• Atencion primaria · Aug 2013

    [Prevalence of cardiovascular diseases and cardiovascular risk factors in older than 65 years persons in an urban area: DERIVA study].

    • Emiliano Rodríguez-Sánchez, Luis García-Ortiz, Manuel A Gómez-Marcos, José I Recio-Rodríguez, Sara Mora-Simón, Diana Pérez-Arechaederra, Cristina Agudo-Conde, Alfonso Escribano-Hernández, and María C Patino-Alonso.
    • Unidad de Investigación, Centro de Salud La Alamedilla, IBSAL, SACYL, Salamanca, España. emilianorodriguezsanchez@yahoo.es
    • Aten Primaria. 2013 Aug 1; 45 (7): 349357349-57.

    ObjectiveTo estimate the prevalence of cardiovascular diseases, cardiovascular risk factors, and the psychosocial characteristics associated with them in an urban population aged 65 years and older.DesignDescriptive cross-sectional study of the population.SettingCity of Salamanca (Spain).ParticipantsA total of 480 participants aged 65 and older were selected using a stratified randomized sampling method. A health questionnaire was completed in the participants' homes.Main MeasurementsWeight, height, waist circumference, arterial pressure, blood glucose and cholesterol, were measured, and the standardized prevalence for a European population was estimated.ResultsA total of 327 participants were interviewed (68.10% of those selected), mean age of participants was 76 (SD: 7.33). Of the total, 64.5% were women and 20.2% (15.8-24.5) had some cardiovascular disease. In males, the most prevalent cardiovascular disease was ischemic heart disease (12.1% [6.1-18]), while in females it was heart failure (10.4% [6.3-14.6]). Hypertension was the most frequent cardiovascular risk factor for males (63.8% [53.2-70.9]) and females (69.7%.[63.5-75.9]), followed by diabetes in males (36.2% [27.5-45]), and sedentary lifestyle in females (36.0% [29.5-42.5]). Those with cardiovascular diseases were more dependent and had a worse prognosis (Charlson's Comorbility Index).ConclusionsIschemic heart disease is the most prevalent heart disease in males, while heart failure is the most prevalent disease for females. Almost 80% of the population aged 65 and older did not suffer any of the three cardiovascular diseases that are the main causes of mortality in this group of age. Participants who had a CVD were more dependent for activities of daily living.Copyright © 2012 Elsevier España, S.L. All rights reserved.

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