Prevalence of traditional cardiovascular risk factors for coronary artery disease and elevated fibrinogen among active military personnel in Republic of Serbia: A cross-sectional study

It is well known that less than 1% of the population achieves ideal cardiovascular health, and 65% of patients do not have their conventional risk biomarkers under control. Military service has its own particularities that may contribute to cardiovascular risk.To define the preventive strategy goals, we analysed the prevalence of traditional cardiovascular risk factors for coronary artery disease and elevated fibrinogen among active military personnel in the Republic of Serbia.The cross-sectional study included 738 individuals older than 20 years, mostly between 31 and 40 years old. The mean value of SBP for the whole group was 122.39± 9.42 mmHg, and for the DBP, it was 79.94±6.56 mmHg. Among active military personnel, 72.7% (533) had prehypertension, and 13.8% (101) was hypertensive. Both body mass and BMI index among the observed age subgroups were found to increase with the age of the patients and cholesterol values. HDL cholesterol values also differed statistically significantly between age subgroups, with the proportion of individuals with HDL less than 1.5 mmol/L in all subgroups being about 85%, the only in the 41-50 age group was lower, 76.4%. LDL cholesterol and the proportion of individuals who had LDL 3.5 increases with the age of patients, and an identical trend was recorded with triglycerides. With ageing, fibrinogen levels increased.Those findings considering cardio and cerebrovascular risk factors would help create a new approach for primary prevention for these categories of individuals.Dobro je poznato da manje od 1% populacije ima idealno kardiovaskularno zdravlje, kao i da 65% pacijenata nema kontrolu nad konvencionalnim biomarkerima rizika. Vojna služba ima svoje osobitosti koje mogu doprineti kardiovaskularnom riziku.Da bismo definisali ciljeve preventivne strategije, analizirali smo prevalenciju tradicionalnih kardiovaskularnih faktora rizika za koronarnu arterijsku bolest i povišenog fibrinogena među aktivnim vojnim licima vojske Republike Srbije.Studija preseka je obuhvatila 738 osoba starijih od 20 godina, uglavnom između 31 i 40 godina. Srednja vrednost SBP-a za celu grupu bila je 122,39 ± 9,42 mmHg, a za DBP 79,94 ± 6,56 mmHg. Među ispitivanom populacijom 72.7% (533) je imalo prehipertenziju, a 13,8% (101) hipertenziju. Utvrđeno je da se i telesna masa i indeks telesne mase među posmatranim starosnim podgrupama povećavaju sa godinama pacijenata, kao i vrednosti ukupnog holesterola. Vrednosti HDL holesterola su se takođe statistički značajno razlikovale među starosnim podgrupama, pri čemu je udeo pojedinaca sa HDL-om manjim od 1,5 mmol/L u svim podgrupama bio oko 85%, dok je jedino u starosnoj grupi od 41-50 godina bio niži, 76,4%. LDL holesterol, kao i udeo pojedinaca koji su imali LDL ³ 3,5, raste sa starenjem pacijenata, a identičan trend je zabeležen i kod triglicerida. Sa starenjem, nivo fibrinogena se povećava.Dobijeni rezultati koji se odnose na kardio i cerebrovaskularne faktore rizika bi mogli doprineti stvaranju novog pristupa u primarnoj prevenciji kod ovih kategorija bolesnika.