Abstract
A survey was carried out among 281 men and women aged between 30 and 64 years randomly selected from five general practices located in the inner London borough of Tower Hamlets, to determine the prevalence of risk factors for coronary heart disease. Smoking and obesity were both more pronounced in Tower Hamlets than in comparable national studies: 51% of men and 44% of women were smokers and 57% of these were smoking 20 or more cigarettes per day. A body mass index of 30 or more was present in 18% of men and 10% of women and a body mass index of 25 or more in 71% of men and 49% of women. Two or more risk factors for coronary heart disease (smoking and/or hypertension and/or raised cholesterol levels) were present in 25% of men and 22% of women. For every person known by their general practitioner to have established cardiovascular disease, there were an additional two people also at risk on the basis of multiple risk factors. In this inner city population the prevalence of cardiovascular risk, for women as well as men, has major resource and organizational implications for primary care. A strategy for change requires action based on graded multiple risks for both men and women.
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Selected References
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- Dick T. B., Stone M. C. Prevalence of three major risk factors in random sample of men and women, and in patients with ischaemic heart disease. Br Heart J. 1978 Jun;40(6):617–626. doi: 10.1136/hrt.40.6.617. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jarman B. Identification of underprivileged areas. Br Med J (Clin Res Ed) 1983 May 28;286(6379):1705–1709. doi: 10.1136/bmj.286.6379.1705. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Livingstone A. E., Jewell J. A., Robson J. Twenty four hour care in inner cities: two years' out of hours workload in east London general practice. BMJ. 1989 Aug 5;299(6695):368–370. doi: 10.1136/bmj.299.6695.368. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mann J. I., Lewis B., Shepherd J., Winder A. F., Fenster S., Rose L., Morgan B. Blood lipid concentrations and other cardiovascular risk factors: distribution, prevalence, and detection in Britain. Br Med J (Clin Res Ed) 1988 Jun 18;296(6638):1702–1706. doi: 10.1136/bmj.296.6638.1702. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Robson J., Boomla K., Fitzpatrick S., Jewell A. J., Taylor J., Self J., Colyer M. Using nurses for preventive activities with computer assisted follow up: a randomised controlled trial. BMJ. 1989 Feb 18;298(6671):433–436. doi: 10.1136/bmj.298.6671.433. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shaper A. G., Pocock S. J., Phillips A. N., Walker M. A scoring system to identify men at high risk of a heart attack. Health Trends. 1987 May;19(2):37–39. [PubMed] [Google Scholar]
- Shaper A. G., Pocock S. J., Walker M., Cohen N. M., Wale C. J., Thomson A. G. British Regional Heart Study: cardiovascular risk factors in middle-aged men in 24 towns. Br Med J (Clin Res Ed) 1981 Jul 18;283(6285):179–186. doi: 10.1136/bmj.283.6285.179. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shepherd J., Betteridge D. J., Durrington P., Laker M., Lewis B., Mann J., Miller J. P., Reckless J. P., Thompson G. R. Strategies for reducing coronary heart disease and desirable limits for blood lipid concentrations: guidelines of the British Hyperlipidaemia Association. Br Med J (Clin Res Ed) 1987 Nov 14;295(6608):1245–1246. doi: 10.1136/bmj.295.6608.1245. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tunstall-Pedoe H., Smith W. C. Cholesterol as a risk factor for coronary heart disease. Br Med Bull. 1990 Oct;46(4):1075–1087. doi: 10.1093/oxfordjournals.bmb.a072441. [DOI] [PubMed] [Google Scholar]
- Tunstall-Pedoe H. The Dundee coronary risk-disk for management of change in risk factors. BMJ. 1991 Sep 28;303(6805):744–747. doi: 10.1136/bmj.303.6805.744. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Willett W. C., Green A., Stampfer M. J., Speizer F. E., Colditz G. A., Rosner B., Monson R. R., Stason W., Hennekens C. H. Relative and absolute excess risks of coronary heart disease among women who smoke cigarettes. N Engl J Med. 1987 Nov 19;317(21):1303–1309. doi: 10.1056/NEJM198711193172102. [DOI] [PubMed] [Google Scholar]