Cardiovascular Mortality Risk Factors in The Northeast of Iran: A Four-Year Cohort Study

Document Type : Research Paper

Authors

1 Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Department of Community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

3 International UNESCO Center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Department of General Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.

10.22038/jnfh.2023.69911.1426

Abstract

Introduction: Cardiovascular diseases (CVD) have been recognized as the leading causes of death worldwide and in Iran. Deaths from CVD diseases accounted for approximately 39.42% of Razavi Khorasan Province (RKP). In this study, the risk factors associated with CVD mortality in the residents of RKP were evaluated. Method: This retrospective cohort study was done based on recorded information from the Vic Chancellery of Health Questionnaires of KRP (2016–2019). Results: Overall, 2,304,156 participants entered the study. CVD deaths made up about 50% of total deaths. The opium use, history of heart attack, BMI ≥ 40 kg/m2, homemade alcohol, FBS mg/dL>126, diabetes, BMI ≥ 30 kg/m2, and always using salt, Systolic blood pressure, Framingham risk score, and age were CVD risk factors, respectively (OR 6.59, 4.91, 3.25, 2.64, 2.00, 1.99, 1.89, 1.80, 1.09, 1.04, and 1.03, P = 0.001). Also, higher educational level, female gender, BMI 25-27 kg/m, healthier eating habits (higher consumption of dairy, fruits, and vegetables), moderate exercise, and aspirin use were identified as protective factors. Conclusion:  In this study, behavioural risk factors, opium use, BMI ≥ 40 and≥ 30 kg/m2, homemade alcohol, salt, medical history, heart attacks, and diabetes were identified as important CVD risk factors. Also, a higher educational level, female gender, BMI 25-27 kg/m2, healthier eating habits (higher consumption of dairy products, fruits, and vegetables), exercise, and aspirin were protective factors in KRP, especially in Dargaz, and they may be the cause of increasing sudden deaths, especially heart attacks.

Keywords

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History

  • Receive Date: 24 January 2023
  • Revise Date: 18 March 2023
  • Accept Date: 28 March 2023
  • First Publish Date: 28 March 2023

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