Compliance with a WHO guideline for cardiovascular disease prevention. A population based cross-sectional study in Argentina: CVD prevention recommendations
Introduction: Current recommendations for cardiovascular disease (CVD) prevention are guided CVD risk classification. This study aims to analyze the level of compliance with pharmacological and non-pharmacological recommendations outlined in the World Health Organization (WHO) CVD prevention clinica...
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2024
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/41876 |
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I10-R327-article-41876 |
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Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español Inglés |
| format |
Artículo revista |
| topic |
practice guideline disease prevention heart disease risk factors guía de práctica clínica prevención de enfermedades factores de riesgo de enfermedad cardiaca guia de prática clínica prevenção de doenças fatores de risco de doenças dardíacas |
| spellingShingle |
practice guideline disease prevention heart disease risk factors guía de práctica clínica prevención de enfermedades factores de riesgo de enfermedad cardiaca guia de prática clínica prevenção de doenças fatores de risco de doenças dardíacas Gulayin, Pablo Gutierrez, Laura Lanas, Fernando Mores, Nora Ponzo, Jacqueline Calandrelli, Matías Poggio, Rosana Irazola, Vilma Compliance with a WHO guideline for cardiovascular disease prevention. A population based cross-sectional study in Argentina: CVD prevention recommendations |
| topic_facet |
practice guideline disease prevention heart disease risk factors guía de práctica clínica prevención de enfermedades factores de riesgo de enfermedad cardiaca guia de prática clínica prevenção de doenças fatores de risco de doenças dardíacas |
| author |
Gulayin, Pablo Gutierrez, Laura Lanas, Fernando Mores, Nora Ponzo, Jacqueline Calandrelli, Matías Poggio, Rosana Irazola, Vilma |
| author_facet |
Gulayin, Pablo Gutierrez, Laura Lanas, Fernando Mores, Nora Ponzo, Jacqueline Calandrelli, Matías Poggio, Rosana Irazola, Vilma |
| author_sort |
Gulayin, Pablo |
| title |
Compliance with a WHO guideline for cardiovascular disease prevention. A population based cross-sectional study in Argentina: CVD prevention recommendations |
| title_short |
Compliance with a WHO guideline for cardiovascular disease prevention. A population based cross-sectional study in Argentina: CVD prevention recommendations |
| title_full |
Compliance with a WHO guideline for cardiovascular disease prevention. A population based cross-sectional study in Argentina: CVD prevention recommendations |
| title_fullStr |
Compliance with a WHO guideline for cardiovascular disease prevention. A population based cross-sectional study in Argentina: CVD prevention recommendations |
| title_full_unstemmed |
Compliance with a WHO guideline for cardiovascular disease prevention. A population based cross-sectional study in Argentina: CVD prevention recommendations |
| title_sort |
compliance with a who guideline for cardiovascular disease prevention. a population based cross-sectional study in argentina: cvd prevention recommendations |
| description |
Introduction: Current recommendations for cardiovascular disease (CVD) prevention are guided CVD risk classification. This study aims to analyze the level of compliance with pharmacological and non-pharmacological recommendations outlined in the World Health Organization (WHO) CVD prevention clinical practice guideline within the general population of two cities in Argentina.
Methods: We analyzed the compliance with preventive recommendations from the WHO 2007 Guidelines for Management of Cardiovascular Risk in two cities of Argentina participating in the CESCAS population-based study in the Southern Cone of Latin America.
Results: 3990 participants were included. Considering the WHO recommendations, the use of antiplatelet medication was 5.6% (95% CI 3.5, 8.9) in primary prevention and 20.5% (95%= CI 16.0, 25.9) in secondary prevention. Regarding lipid-lowering medication, it was 6.7% (CI 95%= 4.4, 10.1) and 15.4% (CI 95%= 11.6, 20.1), respectively. As per non-pharmacological recommendations in the general population: low intake of fruit and vegetables was 78.4% (CI 95%= 76.8, 79.9); low physical activity was 26.9% (CI 95%= 25.3, 28.5), current cigarette smoking was 28.3% (CI 95%= 26.6, 30.0), overweight/obesity was 73.9% (CI 95%= 72.3, 75.6), and excessive alcohol intake was 2.6% (CI 95%= 2.1, 3.4).
Conclusions: It was observed a significantly low compliance with pharmacological and non-pharmacological recommendations for CVD prevention in the general population of two cities in Argentina. Urgent efforts are needed to improve compliance to cardiovascular preventive recommendations promoted by CPG, especially in Low- and Middle- Income Countries. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2024 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/41876 |
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I10-R327-article-418762024-04-30T15:50:10Z Compliance with a WHO guideline for cardiovascular disease prevention. A population based cross-sectional study in Argentina: CVD prevention recommendations Seguimiento de una guía de la OMS para la prevención de enfermedades cardiovasculares. Estudio transversal con base poblacional en Argentina: CVD prevention recommendations Conformidade com uma diretriz da OMS para prevenção de doenças cardiovasculares. Um estudo transversal baseado na população na Argentina: CVD prevention recommendations Gulayin, Pablo Gutierrez, Laura Lanas, Fernando Mores, Nora Ponzo, Jacqueline Calandrelli, Matías Poggio, Rosana Irazola, Vilma practice guideline disease prevention heart disease risk factors guía de práctica clínica prevención de enfermedades factores de riesgo de enfermedad cardiaca guia de prática clínica prevenção de doenças fatores de risco de doenças dardíacas Introduction: Current recommendations for cardiovascular disease (CVD) prevention are guided CVD risk classification. This study aims to analyze the level of compliance with pharmacological and non-pharmacological recommendations outlined in the World Health Organization (WHO) CVD prevention clinical practice guideline within the general population of two cities in Argentina. Methods: We analyzed the compliance with preventive recommendations from the WHO 2007 Guidelines for Management of Cardiovascular Risk in two cities of Argentina participating in the CESCAS population-based study in the Southern Cone of Latin America. Results: 3990 participants were included. Considering the WHO recommendations, the use of antiplatelet medication was 5.6% (95% CI 3.5, 8.9) in primary prevention and 20.5% (95%= CI 16.0, 25.9) in secondary prevention. Regarding lipid-lowering medication, it was 6.7% (CI 95%= 4.4, 10.1) and 15.4% (CI 95%= 11.6, 20.1), respectively. As per non-pharmacological recommendations in the general population: low intake of fruit and vegetables was 78.4% (CI 95%= 76.8, 79.9); low physical activity was 26.9% (CI 95%= 25.3, 28.5), current cigarette smoking was 28.3% (CI 95%= 26.6, 30.0), overweight/obesity was 73.9% (CI 95%= 72.3, 75.6), and excessive alcohol intake was 2.6% (CI 95%= 2.1, 3.4). Conclusions: It was observed a significantly low compliance with pharmacological and non-pharmacological recommendations for CVD prevention in the general population of two cities in Argentina. Urgent efforts are needed to improve compliance to cardiovascular preventive recommendations promoted by CPG, especially in Low- and Middle- Income Countries. Introducción: Las recomendaciones actuales para la prevención de enfermedades cardiovasculares (ECV) están orientadas por la clasificación del riesgo de ECV. Este estudio tiene como objetivo analizar el nivel de cumplimiento con las recomendaciones farmacológicas y no farmacológicas delineadas en una guía de práctica clínica (GPC) de prevención de la ECV de la Organización Mundial de la Salud (OMS) en población general de dos ciudades de Argentina Métodos: Se evaluó el cumplimiento de las recomendaciones preventivas de la Guía para el Manejo del Riesgo Cardiovascular de la OMS 2007 en el estudio con base poblacional en el Cono Sur de Latinoamérica CESCAS Resultados: Se incluyeron 3990 participantes. Considerando las recomendaciones farmacológicas de la OMS, el uso de antiagregantes plaquetarios en prevención primaria fue del 5.6% (IC 95%= 3.5, 8.9) y en prevención secudnaria del 20.5% (IC 95% 16.0, 25.9). En cuanto a la medicación hipolipemiante fue del 6.7% (IC95%= 4.4, 10.1) y del 15.4% (IC 95%= 11.6, 20.1), respectivamente. Cumplimiento de las recomendaciones no farmacológicas en la población general: la baja ingesta de frutas y verduras fue del 78.4% (IC 95%= 76.8, 79.9); baja actividad física del 26,9% (IC 95%= 25.3, 28.5), tabaquismo actual fue del 28.3% (IC 95%= 26.6, 30.0), sobrepeso/obesidad del 73,9% (IC 95%= 72.3, 75.6) y el consumo excesivo de alcohol 2.6% (IC 95%= 2.1, 3.4). Conclusiones: Se observó un cumplimiento significativamente bajo a las recomendaciones farmacológicas y no farmacológicas para la prevención de ECV en población general de dos ciudades de Argentina. Se necesitan esfuerzos urgentes para mejorar el cumplimiento de las recomendaciones en prevención cardiovascular promovidas por las GPC, especialmente en los países de bajos y medianos ingresos. Introdução: As recomendações atuais para a prevenção de doenças cardiovasculares (DCV) são orientadas pela classificação de risco de DCV. Este estudo tem como objetivo analisar o grau de cumprimiento das recomendações farmacológicas e não farmacológicas de uma diretriz de prática clínica de prevenção de DCV da Organização Mundial da Saúde (OMS) na população geral de duas cidades da Argentina. Métodos: Analisamos o cumprimiento das recomendações preventivas das Diretrizes de 2007 para o manejo do Risco Cardiovascular da OMS em duas cidades da Argentina que participaram do estudo populacional CESCAS no Cone Sul da América Latina. Resultados: Foram incluídos 3990 participantes. Considerando as recomendações da OMS, o uso de medicamentos antiplaquetários foi de 5.6% (IC 95%: 3.5, 8.9) na prevenção primária e de 20.5% (IC 95%: 16.0, 25.9) na prevenção secundária. Em relação à medicação hipolipemiante, foi de 6.7% (IC 95%: 4.4, 10.1) e 15,4% (IC 95%: 11.6, 20.1), respectivamente. Quanto às recomendações não farmacológicas na população geral: baixa ingestão de frutas e vegetais foi de 78.4% (IC 95%: 76.8, 79.9); baixa atividade física foi de 26.9% (IC 95%: 25.3, 28.5), tabagismo atual foi de 28.3% (IC 95%: 26.6, 30.0), sobrepeso/obesidade foi de 73.9% (IC 95%: 72.3, 75.6) e consumo excessivo de álcool foi de 2.6% (IC 95%: 2.1, 3.4). Conclusões: Observou-se un cumprimento significativamente baixa das recomendações farmacológicas e não farmacológicas para a prevenção de DCV na população geral de duas cidades da Argentina. Esforços urgentes são necessários para melhorar o cumprimento de recomendações preventivas cardiovasculares promovidas pelas diretrizes de prática clínica, especialmente em países de baixa e média renda. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2024-03-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/41876 10.31053/1853.0605.v81.n1.41876 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 81 No. 1 (2024); 96-114 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 81 Núm. 1 (2024); 96-114 Revista da Faculdade de Ciências Médicas de Córdoba; v. 81 n. 1 (2024); 96-114 1853-0605 0014-6722 10.31053/1853.0605.v81.n1 spa eng https://revistas.unc.edu.ar/index.php/med/article/view/41876/44878 https://revistas.unc.edu.ar/index.php/med/article/view/41876/44763 Derechos de autor 2024 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |