Analysis of the prevalence of risk factors for diseases of the cardiovascular system among medical professionals

Cardiovascular diseases (CVD) are the main cause of morbidity and mortality in the population. Medical professions are associated with CVD risk factors and, first of all, it is the influence of psychological stress. Doctors are threatened by behavioral and occupational risks, such as a high level of professional workload and a sedentary lifestyle. A study was conducted on the prevalence of CVD risk factors among 54 medical professionals, 86% of them women, 14%.– men. The average age of those included in the study was 36±8 years. Inclusion criteria: medical profession, age from 18 to 44 years (according to the WHO classification, people aged 18 to 44 years are considered to be young people). The prevalence of CVD among medical respondents was 20%, arterial hypertension prevailed (61.5%). An assessment of lifestyle and nutrition revealed that 63.0% of respondents have the opportunity to eat regularly, 64.3% of medical professionals adhere to a healthy diet. At the same time, most specialists try to lead a healthy lifestyle, monitor their diet, have lunch breaks, and men play sports. However, about a third of employees do not engage in physical activity, and 10.7% do not adhere to a diet. The analysis of the awareness of medical professionals about the norms of indicators that are included in the assessment of cardiovascular risk: BMI, waist size, cholesterol, LDL, glucose, salt intake, fruits, vegetables, physical activity. For almost all indicators, the vast majority of medical professionals know and correctly indicate the normal values, with the exception of fruit consumption per day. The majority (88.5%) of medical professionals agree with the need for preventive conversations with patients about CVD risk factors and a healthy lifestyle, 86.5% of respondents conduct similar conversations with their patients.

1. Global Cardiovascular Risk Consortium; Magnussen C, Ojeda FM, Leong DP, Alegre-Diaz J, Amouyel P, Aviles-Santa L. et al. Global Effect of Modifiable Risk Factors on Cardiovascular Disease and Mortality. N Engl J Med. 2023 Oct 5; 389 (14): 1273–1285. DOI: 10.1056/NEJMoa2206916

2. Tkachenko K.G., Ehrlich A.D., Atakanova A.N. and others. Assessment of cardiovascular risk factors among medical workers of the city multidisciplinary hospital. KVTiP. 2019; 4: 39–46. (In Russ.). http://dx.doi.org/10.15829/17288800201943946

3. Dioguardi GS, Pimenta J, Knoplich J, Ghorayeb N, Ramos LR, Giannini SD. Fatores de risco para doenças cardiovasculares em médicos. Dados preliminares do projeto VIDAM da Associação Paulista de Medicina [Risk factors for cardiovascular diseases in physicians. Preliminary data from the VIDAM Project of the Paulista Medical Association]. Arq Bras Cardiol. 1994 Jun; 62 (6): 383–8. Portuguese. PMID: 7826227.

4. Lawes CM, Vander Hoorn S, Rodgers A; International Society of Hypertension. Global burden of blood-pressure-related disease, 2001. Lancet. 2008 May 3; 371 (9623): 1513–8. DOI: 10.1016/S0140–6736 (08) 60655 8

5. SPRINT Research Group; Wright JT Jr, Williamson JD, Whelton PK, Snyder JK, Sink KM, Rocco MV. et al. Randomized Trial of Intensive versus Standard Blood-Pressure Control. N Engl J Med. 2015 Nov 26; 373 (22): 2103–16. DOI: 10.1056/NEJMoa1511939. Epub 2015 Nov 9. Erratum in: N Engl J Med. 2017 Dec 21; 377 (25): 2506. DOI: 10.1056/NEJMx170008

6. Jones LR, Wilson CI, Wadden TA. Lifestyle modification in the treatment of obesity: an educational challenge and opportunity. Clin Pharmacol Ther. 2007 May; 81 (5): 776–9. DOI: 10.1038/sj.clpt.6100155

7. Haider R., Mehdi A., Zehra A. Cardiovascular Risk factors, Journal of BioMed Research and Reports, Biores Scientia Publishers. 2024; 4 (3): 1–16. DOI: 10.59657/2837–4681. brs.24.060

8. McNeill AM, Rosamond WD, Girman CJ, Golden SH, Schmidt MI, East HE. et al. The metabolic syndrome and 11-year risk of incident cardiovascular disease in the atherosclerosis risk in communities study. Diabetes Care. 2005 Feb; 28 (2): 385–90. DOI: 10.2337/diacare.28.2.385

9. Elosua R, Lluís-Ganella C, Subirana I, Havulinna A, Läll K, Lucas G. et al. Cardiovascular Risk Factors and Ischemic Heart Disease: Is the Confluence of Risk Factors Greater Than the Parts? A Genetic Approach. Circ Cardiovasc Genet. 2016 Jun; 9 (3): 279–86. DOI: 10.1161/CIRCGENETICS.115.001255

10. Figar S, Galarza C, Petrlik E, Hornstein L, Rodríguez Loria G, Waisman G, Rada M, Soriano ER, de Quirós FG. Effect of education on blood pressure control in elderly persons: a randomized controlled trial. Am J Hypertens. 2006 Jul; 19 (7): 737–43. DOI: 10.1016/j.amjhyper.2005

11. Refaat T.M., Ewis A., Gamal H.M., Arafa A. Medical profession strain and cardiovascular disorders: A longitudinal study on a cohort of Egyptian physicians. Life Science Journal. Jan. 2014 11 (7): 207–214 https://www.lifesciencej@gmail.com.

12. Jardim TV, Sousa AL, Povoa TI, Barroso WK, Chinem B, Jardim L et al. The natural history of cardiovascular risk factors in health professionals: 20-year follow-up. BMC Public Health. 2015 Nov 11; 15: 1111. DOI: 10.1186/s12889-015-2477-8.