Abstract
Aim. To study the main risk factors on representative group of first-year students of StSMU during their screening, and on pilot group of students to study possible ways of influencing on these factors on CBP and its augmentation index. Material and methods. Totally 1351 first-year students screened for risk factors as inheritance of early onset of CVD, overweight, PH (prehypertension)/AH, smoking, chronic infectiousand immunity-related inflammations, wrong diet, hypodynamia, low stress resistibility, and for some of them — dyslipidemia and hyperglycemia (capillar test). In 80 patients, taken their risk factors, we assessed CBP and its augmentation index with diagnostical complex BPLab Vasotens Office (LLC “Piotr Telegin”, Nizhniy Novgorod). Results. Among first-year students with PH/AH overweight were each tenth, inheritance or focal infections — almost in each fifth. Wrong diet, hypodynamia and low stress resistibility are found in each fourth-fifth of enrolled in university. Absence of risk factors was found only in one fifth of first-graders. Most of them have two and more risk factors. Having these factors students usually had an increase of systolic, mean and pulse pressure in aorta, and augmentation index of central pulse pressure. Significantly more common in them is to find systemic and isolated central PH/AH. Conclusion. Regardless of young age and short anamnesis of adverse factors, students have preclinical, however quite clear damage of target organs such as vessel remodeling, including large vessels. It is necessary to implement broader into the centers of student healthcare and outpatient institutions the methods of CBP assessment as an office procedure with the aim of earlier vessel remodeling relevance during screening events with the aim for risk groups formation and control of efficacy of prevention procedures in such risk groups.
Highlights
артериальной гипертензии (АГ) — артериальная гипертензия, Д — диспансеризация, ИМТ — индекс массы тела, МТ — масса тела, ПГ — прегипертензия, ССР — сердечно-сосудистый риск, факторов риска (ФР) — факторы риска, ФССР — факторы сердечно-сосудистого риска, ЦАД — центральное аортальное давление, AIxao — индекс аугментации в аорте, ED — длительность периода изгнания левого желудочка, PPA — амплификация пульсового давления, SEVR — индекс эффективности субэндокардиального кровотока
It is necessary to implement broader into the centers of student healthcare and outpatient institutions the methods of CBP assessment as an office procedure with the aim of earlier vessel remodeling relevance during screening events with the aim for risk groups formation and control of efficacy of prevention procedures in such risk groups
В такие проекты целесообразно вкладывать финансы, так как, с одной стороны, ранняя профилактика — наиболее эффективная профилактика [1], а, с другой стороны, профилактика дешевле любого лечения [2]
Summary
АГ — артериальная гипертензия, Д — диспансеризация, ИМТ — индекс массы тела, МТ — масса тела, ПГ — прегипертензия, ССР — сердечно-сосудистый риск, ФР — факторы риска, ФССР — факторы сердечно-сосудистого риска, ЦАД — центральное аортальное давление, AIxao — индекс аугментации в аорте, ED — длительность периода изгнания левого желудочка, PPA — амплификация пульсового давления, SEVR — индекс эффективности субэндокардиального кровотока. Цель данного исследования — на представительном контингенте студенческой молодёжи изучить встречаемость основных ФССР у первокурсников в процессе их диспансеризации, а на пилотной группе оценить возможное влияние указанных факторов на показатели ЦАД и индекса его аугментации. Повышенный ИМТ фиксируется почти у 13% из числа всех студентов, причём среди юношей почти в два раза чаще, чем у сверстниц.
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