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001-es BibID:	BIBFORM123295
035-os BibID:	(WOS)001287491000002 (Scopus)85200841228
Első szerző:	Andréka Lilla
Cím:	Cardiovascular risk factors among Roma and non-Roma populations in underprivileged settlements / Lilla Andréka, Orsolya Csenteri-Bárdos, Gergő József Szőllősi, Péter Andréka, Zoltán Jancsó, Péter Vajer
Dátum:	2024
ISSN:	2731-4553
Megjegyzések:	Background: The ?Taking the screening tests close to the people` program offers cardiovascular screening to the inhabitants of underprivileged settlements. This study aimed to evaluate the cardiovascular risk factors of underprivileged populations, including individuals who described themselves as belonging to the Roma population. Methods: During the program, we collected information about demographic features, lifestyle and current illnesses. A general health assessment (body weight, height, blood pressure and fasting blood glucose) and cardiovascular examination were performed. We analysed data on both Roma and non-Roma groups and used Pearson`s chi-squared test and multiple logistic regression models to analyse the factors that contribute to the onset of comorbidities, with a special focus on ethnicity. Results: Data from 6211 participants were processed. Based on self-reports, the non-Roma population consisted of 5352 respondents (1364 men (25.5%) and 3988 women (74.5%)), and the Roma population comprised 859 respondents (200 men (23.3%) and 659 women (76.7%)). A total of 91.2% (4849) of the non-Roma population and 92.5% (788) of the Roma population exercised less than 3 h per week (p < 0.001). Of the non-Roma population, 71.7% (3512) had a body mass index above 25 kg/m2, while the corresponding figure was 72.4% (609) in the Roma population (p = 0.709). The median body mass index was 28.0 (24.6-31.9) in the non-Roma population and 28.8 (24.5-33.0) in the Roma population (p < 0.001). The prevalence of active smokers was 28.7% (1531) in the non-Roma population and 60.3% (516) in the Roma population (p < 0.001). The prevalence of hypertension was 54.9% (2824) in the non-Roma population and 49.8% (412) in the Roma population (p < 0.001). The prevalence of diabetes was 11.5% (95) in the Roma population and 12.2% (619) in the non-Roma population (p < 0.001). Conclusion: We found a high prevalence of overweight and obesity, a lack of physical activity and an remarkably high smoking rate in the studied underprivileged population. Both type 2 diabetes and hypertension were more common among people living in underprivileged settlements than in the general Hungarian population. People living in underprivileged settlements need more attention in primary care.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Health status Cardiovascular risk factor Roma Non-Roma
Megjelenés:	BMC Primary Care. - 25 : 1 (2024), p. 1-8. -
További szerzők:	Csenteri Orsolya Karola (1987-) (népegészségügyi ellenőr, rehabilitációs szakember) Szőllősi Gergő József (1991-) (népegészségügyi ellenőr, népegészségügyi szakember) Andréka Péter Jancsó Zoltán (1973-) (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos) Vajer Péter
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001-es BibID:	BIBFORM108853
035-os BibID:	(Scopus)85142792788 (WOS)000890257300001
Első szerző:	Jancsó Zoltán (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos)
Cím:	Cardiovascular risk management : the success of target level achievement in high- and very high-risk patients in Hungary / Zoltán Jancsó, Orsolya Csenteri, Gergő József Szőllősi, Péter Vajer, Péter Andréka
Dátum:	2022
ISSN:	2731-4553
Megjegyzések:	Background: The management of risk factors in patients with high cardiovascular risk and its effectiveness is of paramount importance. Over the last decade, several studies have examined the achievement of cardiovascular risk factors` target levels in Europe. In the present Hungarian study, we assessed the cardiovascular risk level of participants aged 40-65 years and the success of achieving risk factors` target levels in high- and very high-risk patients. We compared these results with the results of two similar European studies. Methods: We conducted a cross-sectional study involving 37,778 patients aged 40-65 years from Hungary between 2019 and 2020. Cardiovascular risk levels and target values were set according to the 2016 European Guideline. Target achievement was evaluated for body mass index, waist circumference, blood pressure, total, LDL, and HDL cholesterol, triglyceride, and HbA1c (in diabetics). Results: For 37,298 patients, all the data were available to determine their cardiovascular risk category. Of these, 23.1% had high and 31.4% had very high cardiovascular risk (men: 27.1 and 39.6%, women: 20.5 and 26.1%, respectively). Achievement of the LDL-C target of 1.8 mmol/l was only 8.0% among very high-risk patients, which was significantly lower than the European average (29%). Achievement of target blood pressure among high-risk patients was better than the European average (63.4% vs. 44.7%, respectively); however, achievement was slightly lower among very high-risk patients compared with the European average (49.4% vs. 58%, respectively). The proportion of patients with type 2 diabetes who achieved a HbA1c below 7% was 57.3% in the high-risk population and 53% in the very high-risk population, which was in line with the European average success rates (58.5 and 54%, respectively). Waist circumference (< 88 cm for women and < 102 cm for men) was achieved by 29.4% of patients in the very high-risk group in our survey, which was lower than the European average of 41%. Conclusions: The success rate of cardiovascular risk management in Hungary is lower than the European average in several parameters. Furthermore, our data highlight the poor effectiveness of obesity management in Hungary. General practice partnerships may be important sites for positive change. © 2022, The Author(s).
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk
Megjelenés:	BMC Primary Care. - 23 : 1 (2022), p. 1-9. -
További szerzők:	Csenteri Orsolya Karola (1987-) (népegészségügyi ellenőr, rehabilitációs szakember) Szőllősi Gergő József (1991-) (népegészségügyi ellenőr, népegészségügyi szakember) Vajer Péter Andréka Péter
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