CARDIOVASCULAR RISK PROFILEOF ELDERLY MEN AND WOMEN

SAMPLE OF SLOVAKIA

Z. Mikes, J. Odraska, P. Hlivak, K. JakubovitsovaZ. Mikes, J. Odraska, P. Hlivak, K. JakubovitsovaDepartment of Geriatrics, Faculty of Medicine Department of Geriatrics, Faculty of Medicine

Bratislava, Slovak RepublicBratislava, Slovak Republic

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males 1999

males 1970

females 1999

females 1970

Population trends in Slovakia

Risk profile of the Slovak elderly population

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THE GOAL OF THE STUDY

• to estimate the cardiovascular risk profile of the elderly home residentsin

Bratislava, capital of the countryBratislava, capital of the country

Home for elderly, former castle of comes Amade where son of Maria Theresia, Emperor Jozef the IInd was born

Gabcikovo, rural region Gabcikovo, rural region with the highest with the highest

cardiovascular mortality in cardiovascular mortality in the countrythe country

Cohort and methods 500500 inhabitants of two Bratislava inhabitants of two Bratislava''s s elderlyelderly homes homes (280 men, (280 men,

mean age 76.3 yrs. and 220 females, mean age 79.8 yrs)mean age 76.3 yrs. and 220 females, mean age 79.8 yrs) identical age group from rural district (Gabcikovo)identical age group from rural district (Gabcikovo)

QQuestionnaireuestionnaire family historyfamily history ririsk factors of atherosclerosis (RF),sk factors of atherosclerosis (RF), index of daily physical activitiesindex of daily physical activities / / BartelBartel’s’s index index cognitive functions cognitive functions / Mini-Mental Stage Examination/ Mini-Mental Stage Examination height and weight measuring, height and weight measuring, repeated blood pressure measuring in reference conditionsrepeated blood pressure measuring in reference conditions

21%

6%

61%

12%

normal values of TGL and Chol

total cholesterol

triacylglycerolscombined hyperlipidemia

metropolitan

Combined hyperlipidemia mmol/L -Males

30%6%

40%

24%rural

47%

34%

7%12%

normal values of TGL and Chol

total cholesterol

triacylglycerolscombined hyperlipide

metropolitan

Combined hyperlipidemia mmol/L -Females

37%

5% 39%

19%

rural

45%

12%

35%

8%

BMI 25

BMI 25-30

BMI 30immobile

metropolitan

BMI -Males

32%

12% 44%

12%

rural

29%

18%

33%

20%

BMI 25

BMI 25-30

BMI 30immobile

metropolitan

BMI -Females

34%27%

22%

17%

rural

25%

36% 33%

6%

Non-smokers

Smokers

Ex-smokerso information about smoking

metropolitan

Smoking-Males

43%

32%20%

5%

rural

6%

13%

72%

9%

Non-smokers

Smokers

Ex-smokersinformation about smoking

metropolitan

Smoking-Females

3%

5%

80%

12%

rural

17%

23%

12%48%

Hypertension I. Stage

Hypertension II. Stage

Hypertension III. StageNormal blood pressure

metropolitan

Blood Pressure - Males

15%

17%

5%

63%

rural

22%

44%

12%22%

Hypertension I. Stage

Hypertension II. Stage

Hypertension III. StageNormal blood pressure

metropolitan

Blood Pressure - Females

25%

49%

2%24%

rural

43%

9%5%

43%

diabetes mellitus

impaired glucose tolerance

non information on DM availablenormal glycaemia

metropolitan

Diabetes-Males

13%

15%

21%51%

rural

6%

30%

8%

56%

diabetes mellitus

impaired glucose tolerance

non information on DM availablenormal glycaemia

metropolitan

Diabetes -Females

6%17% 50%

27%

rural

42%

21%

31%

1%5%

1 RF

2 FR

3 FR RF

metropolitan

Risk factors commbination - Males

51%

0%12%

32%

5%

rural

5 RF

42%

26% 26%

1%5%

1 RF

2 FR

3 FR RF

metropolitan

Risk factors combination - Females

40%

2%

36% 19%

3%

rural

5 RF

16%

20%

35%

9%

20%

severe cognitive impairment

intermediate cognitive impairment

light impairmentnormal

metropolitan

Cognitive functions -Males

39%15%

22%

24%

rural

no information

17%

20%

34%

4%25%

severe cognitive impairment

intermediate cognitive impairment

light impairmentnormal

metropolitan

Cognitive functions - Females

63%

8%

27%

2%

rural

no information

21%

11%10%

58%

highly dependent

dependent

mild degree dependencyself-dependent

metropolitan

Activities of Daily Life (ADL) - Males

10%

24%

12%54%

rural

9%

26%

19%46%

highly dependent

dependent

mild degree dependencyself -dependent

metropolitan

Activities of Daily Life (ADL) - Females

14%32%

28%

26%

rural