Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
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ISSN 1899–5276 (print)
ISSN 2451-2680 (online)
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Advances in Clinical and Experimental Medicine

2016, vol. 25, nr 2, March-April, p. 341–347

doi: 10.17219/acem/33466

Publication type: original article

Language: English

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Cardiovascular Risk Factors Among Lower Silesian Students of the Faculty of Medicine: Knowledge and Distribution

Dariusz Kałka1,A,B,F, Zygmunt Domagała2,C,D, Lesław Rusiecki1,C, Bohdan Gworys2,E, Piotr Kolęda1,B, Paweł Dąbrowski2,E, Teresa Szawrowicz-Pełka1,B, Anna Biełous1,B, Małgorzata Micał-Strąk1,B, Witold Pilecki1,A,F

1 Department of Pathophysiology, Wroclaw Medical University, Poland

2 Department of Anatomy, Wroclaw Medical University, Poland

Abstract

Background. Cardiovascular disease is a major contributor to the global burden of disease. Further reduction of cardiovascular mortality will require multidirectional prevention. Popularizing prevention measures requires the involvement of qualified and well-educated personnel. Before any modifications of educational programs it is necessary to assess the level of knowledge of future physicians.
Objectives. The aim of the study was to evaluate medical students’ knowledge of cardiovascular (CV) risk factors. The paper presents the outcomes of a study investigating the knowledge of CV risk factors and the prevalence of those risk factors in the study population.
Material and Methods. The study was conducted between 2007 and 2012 and the study population was comprised of 1406 students (497 men and 909 women) from South and South Western Poland. A survey designed by the authors, based on the Framingham survey, was used for the interviews.
Results. The students correctly identified 4.38 ± 0.91 CV risk factors. The most frequently listed risk factors for cardiovascular diseases were a lack of physical activity and a fat-rich diet. The study participants who identified CV risk factors more or less accurately do not follow the recommendations aimed at prevention. Awareness, even relatively high awareness, does not correlate with a healthy lifestyle. Extreme examples of this are people who are aware of the negative effects of cigarette smoking but continue to smoke.
Conclusion. The study revealed an insufficient level of awareness of CV risk factors among medical students.

Key words

young adults, risk factor awareness, CVD risk factors, CVD risk assessment

References (28)

  1. Ezzati M, Lopez AD, Rodgers A, Vander Hoorn S, Murray CJ: Comparative Risk Assessment Collaborating Group. Selected major risk factors and global and regional burden of disease. Lancet 2002, 9343, 1347–1360.
  2. Central Statistical Office, Branch Yearbook, Demographic Year Book of Poland 2012, Warsaw.
  3. Zdrojewski T, Rutkowski M, Bandosz P, Gaciong Z, Jędrzejczyk T, Solnica B, Pencina M, Drygas W, Wojtyniak B, Grodzicki T, Piwoński J, Wyrzykowski B: Prevalence and control of cardiovascular risk factors in Poland. Assumptions and objectives of the NATPOL 2011 Survey. Kardiol Pol 2013, 71, 381–392.
  4. Jasiński B, Bandosz P, Wojtyniak B, Zdrojewski T, Rutkowski M, Koziarek J, Piotrowski W, Drygas W: Mortality from ischaemic heart disease in Poland in 1991–1996 estimated by the coding system used since 1997. Kardiol Pol 2010, 68, 520–527.
  5. Bandosz P, O’Flaherty M, Drygas W, Rutkowski M, Koziarek J, Wyrzykowski B, Bennett K, Zdrojewski T, Capewell S: Decline in mortality from coronary heart disease in Poland after socioeconomic transformation: modelling study. BMJ 2012, 25, 344, d8136. DOI: 10.1136/bmj.d8136.
  6. Zatonski W, Campos H, Willett W: Rapid declines in coronary heart disease mortality in Eastern Europe are associated with increased consumption of oils rich in alpha-linolenic acid. Eur J Epidemiol 2008, 23, 3–10.
  7. Aung MN, Yuasa M, Moolphate S, Nedsuwan S, Yokokawa H, Kitajima T, Minematsu K, Tanimura S, Fukuda H, Hiratsuka Y, Ono K, Kawai S, Marui E: Reducing salt intake for prevention of cardiovascular diseases in high-risk patients by advanced health education intervention (RESIP-CVD study), Northern Thailand: Study protocol for a cluster randomized trial. Trials 2012, 13, 158.
  8. Ahmed HM, Blaha MJ, Nasir K, Jones SR, Rivera JJ, Agatston A, Blankstein R, Wong ND, Lakoski S, Budoff MJ, Burke GL, Sibley CT, Ouyang P, Blumenthal RS: Low-risk lifestyle, coronary calcium, cardiovascular events, and mortality: Results from MESA. Am J Epidemiol 2013, 178, 12–21.
  9. Ijzelenberg W, Hellemans IM, van Tulder MW, Heymans MW, Rauwerda JA, van Rossum AC, Seidell JC: The effect of a comprehensive lifestyle intervention on cardiovascular risk factors in pharmacologically treated patients with stable cardiovascular disease compared to usual care: A randomised controlled trial. BMC Cardiovasc Disord 2012, 10, 12, 71, DOI: 10.1186/1471-2261-12-71.
  10. Rehm J, Sempos CT, Trevisan M: Alcohol and cardiovascular disease – more than one paradox to consider. Average volume of alcohol consumption, patterns of drinking and risk of coronary heart disease – a review. J Cardiovasc Risk 2003, 10, 15–20.
  11. Teramoto T, Kawamori R, Miyazaki S, Teramukai S, Mori Y, Okuda Y, Hiramatsu K; the OMEGA Study Group: Risk factors for primary prevention of cardiovascular disease and risk reduction by lipid control: The OMEGA study risk factor sub-analysis. Clin Exp Hypertens 2013 Jul 18 (Epub ahead of print)
  12. Kałka D, Domagała Z, Kowalewski P, Rusiecki L, Wojcieszczyk J, Kolęda P, Marciniak W, Adamus J, Janocha A, Pilecki W: The influence of endurance training intensity on dynamics of post-exertional heart rate recovery adaptation in patients with ischemic heart disease. Adv Med Sci 2013, 58, 50–57.
  13. Shortreed SM, Peeters A, Forbes AB: Estimating the effect of long-term physical activity on cardiovascular disease and mortality: evidence from the Framingham Heart Study. Heart 2013, 99, 649–654.
  14. World Health Organization: Physical status: Use and interpretation of antropometry – report of a WHO expert committee. World Health Organ Tech Rep Ser 1995, 854, 1–452.
  15. Krzyżanowska M, Umławska W: Measured versus self-reported body height. Intl Jnl Anthropology 2002, 17, 113–120.
  16. Kuczmarski MF, Kuczmarski RJ, Najjar M: Effects of age on validity of self-reported height, weight, and body mass index: Findings from the Third National Health and Nutrition Examination Survey, 1988–1994. J Am Diet Assoc 2001, 101, 28–34.
  17. Drygas W, Kostka T, Jegier A, Kuński H: Long-term effects of different physical activity levels on coronary heart disease risk factors in middle-aged men. Int J Sports Med 2000, 21, 235–241.
  18. Wartak SA, Friderici J, Lotfi A, Verma A, Kleppel R, Naglieri-Prescod D, Rothberg MB: Patients’ knowledge of risk and protective factors for cardiovascular disease. Am J Cardiol 2011, 107, 1480–1488.
  19. Wu Y, Deng Y, Zhang Y: Knowledge, attitudes, and behaviors of nursing professionals and students in Beijing toward cardiovascular disease risk reduction. Res Nurs Health 2011, 34, 228–240.
  20. Shaikh RB, Mathew E, Sreedharan J, Muttappallymyalil J, Sharbatti SA, Basha SA: Knowledge regarding risk factors of hypertension among entry year students of a medical university. J Family Community Med 2011, 18, 124–129.
  21. Foster KY, Diehl NS, Shaw D, Rogers RL, Egan B, Carek P, Tomsic J: Medical students’ readiness to provide lifestyle counseling for overweight patients. Eat Behav 2002, 3, 1–13.
  22. Allen SS, Harris IB, Kofron PM, Anderson DC, Bland CJ, Dennis T, Satran L, Miller WJ: A comparison of knowledge of medical students and practicing primary care physicians about cardiovascular risk assessment and intervention. Prev Med 1992, 21, 436–448.
  23. Bogdańska A, Maniecka-Bryła I, Szpak A: The evaluation of secondary school students’ knowledge about risk factors of cardiovascular disease. Rocz Akad Med Bialymst 2005, 50, Suppl 1, 213–215.
  24. Reiner Ž, Sonicki Z, Tedeschi-Reiner E: The perception and knowledge of cardiovascular risk factors among medical students. Croat Med J 2012, 53, 278–284.
  25. Poreba R, Gać P, Zawadzki M, Poreba M, Derkacz A, Pawlas K, Pilecki W, Andrzejak R: Life style and cardiovascular risk factors among students of Wroclaw postgraduate schools. Pol Arch Med Wewn 2008, 118, 102–110.
  26. Kaleta D, Polańska K, Kwaśniewska M, Dziankowska-Zaborszczyk E, Hanke W, Drygas W: Risk factors for smoking among the adult population – results of WOBASZ study in Lódź district. Med Pr 2008, 59, 143–148.
  27. Dodd LJ, Al-Nakeeb Y, Nevill A, Forshaw MJ: Lifestyle risk factors of students: A cluster analytical approach. Prev Med 2010, 51, 73–77.
  28. Benjamin EJ, Smith SC Jr, Cooper RS, Hill MN, Luepker RV: Task force #1-magnitude of the prevention problem: opportunities and challenges. J Am Coll Cardiol 2002, 40, 588–603.