Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

Predictors of Coronary Heart Disease Risk in Healthy Men and Women

건강한 남녀의 관상동맥질환 위험 예측요인

  • Published : 2007.12.31
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Abstract

Objective: The purpose of this study was to identify predictors of coronary heart disease risk factors in healthy men and women. Method: The subjects of this study were 346 people (173 men and women aged 20 years and over) who received health screenings. Data was collected from December 1, 2005 to February 28, 2006. The FANTASTIC Lifestyle Assessment Inventory except smoking and the Framingham risk score of subjects were investigated. Data was analyzed by descriptive analysis, t-test, ANOVA, pearson correlation coefficients and stepwise multiple regression using the SPSS 10.0 program. Results: The mean score of the lifestyle of the women (64.24) was higher than that of the men (59.12). The mean score of the risk of coronary heart disease of the men (5.28%) was higher than that of the women (0.28%). The framingham risk for men was significantly related to lifestyle such as dietary habit, use of caffeine and drugs, anxiety and depression, job satisfaction, and closeness with family. The main predictors of framingham risk for men and women were 'use of caffeine and drugs', and 'menopause' which explained 16.5%, and 30.7% respectively. Conclusion: Since lifestyles can be changed with effort, coronary heart disease can be prevented while people are healthy.

Keywords

References

  1. Blair, M. L. (2007). Sex-based differences in physiology: What should we teach in the medical curriculum? Adv Physiol Educ, 31, 23-25 https://doi.org/10.1152/advan.00118.2006
  2. Carre, F. (2002). Cardiovascular benefits and hazard of physical practice. Ann Cardiol Angeiol, 51(6), 351-356 https://doi.org/10.1016/S0003-3928(02)00147-6
  3. Chung, M. L., Moser, D. K., Lennie, T. A., Worrall-Carter, L. Bentley, B., Trupp, R., & Armentano, D. S. (2006). Gender differences in adherence to the sodium-restricted diet in patients with heart failure. J Card Fail, 12(8), 628-634 https://doi.org/10.1016/j.cardfail.2006.07.007
  4. Cornelis, M. C., & El-Sohemy, A. (2007). Coffee, caffeine and coronary heart disease. Curr Opin Lipidol, 18(1), 13-19 https://doi.org/10.1097/MOL.0b013e3280127b04
  5. Eaker, E. D., Sullivan, L. M., Kelly-Hayes, M., D'Aqostino, R. B. Sr., & Benjamin, E. J. (2007). Marital status, marital strain, and risk of coronary heart disease or total mortality: The Framingham offspring study. Psychosom Med, 69(6), 509-513 https://doi.org/10.1097/PSY.0b013e3180f62357
  6. Engstrom, G., Hedblad, B., Rosvall, M., Janzon, L., & Lindgarde, F. (2006). Occupation, marital status, and low-grade inflammation: Mutual confounding or independent cardiovascular risk factors? Arterioscler Thromb Vasc Biol, 26(3), 643-648 https://doi.org/10.1161/01.ATV.0000200100.14612.bb
  7. Gonzalez, C., Rodilla, E., Costa, J. A., Justicia, J., & Pascual, J. M. (2006). Cardiovascular risk by Framingham and SCORE in patients 40-65 years old. Med Clin (Barc). 126(14), 527-531 https://doi.org/10.1157/13087144
  8. Huxley, V. H. (2007). Sex and the cardiovascular system: The intriguing tale of how women and men regulate cardiovascular function differently. Adv Physiol Educ, 31, 17-22 https://doi.org/10.1152/advan.00099.2006
  9. Kim, N. J. (2005). The effect of exercise type on cardiovascular disease risk factors in adult men. Unpublished doctoral dissertation, The Choong-ang University, Seoul
  10. Kok, H. S., van Asselt, K. M., van der Schouw, Y. T., van der Tweel, I., Peeters, P. H., Wilson, P. W., Pearson, P. L., & Grobbee, D. E. (2006). Heart disease risk determines menopausal age rather than the reverse. J Am Coll Cardiol, 47(10), 1976-1983 https://doi.org/10.1016/j.jacc.2005.12.066
  11. Law, M. R., Wald, N. J., Wu, T., Hackshaw, A., & Bailey, A. (1994). Systematic underestimation of association between serum cholesterol concentration and ischemic heart disease in observational studies: Data from the BUPA study. BMJ, 308, 363-366 https://doi.org/10.1136/bmj.308.6925.363
  12. Lee, T. W., Lee, C. Y., Kim, H., S., & Ham, O. K. (2005). Health behaviors between a health promotion demonstration health center and a general health center. J Korean Acad Nurs, 35(3), 461-468 https://doi.org/10.4040/jkan.2005.35.3.461
  13. Lindholm, L. H., Ekbom, T., Dash, C., Isacsson, A., & Schersten, B. (1996). Changes in cardiovascular risk factors by combined pharmacological and nonpharmacological strategies: The main results of the CELL study, J Intern Med, 240(1), 13-22 https://doi.org/10.1046/j.1365-2796.1996.492831000.x
  14. Michos, E. D., Vasamreddy, C. R., Becker, D. M., Yanek, L. R., Moy, T. F., Fishman, E. K., Becker, L. C., & Blumenthal, R. S. (2005). Women with a low Framingham risk score and a family history of premature coronary heart disease have a high prevalence of subclinical coronary atherosclerosis. Am Heart J, 150(6), 1276-1281 https://doi.org/10.1016/j.ahj.2005.02.037
  15. Noh, T. Y. (1997). A study on health promoting behaviors and its affecting factors of hospital nurses. Unpublished master's thesis, Seoul National University, Seoul
  16. Painter, P. L., Hector, L., Ray, K., Lynes, L., Paul, S. M., Dodd, M., Tomlanovich, S. L., & Ascher, N. L. (2003). Effects of exercise training on coronary heart disease risk factors in renal transplant recipients. Am J Kidney Dis, 42(2), 362-369 https://doi.org/10.1016/S0272-6386(03)00673-5
  17. Park, H. S., Kim, Y. S., & Min, W. K. (1998). A case-control study on the risk factors for coronary artery disease among Korean. Kor Cir J, 28(6), 849-862 https://doi.org/10.4070/kcj.1998.28.6.849
  18. Park, Y. J., Lee, S. J., Oh, K. S., Oh, K. O., Kim, J. A., Kim, H. S., Choi, S. S., Yi, S. E., Chung, C. J., & Hun, H. Y. (2002). Social support, stressful life events and health behaviors of Korean undergraduate students. J Korean Acad Nurs, 32(6), 792-802 https://doi.org/10.4040/jkan.2002.32.6.792
  19. Pascale, R. W., Wing, R. R., Butler, B. A., Mullen, M., & Bononi, P. (1995). Effects of a behavioral weight loss program stressing calorie restriction versus calorie plus fat restriction in obese individuals with NIDDM or a family history of diabetes. Diabetes Care, 18(9), 1241-1248 https://doi.org/10.2337/diacare.18.9.1241
  20. Schneider, S. H., & Elouzi, E. B. (2000). The role of exercise in type II diabetes mellitus. Prev Cardiol, 3(2), 77-82 https://doi.org/10.1111/j.1520-037X.2000.80365.x
  21. Song, Y. L. A., & Lee, K. S. (2006). The factors influencing Korean health behavior. J Korean Acad Nurs, 36(2), 330-340 https://doi.org/10.4040/jkan.2006.36.2.330
  22. Staessen, J. A., Fagard, R., Thijs, L., Celis, H., Arabidze, G. G., Birkenhager, W. H., Bulpitt, C. J., Dollery, C. T, Fletcher, A. E., Forette, F., Leonetti, G., Nachev, C., Rosenfeld, J., Rodicio, J. L., Tuomilehto, J., & Zanchetti, A. (1997). Randomised double-blind comparison of placebo and active treatment for older patients with isolated systolic hypertension: The systolic hypertension in Europe trial investigators. Lancet, 350, 757-764 https://doi.org/10.1016/S0140-6736(97)05381-6
  23. Superko, H. R., Nejedly, M., & Garrett, B. (2002). Small LDL and its clinical importance as a new CAD risk factor: A female case study. Prog Cardiovasc Nurs, 17(4), 167-173 https://doi.org/10.1111/j.0889-7204.2002.01453.x
  24. Takeda, Y., Kawachi, J., Yamagata, I., Hashimoto, S., Matsumura, Y., Oquri, S., & Okayama, A. (2006). The impact of multiplerole occupancy on health-related behaviors in Japan: Differences by gender and age. Public Health, 120(10), 966-975 https://doi.org/10.1016/j.puhe.2006.06.006
  25. Thompson, J. B., Rivera, J. J., Blumenthal, R. S., & Danyi, P, (2006), Primary prevention for patients with intermediate framingham risk scores. Curr Cardiol Rep, 8(4), 261-266 https://doi.org/10.1007/s11886-006-0056-4
  26. von Bothmer, M. I., & Fridlund, B. (2005). Gender differences in health habits and in motivation for a healthy lifestyle among Swedish university students. Nurs Health Study. 7(2), 107-118 https://doi.org/10.1111/j.1442-2018.2005.00227.x
  27. Wilson, M. C., & Ciliska, D. (1984). Lifestyle assessment: Development and use of the FANTASTIC checklist. Can Fam Physician, 30, 1527-1530
  28. Wilson, L. D. (1998). Rapid progression of coronary artery disease in the setting of chronic cocain abuse. J Emerg Med, 16(4), 631-634 https://doi.org/10.1016/S0736-4679(98)00058-4
  29. Yang, B. W. (2002). Understand and usage of multivariate data analysis. Seoul: Hack-ji
  30. Yoo, J. S.. Lee, S. J., Lee, H. c, Kim, S. H., Kang, E, S.. & Park, E. J. (2004). The effects of short term comprehensive life style modification program on glycenic metabolism, lipid metabolism and body composition in type 2 diabetes mellitus. J Korean Acad Nulrs, 34(7), 1277-1287 https://doi.org/10.4040/jkan.2004.34.7.1277