The differences in the prevalence of cardiovascular disease, its risk factors, and achievement of therapeutic goals among urban and rural primary care patients in Poland: results from the LIPIDOGRAM 2015 study

Studziński, K. et al. (2021) The differences in the prevalence of cardiovascular disease, its risk factors, and achievement of therapeutic goals among urban and rural primary care patients in Poland: results from the LIPIDOGRAM 2015 study. Journal of Clinical Medicine, 10(23), 5656. (doi: 10.3390/jcm10235656) (PMID:34884357) (PMCID:PMC8658414)

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Abstract

A nationwide cross-sectional study, LIPIDOGRAM2015, was carried out in Poland in the years 2015 and 2016. A total of 438 primary care physicians enrolled 13,724 adult patients that sought medical care in primary health care practices. The prevalence of hypertension, diabetes mellitus, dyslipidaemia, and CVD were similar in urban and rural areas (49.5 vs. 49.4%; 13.7 vs. 13.1%; 84.2 vs. 85.2%; 14.4 vs. 14.2%, respectively). The prevalence of obesity (32.3 vs. 37.5%, p 0.01) and excessive waist circumference (77.5 vs. 80.7%, p 0.01), as well as abdominal obesity (p = 43.2 vs. 46.4%, p 0.01), were higher in rural areas in both genders. Mean levels of LDL-C (128 vs. 130 mg/dL, p = 0.04) and non-HDL-C (147 vs. 148 mg/dL, p = 0.03) were slightly higher in rural populations. Altogether, 14.3% of patients with CVD from urban areas and 11.3% from rural areas reached LDL 70 mg/dL (p = 0.04). There were no important differences in the prevalence of hypertension, diabetes, dyslipidaemia, and CVD, or in mean levels of blood pressure, cholesterol fractions, glucose, and HbA1c between Polish urban and rural primary care patient populations. A high proportion of patients in cities and an even-higher proportion in rural areas did not reach the recommended targets for blood pressure, LDL-C, and HbA1c, indicating the need for novel CVD-prevention programs.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Sattar, Professor Naveed
Creator Roles:
Sattar, N.Conceptualization, Methodology, Formal analysis
Authors: Studziński, K., Tomasik, T., Windak, A., Banach, M., Wójtowicz, E., Mastej, M., Tomaszewski, M., Mikhailidis, D. P., Toth, P. P., Catapano, A., Ray, K. K., Howard, G., Lip, G. Y.H., Charchar, F. J., Sattar, N., Williams, B., MacDonald, T. M., Penson, P. E., Jóźwiak, J. J., and on behalf of the LIPIDOGRAM2015 Investigators,
College/School:College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
Journal Name:Journal of Clinical Medicine
Publisher:MDPI
ISSN:2077-0383
ISSN (Online):2077-0383
Published Online:30 November 2021
Copyright Holders:Copyright © 2021 The Authors
First Published:First published in Journal of Clinical Medicine 10(23): 5656
Publisher Policy:Reproduced under a Creative Commons License

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