Amaç: Güzelbahçe Sağlık Ocağı Bölgesi’nde 1997 yılında yapılan, 30 yaş ve üzeri populasyonda Koroner Kalp Hastalığı (KKH) sıklığının ve risk faktörleri ile ilişkisinin belirlendiği araştırma grubundaki KKH olmayan kişilerde beş yıllık KKH insidansını ve risk faktörleri ile ilişkisini incelemektir. Yöntem: İlk çalışmada (1997 yılında) incelenen 343 kişi içerisinden KKH tanısı alanlar çıkartılarak, geriye kalan 315 kişi ileriye yönelik değerlendirme için araştırma grubunu oluşturmuştur. 315 kişiden 47’sine (%14.9) göç nedeniyle ulaşılamamıştır. Görüşülen ve ölen toplam 268 (%85.1) kişi, beş yıllık KKH insidansı ve beş yıl önceki risk faktörleri ile ilişkisi açısından incelenmiştir. Bulgular: Araştırma grubunda KKH beş yıllık insidansı %5.2’dir. KKH insidansı, erkeklerde %11.7, kadınlarda %1.7 olarak bulunmuştur. Araştırmaya katılan erkeklerle kadınlar arasında, KKH insidansı açısından anlamlı bir fark vardır. Araştırmaya katılanlarda yaş arttıkça KKH insidansı da anlamlı olarak artmaktadır. 1997 yılındaki araştırma grubunda şeker hastalığı %9.3, ailede KKH öyküsü %23.6, sigara içmiş-içiyor olma sıklığı %47.8, obezite %31.9, hipertansiyon %48.7 oranlarında görülmüştür. Bu risk faktörleri açısından araştırma grubu incelendiğinde şeker hastalarında, ailede KKH öyküsü olanlarda, sigara kullananlarda, total kolesterol ve trigliserit değerleri yüksek bulunanlarda beş yıllık KKH insidansı daha yüksek bulunmuştur; ancak bu risk faktörlerinden sadece trigliserit yüksekliği ile KKH insidansı arasında anlamlı bir ilişki bulunmuştur. Sonuç: Erkeklerde %11.7, kadınlarda %1.7 bulunan insidans göstermektedir ki erkeklerle kadınlar arasında KKH insidansı açısından çok anlamlı bir fark vardır. Sigara kullanan, ailede KKH öyküsü olan, şeker hastalığı bulunan, total kolesterol ve trigliserit düzeyleri yüksek olanlarda bu riskleri taşımayanlara göre KKH insidansı daha yüksek oranlarda görülmüştür; sadece trigliserit yüksekliği ile KKH insidansı arasında anlamlı bir ilişki vardır. Anahtar Kelimeler: Koroner kalp hastalığı, insidans, risk faktörleri The five-year incidence of coronary heart disease and its correlation with risk factors in Güzelbahçe, İzmir Objective: In 1997, the population aged 30 years and over had been evaluated to determine the prevalence of Coronary Heart Disease (CHD) and to correlate this with risk factors in the Güzelbahçe Health District-İzmir The individuals without CHD in this earlier study group were reevaluated to investigate the five-year incidence of CHD and its correlation with risk factors. Method: The first study (in 1997) surveyed 343 individuals. Those who had the diagnosis of CHD were removed from the study leaving 315 individuals who were involved in the prospective study group. 47 (14.9%) of the 315 individuals could not be reached because of migration. In total, 268 (85.1%) individuals who had died or interviewed were investigated regarding five year CHD incidence and risk factors. Results: The overall incidence of CHD was 5.2%. Higher age group of the participants showed significant increases in the incidence of CHD. In 1997, the prevalences were 48.7% for hypertension, 23.6% for a family history of CHD, 47.8% for past or current smokers, 31.9% for obesity and 9.3% for diabetes mellitus in the study group. The people who were smokers, diabetic, with a family history of CHD and high total cholesterol and triglyceride levels had a higher five-year incidence of CHD than those who were not. However, the difference was only significant between triglyceride elevation and the incidence of CHD. Conclusion: The incidence of CHD was 11.7 % for men and 1.7 % for women which shows that there is a significant difference between men and women for the incidence of CHD. The triglyceride elevation has a significant relationship with the incidence of CHD. Key Words: Coronary heart disease, incidence, risk factors
Objective: The research group in which the frequency and risk factors of coronary cardiovascular disease (CHD) in the population over the age of 30 were determined in 1997 in non-CHD people in the research group is to study the five-year incidence of CHD and the relationship with risk factors. Method: Out of the 343 people studied in the first study (1997), the remaining 315 people formed a research group for further evaluation. From 315 to 47 people (14.9 percent) were unaccessed due to immigration. A total of 268 people (85.1%) who were seen and killed were studied in terms of their relationship with the five-year incidence of CSA and the risk factors five years ago. Results: The five-year incidence of KKH in the research group is 5.2%. The incidence of KKH is 11.7% in men and 1% in women. It was found 7. Between men and women involved in the study, there is a significant difference in terms of KKH incidence. As the age of participants increases, the incidence of KKH also increases significantly. In the 1997 study group, diabetes was 9.3 percent, the family's history of HIV was 23.6 percent, smoking and drinking was 47.8 percent, obesity was 31.9 percent, hypertension was 48.7 percent. With regard to these risk factors, a group of researchers found a five-year higher incidence of diabetes in patients with diabetes, in those with a family history of HIV/AIDS, in those smoking, in those with a high total cholesterol and triglyceride levels; however, these risk factors found a meaningful link between the high triglyceride and the incidence of HIV/AIDS. The result is 11.7% in men and 1% in women. The 7 incidents show that there is a significant difference between men and women in terms of KKH incidence. In those who smoke, who have a family history of ADHD, who have diabetes, who have high total cholesterol and triglyceride levels, ADHD incidence has been seen at higher rates than those who do not carry these risks; there is only a meaningful relationship between the high triglyceride and ADHD incidence. Keywords: Coronary heart disease, incidences, risk factors The five-year incidence of coronary heart disease and its correlation with risk factors in Gruzzo, Gruzzo Objective: In 1997, the population aged 30 years and over had been evaluated to determine the prevalence of Coronary heart disease (CHD) and to correlate this with risk factors in the Gruzzo Health District-Gruzzo The individuals without CHD in this earlier study group were reevaluated to investigate the five-year incidence of CHD and its correlation with risk factors. Method: The first study (in 1997) surveyed 343 individuals. Those who had the diagnosis of CHD were removed from the study leaving 315 individuals who were involved in the prospective study group. 47 (14. 9%) of the 315 individuals could not be reached because of migration. In total, 268 (85.1%) individuals who had died or interviewed were investigated regarding five years CHD incidence and risk factors. Results: The overall incidence of CHD was 5.2%. Higher age group of the participants showed significant increases in the incidence of CHD. In 1997, the prevalences were 48.7% for hypertension, 23.6% for a family history of CHD, 47.8% for past or current smokers, 31.9% for obesity and 9.3% for diabetes mellitus in the study group. The people who were smokers, diabetes, with a family history of CHD and high total cholesterol and triglyceride levels had a higher five-year incidence of CHD than those who were not. However, the difference was only significant between triglyceride elevation and the incidence of CHD. Conclusion: The incidence of CHD was 11.7 % for men and 1.7 % for women which show that there is a significant difference between men and women for the incidence of CHD. The triglyceride elevation has a significant relationship with the incidence of CHD. Keywords: coronary heart disease, incidence, risk factors
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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