Vol 11, No 6 (2007)
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Published online: 2007-10-09

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Dyslipidemias in healthy individuals and patients with cardiovascular diseases in rural population

Katarzyna Drożdż, Wojciech Gaweł, Paweł Gać, Monika Łukasik, Julia Seniuta, Emilia Kolman, Łukasz Cedzyński, Roemer Roma, Adrian Doroszko, Angelika Chachaj, Rafał Poręba, Arkadiusz Derkacz, Ryszard Andrzejak, Andrzej Szuba
Nadciśnienie tętnicze 2007;11(6):515-521.

Abstract

Background Cardiovascular diseases are the second reason of death in European Union countries. Many determinants of global cardiovascular risk have been identified. Modifiable risk factors include: arterial hypertension, dyslipidemia, obesity, diabetes mellitus and tobacco smoking. A group of non-modifiable factors includes: age, gender, family history of the cardiovascular disease and formerly diagnosed heart and/or vascular diseases. The aim of the study was to estimate the frequency of lipid disorders in rural population.
Material and methods The study group consisted of 178 inhabitants of the village of Boguszyce (118 women and 60 men, aged 19-84; mean age 53.9 ± 13.5) in Olesnica district (in the neighbourhood of the city of Wroclaw) in Lower Silesia. Studies were carried out by trained students of medical faculty during summer scientific meetings. Serum levels of total cholesterol, HDL cholesterol and triglycerides were assessed.
Results Mean total cholesterol concentration was 193.97 ± 38.59 mg/dl. Mean cholesterol level correlated positively with age (r = 0.53, p = 0.027). The frequency of increased total cholesterol level (≥ 190 mg/dl) in the study population was 51.47%. The excessive increase of cholesterol level (≥ 320 mg/dl) was detected in 5.12% of studied individuals. Mean LDL cholesterol level was 112.13 ± 34.50 mg/dl. In 44.85% of the study group the increased concentration of LDL cholesterol was noted (exceeding ≥ 115 mg/dl). Mean HDL cholesterol concentration was 55.42 ± 14.35 mg/dl. The decreased HDL concentration (< 46 mg/dl for women and < 40 mg/dl for men) was present in 25.45% of subjects. Mean triglycerides concentration was 132.08 ± 82.08 mg/dl. All dyslipidemias were more common in patients with known cardiovascular disroders.
Conclusions In the studied rural population lipid disturbances are more common than in general population of Poland. It may suggest that village dwellers are more prone to unhealthy lifestyle with improper diet. Higher prevalence of dyslipidemias in subjects with known cardiovascular diseases points out inadequate treatment and possibly worse access to public medical service.Arterial Hypertension 2007, vol. 11, no 6, pages 515-521.

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