 28\% in EUROASPIRE III and 35\% in IV. In participants on lipid lowering drugs the low-density lipoprotein cholesterol was{\textlangle}2.5mmol/l in 28\% and 37\% in EUROASPIRE III and IV. Glycated haemoglobin was{\textlangle}7.0\% in participants with known diabetes in 62\% and 60\% in EUROASPIRE III and IV. 
Conclusions: The results from EUROASPIRE III and IV clearly demonstrate that the control of modifiable risk factors in people at high cardiovascular disease risk remains poor.},
  author       = {De Backer, Gui and De Bacquer, Dirk and Ryd{\'e}n, Lars and Kotseva, Kornelia and Gaita, Dan and Georgiev, Borislav and Gotcheva, Nina and Mancas, Silvia and Mili\v{c}i\'{c}, Davor and Paj\k{a}k, Andrzej and Reiner, \v{Z}eljko and Wood, David},
  issn         = {2047-4873},
  journal      = {EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY},
  keyword      = {Prevention,cardiovascular disease,primary care,high-risk,BLOOD-PRESSURE,PRIMARY PREVENTION,RANDOMIZED-TRIALS,CORONARY-PATIENTS,DRUG THERAPIES,POPULATION,DISEASE,METAANALYSIS,HEALTH,COUNTRIES},
  language     = {eng},
  number       = {15},
  pages        = {1618--1627},
  title        = {Lifestyle and risk factor management in people at high cardiovascular risk from Bulgaria, Croatia, Poland, Romania and the United Kingdom who participated in both the EUROASPIRE III and IV primary care surveys},
  url          = {http://dx.doi.org/10.1177/2047487316645474},
  volume       = {23},
  year         = {2016},
}

Chicago
De Backer, Gui, Dirk De Bacquer, Lars Rydén, Kornelia Kotseva, Dan Gaita, Borislav Georgiev, Nina Gotcheva, et al. 2016. “Lifestyle and Risk Factor Management in People at High Cardiovascular Risk from Bulgaria, Croatia, Poland, Romania and the United Kingdom Who Participated in Both the EUROASPIRE III and IV Primary Care Surveys.” European Journal of Preventive Cardiology 23 (15): 1618–1627.
APA
De Backer, Gui, De Bacquer, D., Rydén, L., Kotseva, K., Gaita, D., Georgiev, B., Gotcheva, N., et al. (2016). Lifestyle and risk factor management in people at high cardiovascular risk from Bulgaria, Croatia, Poland, Romania and the United Kingdom who participated in both the EUROASPIRE III and IV primary care surveys. EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY, 23(15), 1618–1627.
Vancouver
1.
De Backer G, De Bacquer D, Rydén L, Kotseva K, Gaita D, Georgiev B, et al. Lifestyle and risk factor management in people at high cardiovascular risk from Bulgaria, Croatia, Poland, Romania and the United Kingdom who participated in both the EUROASPIRE III and IV primary care surveys. EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY. 2016;23(15):1618–27.
MLA
De Backer, Gui, Dirk De Bacquer, Lars Rydén, et al. “Lifestyle and Risk Factor Management in People at High Cardiovascular Risk from Bulgaria, Croatia, Poland, Romania and the United Kingdom Who Participated in Both the EUROASPIRE III and IV Primary Care Surveys.” EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY 23.15 (2016): 1618–1627. Print.