Association of Conventional Cardiovascular Risk Factors with Carotid Atherosclerosis Prevalence in General Population

Material and methods. In the cross-sectional population-based study of general unorganized population of Tomsk aged 25-64 years ultrasound screening examination of the carotid arteries was done for detection of atherosclerotic plaques (plaque). As potential plaque determinants the following factors...

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Main Authors: V. S. Kaveshnikov, V. N. Serebryakova, I. A. Trubacheva, S. A. Shalnova
Format: Article
Language:English
Published: Столичная издательская компания 2018-09-01
Series:Рациональная фармакотерапия в кардиологии
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Online Access:https://www.rpcardio.online/jour/article/view/1725
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author V. S. Kaveshnikov
V. N. Serebryakova
I. A. Trubacheva
S. A. Shalnova
author_facet V. S. Kaveshnikov
V. N. Serebryakova
I. A. Trubacheva
S. A. Shalnova
author_sort V. S. Kaveshnikov
collection DOAJ
description Material and methods. In the cross-sectional population-based study of general unorganized population of Tomsk aged 25-64 years ultrasound screening examination of the carotid arteries was done for detection of atherosclerotic plaques (plaque). As potential plaque determinants the following factors were studied: age, gender, smoking, low and high density lipoproteins (LDL-C and HDL-C), triglycerides, arterial hypertension, body mass index (BMI), low educational status (LES), high-sensitive C-reactive protein, glucose, diabetes mellitus, antihypertensive and hypolipidemic therapy. Study of relationships was carried out with logistic regression analysis. The error probability of less than 5% was considered statistically significant.Results. In the crude analysis most of the determinants under study showed statistically significant relationship with plaque presence. After adjustment for age and sex, LDL-C, smoking and LES were associated with CAS prevalence. In multivariable regression analysis 9 risk factors appeared to be independently associated with plaque presence, wherein age, male sex, LDL-C, BMI and HDL-C were the most significant. In the participants of 50 years and older the smoking effect was the next in significance after LDL-C.Conclusion. The results obtained focus attention on the comparative value of the major atherogenic risk factors and suggest that currently effective and timely control of LDL-C is of primary importance for prevention of carotid atherosclerosis in the general working-age population. As well the findings of the study evidence that at the population level smoking is still one of the leading atherogenic risk factors.
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series Рациональная фармакотерапия в кардиологии
spelling doaj-art-d19802be539c4396bd8aab1153d4425a2025-08-23T10:00:30ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532018-09-0114455255710.20996/1819-6446-2018-14-4-552-5571507Association of Conventional Cardiovascular Risk Factors with Carotid Atherosclerosis Prevalence in General PopulationV. S. Kaveshnikov0V. N. Serebryakova1I. A. Trubacheva2S. A. Shalnova3Tomsk National Research Medical Center, Cardiology Research InstituteTomsk National Research Medical Center, Cardiology Research InstituteTomsk National Research Medical Center, Cardiology Research InstituteNational Medical Research Center for Preventive MedicineMaterial and methods. In the cross-sectional population-based study of general unorganized population of Tomsk aged 25-64 years ultrasound screening examination of the carotid arteries was done for detection of atherosclerotic plaques (plaque). As potential plaque determinants the following factors were studied: age, gender, smoking, low and high density lipoproteins (LDL-C and HDL-C), triglycerides, arterial hypertension, body mass index (BMI), low educational status (LES), high-sensitive C-reactive protein, glucose, diabetes mellitus, antihypertensive and hypolipidemic therapy. Study of relationships was carried out with logistic regression analysis. The error probability of less than 5% was considered statistically significant.Results. In the crude analysis most of the determinants under study showed statistically significant relationship with plaque presence. After adjustment for age and sex, LDL-C, smoking and LES were associated with CAS prevalence. In multivariable regression analysis 9 risk factors appeared to be independently associated with plaque presence, wherein age, male sex, LDL-C, BMI and HDL-C were the most significant. In the participants of 50 years and older the smoking effect was the next in significance after LDL-C.Conclusion. The results obtained focus attention on the comparative value of the major atherogenic risk factors and suggest that currently effective and timely control of LDL-C is of primary importance for prevention of carotid atherosclerosis in the general working-age population. As well the findings of the study evidence that at the population level smoking is still one of the leading atherogenic risk factors.https://www.rpcardio.online/jour/article/view/1725carotid atherosclerosisarteriesplaquesprevalencepopulationrisk factors
spellingShingle V. S. Kaveshnikov
V. N. Serebryakova
I. A. Trubacheva
S. A. Shalnova
Association of Conventional Cardiovascular Risk Factors with Carotid Atherosclerosis Prevalence in General Population
Рациональная фармакотерапия в кардиологии
carotid atherosclerosis
arteries
plaques
prevalence
population
risk factors
title Association of Conventional Cardiovascular Risk Factors with Carotid Atherosclerosis Prevalence in General Population
title_full Association of Conventional Cardiovascular Risk Factors with Carotid Atherosclerosis Prevalence in General Population
title_fullStr Association of Conventional Cardiovascular Risk Factors with Carotid Atherosclerosis Prevalence in General Population
title_full_unstemmed Association of Conventional Cardiovascular Risk Factors with Carotid Atherosclerosis Prevalence in General Population
title_short Association of Conventional Cardiovascular Risk Factors with Carotid Atherosclerosis Prevalence in General Population
title_sort association of conventional cardiovascular risk factors with carotid atherosclerosis prevalence in general population
topic carotid atherosclerosis
arteries
plaques
prevalence
population
risk factors
url https://www.rpcardio.online/jour/article/view/1725
work_keys_str_mv AT vskaveshnikov associationofconventionalcardiovascularriskfactorswithcarotidatherosclerosisprevalenceingeneralpopulation
AT vnserebryakova associationofconventionalcardiovascularriskfactorswithcarotidatherosclerosisprevalenceingeneralpopulation
AT iatrubacheva associationofconventionalcardiovascularriskfactorswithcarotidatherosclerosisprevalenceingeneralpopulation
AT sashalnova associationofconventionalcardiovascularriskfactorswithcarotidatherosclerosisprevalenceingeneralpopulation