HEALTH OF THE CARDIOLOGISTS: WHO IF NOT THEY?

Aim. To assess the prevalence of cardiovascular risk factors among clinicians attended the Russian National Congress of Cardiology (Ekaterinburg, September 20-23, 2016).

Material and methods. During the Congress, 535 participants were screened on the presence of cardiovascular risk factors. Participants filled the questionnaire on social status, food preferences and activity, smoking, alcohol consumption, medications intake. Anthropometry was done according to standards. Blood pressure (BP) was measured on the right arm, sitting, after 5-minute rest, by automatic tonometer OMRON (Japan). Cholesterol level and blood glucose were measured by express-method with EasyTouch® GCHb (Taiwan). For comparison with the general population, the data from ESSE-RF study was included.

Results. Food preferences in doctors were shifted towards healthier comparing to general population: quite high prevalence of enough fish, vegetables and fruits, and low level of salt overconsumption; hypodynamia level was comparable with populational. During the last 10 years, there was two-fold decrease of smoking prevalence, and increase of hypercholesterolemia, and obesity and hypertension prevalence remained same. Adherence to antihypertension and hypolipidemic treatment is still low. Cardiovascular risk by SCORE among doctors is not high.

Conclusion. In clinicians participating in scientific-educational events (half of them — cardiologists), a healthier profile was found, of the risk factors, comparing to general population. The only exception was hypodynamia which is probably a cause of obesity prevalent among medical society. During the last decade, there is a decrease of smoking prevalence noted, but there is no increase in antihypertension therapy adherence, and there is an increase of hypercholesterolemia among clinicians

1. Nordestgaard B, Langsted A, Mora S, et al. Fasting is not routinely required for determination of a lipid profile: clinical and laboratory implications including flagging at desirable concentration cut-points-a joint consensus statement from the European Atherosclerosis Society and European Federation of Clinical Chemistry and Laboratory Medicine. Eur Heart J 2016; 37(25):1944–58.

2. Максимов И.Л. Врач многопрофильной больницы: состояние здоровья, этико-правовые аспекты деятельности. Автореф канд мед наук. Казань 2003.

3. Nakládalováa M, Sovováb E, Ivanovác K, et al. Risk factors for cardiovascular diseases in physicians. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2005; 149(2):293–5.

4. Muromtseva GA., Kontsevaya AV., Konstantinov VV, et al. The prevalence of non-infectious diseases risk factors in Russian population in 2012-2013 years. The results of ECVD-RF. Cardiovascular Therapy and Prevention 2014; 13(6):4-11. Russian (Муромцева Г. А., Концевая А. В., Константинов В. В., и др. Распространенность факторов риска неинфекционных заболеваний в российской популяции в 2012–2013 гг. Результаты исследования ЭССЕ-РФ. Кардиоваскулярная терапия и профилактика 2014; 13(6):4-11).

5. Boeing H, Bechthold A, Bub A, et al. Critical review: vegetables and fruit in the prevention of chronic diseases. Eur J Nutr 2012; 51:637–663.

6. Balanova IuA, Kontsevaia AV, Shal'nova SA, et al. Prevalence of behavioral risk factors for cardiovascular disease in the Russian population: Results of the ESSE-RF epidemiological study. Preventive Medicine 2014; 17(5):42-52. Russian (Баланова Ю.А., Концевая А.В., Шальнова С.А. и др. Распространенность поведенческих факторов риска сердечно-сосудистых заболеваний в российской популяции по результатам исследования ЭССЕ-РФ. Профилактическая медицина 2014; 17(5):42-52).

7. He K, Song Y, Daviglus ML, et al. Accumulated evidence on fish consumption and coronary heart disease mortality: a meta-analysis of cohort studies. Circulation 2004; 109(22):2705-11.

8. Федеральная служба государственной статистики. Выборочное наблюдение рациона питания населения 2013. Http://www.gks.ru/free_doc/new_site/food1/index.html.

9. Maslennikova GIa, Oganov RG. Medical and socioeconomic damage caused by smoking in the Russian Federation: diseases of circulatory system. Preventive Medicine 2011; 3:19—27. Russian (Масленникова Г.Я., Оганов Р.Г. Медицинский и социально-экономический ущерб, обусловленный курением табака в Российской Федерации: болезни системы кровообращения. Проф мед 2011; 3:19—27).

10. Akhverdieva MK, Terentyev VP, Drobotya NV Epidemiology of risk factors for chronic noncommunicable diseases: focus on the health of doctors. On-line scientific and educational bulletin «Health and education millennium» 2010; 12(3):151—152. Russian (Ахвердиева М. К., Терентьев В. П., Дроботя Н. В. Эпидемиология факторов риска хронических неинфекционных заболеваний: фокус на здоровье врачей. Электронный научно-образовательный вестник «Здоровье и образование в XXI веке» 2010; 12(3): 151—152).

11. Shalnova SA, Oganov RG, Deev AD, et al. Cardiovascular risk in doctors of different specialties. Results of the Russian multicenter scientific and educational program "Health of Russian doctors". Cardiovascular Therapy and Prevention 2008; 7(6):28-31. Russian (Шальнова С. А., Оганов Р. Г., Деев А. Д., и др. Здоровье российских врачей. Клинико-эпидемиологический анализ. Кардиоваскулярная терапия и профилактика 2008; 7(6):28-31).

12. Kobalava ZhD, Kotovskaya YuV, Shalnova SA on behalf of the Russian multi-centre scientific and educational programme “Russian Doctors’ Health” Cardiovascular risk in various medical specialities. The results of the Russian multi-centre scientific and educational programme “Russian Doctors’ Health”. Cardiovascular Therapy and Prevention 2010; 9(4):12-24. Russian (Кобалава Ж. Д., Котовская Ю. В., Шальнова С. А. от имени исследователей Российской многоцентровой научно-образовательной программы «Здоровье врачей России». Сердечно-сосудистый риск у врачей разных специальностей. Результаты Российской многоцентровой научно-образовательной программы «Здоровье врачей России». Кардиоваскулярная терапия и профилактика 2010; 9(4):12-24).

13. Toyry S, Rasanen K, Kujala S, et al. Self. Reported Health, Illness, and Self Care among Finnish Physicians. A National Survey. Arch Fam Med 2000; 9: 1079-85.

14. ВЦИОМ. Пресс-выпуск № 3294. https://wciom.ru/index.php?id=236&uid=116044 (26 января 2017).

15. Boytsov SA, Balanova YA, Shalnova SA, et al. Arterial hypertension among individuals of 25–64 years old: prevalence, awareness, treatment and control by the data from ECVD-RF. Cardiovascular Therapy and Prevention 2014; 13(4):4-14. Russian (Бойцов С.А., Баланова Ю.А., Шальнова С.А., и др. Артериальная гипертония среди лиц 25-64 лет: распространенность, осведомленность, лечение и контроль по материалам исследования ЭССЕ. Кардиоваскулярная терапия и профилактика 2014; 13(4):4-14).