Abstract 12877: Social Gradient of Cardiovascular Risk Factors in Poland: Baseline Profile of the Polish Norwegian Study (PONS)
Introduction: The burden of cardiovascular disease (CVD) is increasing in Central and Eastern Europe. The Polish Norwegian Study (PONS) is a prospective cohort study in South-Eastern Poland (Kielce District) which aims to investigate the incidence, case-fatality, and risk factors for CVD and other chronic diseases. Here we provide a preliminary analysis of the baseline prevalence and correlates of CVD risk in the PONS Cohort, highlighting the social gradient of CVD risk.
Methods: PONS is enrolling individuals aged 45-64. Structured lifestyle and food frequency questionnaires were administered. Diabetes and hypertension were defined by self-report. Anthropometric characteristics were measured and blood samples were drawn and analyzed. Multivariate logistic regression was used to determine adjusted odds ratios (OR) for associated factors, using Stata version 9.
Results: A total of 1005 adults have been enrolled in the PONS cohort and are included in the present analysis. The prevalence of diabetes, hypertension, obesity, and hypercholesterolemia was 6.9%, 39.0%, 27.4% and 15.5% respectively, and increased with age. Aside from hypercholesterolemia, these risk factors were more prevalent among individuals with lower education (Table). Obesity was associated with both diabetes (OR 2.70 (1.63, 4.49)) and hypertension (OR 3.17 (2.35, 4.28)). The prevalence of current tobacco smoking was 15.9%. Tobacco smoking was more prevalent in men than women but was not associated with age or CVD risk factors.
Conclusions: Our findings suggest that this region of Poland is experiencing significant burden of CVD risk factors such as diabetes, hypertension, obesity, hypercholesterolemia and tobacco smoking. There is a strong social gradient of cardiovascular risk, which will be investigated in detail in the prospective study. There is an urgent need to increase awareness about CVD and institute early aggressive risk factor control measures.
- © 2011 by American Heart Association, Inc.