Cardiovascular Disease Risk Factor Patterns and Their Implications for Intervention Strategies in Vietnam

Background. Data on cardiovascular disease risk factors (CVDRFs) in Vietnam are limited. This study explores the prevalence of each CVDRF and how they cluster to evaluate CVDRF burdens and potential prevention strategies. Methods. A cross-sectional survey in 2009 (2,130 adults) was done to collect d...

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Main Authors: Quang Ngoc Nguyen, Son Thai Pham, Loi Doan Do, Viet Lan Nguyen, Stig Wall, Lars Weinehall, Ruth Bonita, Peter Byass
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Hypertension
Online Access:http://dx.doi.org/10.1155/2012/560397
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author Quang Ngoc Nguyen
Son Thai Pham
Loi Doan Do
Viet Lan Nguyen
Stig Wall
Lars Weinehall
Ruth Bonita
Peter Byass
author_facet Quang Ngoc Nguyen
Son Thai Pham
Loi Doan Do
Viet Lan Nguyen
Stig Wall
Lars Weinehall
Ruth Bonita
Peter Byass
author_sort Quang Ngoc Nguyen
collection DOAJ
description Background. Data on cardiovascular disease risk factors (CVDRFs) in Vietnam are limited. This study explores the prevalence of each CVDRF and how they cluster to evaluate CVDRF burdens and potential prevention strategies. Methods. A cross-sectional survey in 2009 (2,130 adults) was done to collect data on behavioural CVDRF, anthropometry and blood pressure, lipidaemia profiles, and oral glucose tolerance tests. Four metabolic CVDRFs (hypertension, dyslipidaemia, diabetes, and obesity) and five behavioural CVDRFs (smoking, excessive alcohol intake, unhealthy diet, physical inactivity, and stress) were analysed to identify their prevalence, cluster patterns, and social predictors. Framingham scores were applied to estimate the global 10-year CVD risks and potential benefits of CVD prevention strategies. Results. The age-standardised prevalence of having at least 2/4 metabolic, 2/5 behavioural, or 4/9 major CVDRF was 28%, 27%, 13% in women and 32%, 62%, 34% in men. Within-individual clustering of metabolic factors was more common among older women and in urban areas. High overall CVD risk (≥20% over 10 years) identified 20% of men and 5% of women—especially at higher ages—who had coexisting CVDRF. Conclusion. Multiple CVDRFs were common in Vietnamese adults with different clustering patterns across sex/age groups. Tackling any single risk factor would not be efficient.
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spelling doaj-art-a319eefadd3c4336999d51aeb27513b92025-02-03T01:30:09ZengWileyInternational Journal of Hypertension2090-03842090-03922012-01-01201210.1155/2012/560397560397Cardiovascular Disease Risk Factor Patterns and Their Implications for Intervention Strategies in VietnamQuang Ngoc Nguyen0Son Thai Pham1Loi Doan Do2Viet Lan Nguyen3Stig Wall4Lars Weinehall5Ruth Bonita6Peter Byass7Department of Cardiology, Hanoi Medical University, 1 Ton-That-Tung Street, Dong-Da District, 10000 Hanoi, VietnamVietnam National Heart Institute, Bach Mai Hospital, 78 Giai-Phong Avenue, 10000 Hanoi, VietnamDepartment of Cardiology, Hanoi Medical University, 1 Ton-That-Tung Street, Dong-Da District, 10000 Hanoi, VietnamDepartment of Cardiology, Hanoi Medical University, 1 Ton-That-Tung Street, Dong-Da District, 10000 Hanoi, VietnamUmeå Centre for Global Health Research, Umeå University, 90187 Umeå, SwedenUmeå Centre for Global Health Research, Umeå University, 90187 Umeå, SwedenSchool of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland 1142, New ZealandUmeå Centre for Global Health Research, Umeå University, 90187 Umeå, SwedenBackground. Data on cardiovascular disease risk factors (CVDRFs) in Vietnam are limited. This study explores the prevalence of each CVDRF and how they cluster to evaluate CVDRF burdens and potential prevention strategies. Methods. A cross-sectional survey in 2009 (2,130 adults) was done to collect data on behavioural CVDRF, anthropometry and blood pressure, lipidaemia profiles, and oral glucose tolerance tests. Four metabolic CVDRFs (hypertension, dyslipidaemia, diabetes, and obesity) and five behavioural CVDRFs (smoking, excessive alcohol intake, unhealthy diet, physical inactivity, and stress) were analysed to identify their prevalence, cluster patterns, and social predictors. Framingham scores were applied to estimate the global 10-year CVD risks and potential benefits of CVD prevention strategies. Results. The age-standardised prevalence of having at least 2/4 metabolic, 2/5 behavioural, or 4/9 major CVDRF was 28%, 27%, 13% in women and 32%, 62%, 34% in men. Within-individual clustering of metabolic factors was more common among older women and in urban areas. High overall CVD risk (≥20% over 10 years) identified 20% of men and 5% of women—especially at higher ages—who had coexisting CVDRF. Conclusion. Multiple CVDRFs were common in Vietnamese adults with different clustering patterns across sex/age groups. Tackling any single risk factor would not be efficient.http://dx.doi.org/10.1155/2012/560397
spellingShingle Quang Ngoc Nguyen
Son Thai Pham
Loi Doan Do
Viet Lan Nguyen
Stig Wall
Lars Weinehall
Ruth Bonita
Peter Byass
Cardiovascular Disease Risk Factor Patterns and Their Implications for Intervention Strategies in Vietnam
International Journal of Hypertension
title Cardiovascular Disease Risk Factor Patterns and Their Implications for Intervention Strategies in Vietnam
title_full Cardiovascular Disease Risk Factor Patterns and Their Implications for Intervention Strategies in Vietnam
title_fullStr Cardiovascular Disease Risk Factor Patterns and Their Implications for Intervention Strategies in Vietnam
title_full_unstemmed Cardiovascular Disease Risk Factor Patterns and Their Implications for Intervention Strategies in Vietnam
title_short Cardiovascular Disease Risk Factor Patterns and Their Implications for Intervention Strategies in Vietnam
title_sort cardiovascular disease risk factor patterns and their implications for intervention strategies in vietnam
url http://dx.doi.org/10.1155/2012/560397
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