Continental-Mediterranean and rural-urban differences in cardiovascular risk factors in Croatian population
2011

Cardiovascular Risk Factors in Croatia

Sample size: 2467 publication 10 minutes Evidence: high

Author Information

Author(s): Bergman Marković Biserka, Vrdoljak Davorka, Kranjčević Ksenija, Vučak Jasna, Kern Josipa, Bielen Ivan, Ivezić Lalić Dragica, Katić Milica, Reiner Željko

Primary Institution: Zagreb University School of Medicine

Hypothesis

To compare the distribution of cardiovascular disease (CVD) factors between continental and Mediterranean areas and urban and rural areas of Croatia.

Conclusion

Prevalence of CVD risk factors in the Croatian population is high, with a greater burden in continental regions and rural areas, partly explained by lifestyle differences.

Supporting Evidence

  • Participants from continental rural areas had significantly higher blood pressure and obesity.
  • Coastal rural areas had higher HDL-cholesterol levels.
  • Continental rural areas showed a higher prevalence of metabolic syndrome.

Takeaway

This study looked at heart health in Croatia and found that people in rural areas and the continental part of the country have more heart health problems than those in coastal areas.

Methodology

A multicenter prospective study with 2467 participants aged 40 and older, using a 140-item questionnaire and various health measurements.

Potential Biases

Participants without health insurance or those who do not visit GPs were not included.

Limitations

The sample consisted only of participants who visited GP’s offices, which may not fully represent the average Croatian population over 40 years of age.

Participant Demographics

Participants were mostly women, with a significant portion aged 40-54, and included various professions and education levels.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3325/cmj.2011.52.566

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