Knowledge of pharmacy students regarding the prevention of cardiovascular diseases. Part 1. Knowledge in the field of primary prevention

Beata Sarecka-Hujar, Aneta Ostróżka-Cieślik, Andrzej Jankowski

Abstract


ABSTRACT

Introduction: The promotion of a healthy lifestyle, including a healthy diet, smoking cessation and regular exercise are among the primary prevention factors of cardiovascular diseases (CVDs), which are the leading cause of high mortality, especially among men. CVDs are chronic, multifactorial diseases caused by the combination of environmental and genetic risk
factors.

The aim of the study was to assess the knowledge of pharmacy students from the Medical University of Silesia in Katowice regarding the risk factors of CVDs as well as the health-promoting behaviours of the students.

Materials and methods: A questionnaire-based survey was used for 156 pharmacy students from the Medical University of Silesia in Katowice (123 females and 33 males, mean age 23.4 ±1.5 years). Participation in the survey was voluntary and anonymous. Statistical analysis was performed using Statistica 12.0
(StatSoft).

Results: The most important risk factors for CVDs identified by the surveyed students were: overweight/obesity (indicated by 90% of respondents), hypertension (87%), stress (75%), and low physical activity (70%). Almost all the respondents (99%) knew the principles of a healthy diet, but only 38% follow them. Only 15% of respondents smoked cigarettes (27% of men vs 11% of women, p = 0.03). In turn, 57% of the students admitted that their level of physical activity was moderate, and 5% did not exercise at all. Alcohol consumption was declared by 66% of respondents, with no difference in the subgroups of women and men.

Conclusions: Cigarette smoking is the most frequent risk factor for CVDs according to the surveyed students. Every third respondent did not follow the principles of a healthy diet and showed low or lack of physical activity. Ongoing education in the primary prevention of CVDs should therefore concern everyone, including those who are or will be professionally involved in medicine.

Keywords


cardiovascular disease; primary prevention; risk factors; smoking; body mass index

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References


Saltiki K, Doukas C, Kanakakis J, Anastasiou E, Mantzou E, Alevizaki M.

Severity of cardiovascular disease in women: relation with exposure to endogenous estrogen Maturitas 2006;55(1):51-7.

Frohlich M, Sund M, Lowel H, Imhof A, Hoffmeister A, Koenig W. Independent association of various smoking characteristics with markers of systemic inflammation in men. Results from a representative sample of the general population (MONICA Augsburg Survey 1994/95). Eur Heart J 2003;24(14):1365-72.

Leone A. Relationship between cigarette smoking and other coronary risk factors in atherosclerosis: risk of cardiovascular disease and preventive measures. Curr Pharm Des 2003;9(29):2417-23.

Visscher TL, Seidell JC. The public health impact of obesity. Annu Rev Public Health 2001;22:355-75.

Kenchaiah S, Evans JC, Levy D, Wilson PW, Benjamin EJ, Larson MG, et al. Obesity and the risk of heart failure. N Engl J Med 2002;347(5):305-13.

Peeters A, Barendregt JJ, Willekens F, Mackenbach JP, Al Mamun A, Bonneux L, et al. Obesity in adulthood and its consequences for life expectancy: a life-table analysis. Ann Intern Med 2003;138(1):24-32.

Stamler J, Daviglus ML, Garside DB, Dyer AR, Greenland P, Neaton JD. Relationship of baseline serum cholesterol levels in 3 large cohorts of younger men to long-term coronary, cardiovascular, and all-cause mortality and to longevity. JAMA 2000;284(3):311-8.

Vasankari T, Ahotupa M, Toikka J, Mikkola J, Irjala K, Pasanen P, et al. Oxidized LDL and thickness of carotid intima-media are associated with coronary atherosclerosis in middle-aged men: lower levels of oxidized LDL with statin therapy. Atherosclerosis 2001;155(2):403-12.

Maron DJ, Fazio S, Linton MF. Current perspectives on statins. Circulation 2000;101(2):207-13.

Cho BH, Park JR, Nakamura MT, Odintsov BM, Wallig MA, Chung BH. Synthetic dimyristoylphosphatidylcholine liposomes assimilating into high-density lipoprotein promote regression of atherosclerotic lesions in cholesterol-fed rabbits. Exp Biol Med (Maywood) 2010;235(10):1194-203.

Sacks FM; Expert Group on HDL Cholesterol. The role of high-density lipoprotein (HDL) cholesterol in the prevention and treatment of coronary heart disease: expert group recommendations. Am J Cardiol 2002;90(2):139-43.

Wyka J. Stan odżywienia ludzi po 60. roku życia w aspekcie uwarunkowań żywieniowych, zdrowotnych, środowiskowych i socjodemograficznych. Wrocław: Wydawnictwo Uniwersytetu Przyrodniczego we Wrocławiu; 2009. p. 50-8.

Helis E, Augustincic L, Steiner S, Chen L, Turton P, Fodor JG. Time trends in cardiovascular and all-cause mortality in the ‘old’ and ‘new’ European Union countries. Eur J Cardiovasc Prev Rehabil 2011;18(3):347-59.

Zdrojewski T, Solnica B, Cybulska B, Bandosz P, Rutkowski M, Stokwiszewski J, et al. Prevalence of lipid abnormalities in Poland. The NATPOL 2011 survey. Kardiol Pol 2016;74(3):213-23.

Kawalec E, Gabryś T, Brzostek T, Reczek A, Malinowska-Lipień I, Cichoń B. Czynniki ryzyka choroby niedokrwiennej serca u kobiet pracujących umysłowo. Probl Pielęg 2008;16(4):325-30.

Sarecka B, Zak I, Krauze J. Synergistic effects of the polymorphisms in the PAI-1 and IL-6 genes with smoking in determining their associated risk with coronary artery disease. Clin Biochem 2008;41(7-8):467-73.

Zak I, Sarecka-Hujar B, Krauze J. Cigarette smoking, carrier state of A or G allele of 46A>G and 79C>G polymorphisms of beta2-adrenergic receptor gene, and the risk of coronary artery disease. Kardiol Pol 2008;66(4):380-6.

Yankelevitz DF, Henschke CI, Yip R, Boffetta P, Shemesh J, Cham MD, et al. Second-hand tobacco smoke in never smokers is a significant risk factor for coronary artery calcification. JACC Cardiovasc Imaging 2013;6(6):651-7.

Peinemann F, Moebus S, Dragano N, Möhlenkamp S, Lehmann N, Zeeb H, et al. Secondhand smoke exposure and coronary artery calcification among nonsmoking participants of a population-based cohort. Environ Health Perspect 2011;119(11):1556-61.

Yankelevitz DF, Cham MD, Hecht H, Yip R, Shemesh J, Narula J, et al. The association of secondhand tobacco smoke and CT angiography-verified coronary atherosclerosis. JACC Cardiovasc Imaging 2017;10(6):652-9.

Parol D, Mamcarz A. Diety roślinne w kontekście chorób układu sercowo-naczyniowego. Folia Cardiol 2015;10(2):92-9.

Lenart A, Mosio J, Knap K, Dziad D, Adamik K, Olszowska M. Wpływ znajomości czynników ryzyka sercowo-naczyniowego na styl życia studentów I i VI roku kierunku lekarskiego. Przegl Lek 2014;71(7):389-93.

Kołtuniuk A, Rosińczuk J. Występowanie czynników ryzyka chorób układu krążenia wśród studentów pielęgniarstwa – doniesienie wstępne. Hygeia Public Health 2015;50(1):210-4.

Nasir K, Budoff MJ, Wong ND, Scheuner M, Herrington D, Arnett DK, et al. Family history of premature coronary heart disease and coronary artery calcification: Multi-Ethnic Study of Atherosclerosis (MESA). Circulation 2007;116(6):619-26.

Pandey AK, Pandey S, Blaha MJ, Agatston A, Feldman T, Ozner M, et al. Family history of coronary heart disease and markers of subclinical cardiovascular disease: where do we stand? Atherosclerosis 2013;228(2):285-94.

Rząca M, Charzyńska-Gula M, Stanisławek A. Świadomość zagrożenia chorobą niedokrwienną serca u osób z grup ryzyka a zachowania zdrowotne. Probl Pielęg 2011;19(3):348-52.

Tomasik T. Prewencja chorób układu krążenia w podstawowej opiece zdrowotnej. Zdrow Publ Zarz 2014;12(4):338-51.




DOI: https://doi.org/10.21164/pomjlifesci.414

Copyright (c) 2018 Beata Sarecka-Hujar, Aneta Ostróżka-Cieślik, Andrzej Jankowski

License URL: https://creativecommons.org/licenses/by-nc-nd/3.0/pl/