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Epidemiology of Cardiovascular Disease and Health Promotion

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Behavior, Chronic Disease and Health Promotion".

Deadline for manuscript submissions: closed (15 September 2023) | Viewed by 5411

Special Issue Editor


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Guest Editor
Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Višegradska 26, 11000 Belgrade, Serbia
Interests: epidemiology; cardiovascular diseases; medical students; methodology; behavior; substance use

Special Issue Information

Dear Colleagues,

Cardiovascular diseases (CVDs) are the leading cause of death globally and a major contributor to disability, including premature mortality. More than 17 million people die from CVDs each year, principally due to ischemic heart disease and stroke. There are many behavioral, environmental, social, and cardio-metabolic risk factors for CVDs, and some of them can be controlled, such as high blood pressure, high blood cholesterol levels, smoking, diabetes, overweight or obesity, lack of physical activity, unhealthy diet, alcohol use, and stress. Others cannot be controlled, and these include age, gender, family history, and race. The burden of CVDs and the CVD burden attributable to modifiable risk factors continue to increase globally. However, mortality rates from CVDs have been declining in highly developed countries, such as the United States of America, Australia, and Northern as well as Western Europe, with approximately two-thirds of the decline attributable to changes in risk factors and one-third due to evidence-based treatments. Therefore, the main goal of clinical and population preventative strategies should be a reduction in CVD morbidity and mortality, with the estimation of CVD risk and the promotion of healthy lifestyles as the most important ones. In addition, the implementation of therapeutic strategies is very important and also responsible for the reduction in CVD deaths.

Dr. Isidora Vujcic
Guest Editor

Manuscript Submission Information

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Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • risk factors
  • epidemiology
  • burden
  • prevention
  • mortality
  • health promotion
  • diabetes mellitus
  • diet
  • cardiovascular health
  • health behaviors
  • education
  • physical activity
  • alcohol use
  • weight loss
  • stress

Published Papers (3 papers)

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Research

11 pages, 679 KiB  
Article
Postpartum Lifestyle Behaviors among Women with Hypertensive Disorders of Pregnancy: Data from the HUNT Study
by Ingrid Hafskjold, Vegar Rangul, Hanne Ringvoll, Marit Kolberg, Eirin B. Haug, Rune Blomhoff, Hege Berg Henriksen and Julie Horn
Int. J. Environ. Res. Public Health 2023, 20(21), 7025; https://doi.org/10.3390/ijerph20217025 - 06 Nov 2023
Viewed by 1722
Abstract
Hypertensive disorders of pregnancy (HDP) are associated with an increased risk of cardiovascular disease later in life. Clinical guidelines for postpartum follow-up after HDP often recommend lifestyle counseling to reduce this risk. However, knowledge about lifestyle behaviors and perceptions among women with a [...] Read more.
Hypertensive disorders of pregnancy (HDP) are associated with an increased risk of cardiovascular disease later in life. Clinical guidelines for postpartum follow-up after HDP often recommend lifestyle counseling to reduce this risk. However, knowledge about lifestyle behaviors and perceptions among women with a history of HDP is limited. We linked data from the fourth survey of the population-based Trøndelag Health Study (HUNT4) with data from the Medical Birth Registry of Norway. The associations between HDP and postpartum lifestyle behaviors and perceptions were examined using multivariable logistic regression. In a secondary analysis, HUNT4 participants with a recent history of pre-eclampsia were compared with women with a recent history of pre-eclampsia participating in a postpartum pilot intervention study. Lifestyle behaviors and perceptions were self-reported and included diet (intake frequency of fruits, vegetables, meat, fish, and sugar-sweetened beverages), alcohol intake, physical activity, sleep, smoking, lifestyle satisfaction, and the importance of a healthy lifestyle. Among 7551 parous HUNT4 participants, 610 had a history of HDP. We found no differences in lifestyle behaviors between women with and without a history of HDP. However, women with HDP had higher odds of being unsatisfied with their lifestyle. Women with pre-eclampsia participating in a postpartum lifestyle intervention study tended to have a healthier lifestyle at baseline than women participating in HUNT4. Future studies should explore how lifestyle intervention programs could be adapted to the needs of women who have experienced HDP or other pregnancy complications that are associated with an increased risk of CVD. Full article
(This article belongs to the Special Issue Epidemiology of Cardiovascular Disease and Health Promotion)
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23 pages, 471 KiB  
Article
Association between Physical Fitness and Cardiovascular Health in Firefighters
by Jaron Ras, Denise L. Smith, Elpidoforos S. Soteriades, Andre P. Kengne and Lloyd Leach
Int. J. Environ. Res. Public Health 2023, 20(11), 5930; https://doi.org/10.3390/ijerph20115930 - 23 May 2023
Cited by 5 | Viewed by 1982
Abstract
Firefighters perform strenuous work in dangerous and unpredictable environments requiring optimal physical conditioning. The aim of this study was to investigate the association between physical fitness and cardiovascular health (CVH) in firefighters. This cross-sectional study systematically recruited 309 full-time male and female firefighters [...] Read more.
Firefighters perform strenuous work in dangerous and unpredictable environments requiring optimal physical conditioning. The aim of this study was to investigate the association between physical fitness and cardiovascular health (CVH) in firefighters. This cross-sectional study systematically recruited 309 full-time male and female firefighters between the ages of 20 to 65 years in Cape Town, South Africa. Physical fitness was assessed using absolute (abV̇O2max) and relative oxygen consumption (relVO2max), grip and leg strength, push-ups and sit-ups, sit-and-reach for flexibility and lean body mass (LBM). CVH encompassed age, smoking, blood pressure (BP), blood glucose, lipid profile, body mass index, body fat percentage (BF%), and waist circumference. Linear regressions and logistic regressions were applied. Multivariable analysis indicated that relVO2max was associated with systolic BP (p < 0.001), diastolic BP (p < 0.001), non-fasting blood glucose (p < 0.001), and total cholesterol (p = 0.037). Poor CVH index was negatively associated with relV̇O2max (p < 0.001), leg strength (p = 0.019), and push-ups (p = 0.012). Furthermore, age was inversely associated with V̇O2max (p < 0.001), push-up and sit-up capacity (p < 0.001), and sit-and-reach (p < 0.001). BF% was negatively associated with abV̇O2max (p < 0.001), grip and leg strength (p < 0.001), push-ups (p = 0.008), sit-ups (p < 0.001), and LBM (p < 0.001). Cardiorespiratory fitness, muscular strength, and muscular endurance were significantly associated with a better overall CVH profile. Full article
(This article belongs to the Special Issue Epidemiology of Cardiovascular Disease and Health Promotion)
10 pages, 352 KiB  
Article
Body Mass Index and Late Adverse Outcomes after a Carotid Endarterectomy
by Danka Vukašinović, Miloš Maksimović, Slobodan Tanasković, Jelena M. Marinković, Đorđe Radak, Jadranka Maksimović, Isidora Vujčić, Nebojša Prijović and Hristina Vlajinac
Int. J. Environ. Res. Public Health 2023, 20(3), 2692; https://doi.org/10.3390/ijerph20032692 - 02 Feb 2023
Viewed by 1258
Abstract
A cohort study was conducted to examine the association of an increased body mass index (BMI) with late adverse outcomes after a carotid endarterectomy (CEA). It comprised 1597 CEAs, performed in 1533 patients at the Vascular Surgery Clinic in Belgrade, from 1 January [...] Read more.
A cohort study was conducted to examine the association of an increased body mass index (BMI) with late adverse outcomes after a carotid endarterectomy (CEA). It comprised 1597 CEAs, performed in 1533 patients at the Vascular Surgery Clinic in Belgrade, from 1 January 2012 to 31 December 2017. The follow-up lasted four years after CEA. Data for late myocardial infarction and stroke were available for 1223 CEAs, data for death for 1305 CEAs, and data for restenosis for 1162 CEAs. Logistic and Cox regressions were used in the analysis. The CEAs in patients who were overweight and obese were separately compared with the CEAs in patients with a normal weight. Out of 1223 CEAs, 413 (33.8%) were performed in patients with a normal weight, 583 (47.7%) in patients who were overweight, and 220 (18.0%) in patients who were obese. According to the logistic regression analysis, the compared groups did not significantly differ in the frequency of myocardial infarction, stroke, and death, as late major adverse outcomes (MAOs), or in the frequency of restenosis. According to the Cox and logistic regression analyses, BMI was neither a predictor for late MAOs, analyzed separately or all together, nor for restenosis. In conclusion, being overweight and being obese were not related to the occurrence of late adverse outcomes after a carotid endarterectomy. Full article
(This article belongs to the Special Issue Epidemiology of Cardiovascular Disease and Health Promotion)
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