Revista Española de Cardiología (English Edition) Revista Española de Cardiología (English Edition)
Rev Esp Cardiol. 2008;61:1030-40 - Vol. 61 Num.10 DOI: 10.1016/S1885-5857(09)60006-2

Prevalence, Geographic Distribution, and Geographic Variability of Major Cardiovascular Risk Factors in Spain. Pooled Analysis of Data From Population-Based Epidemiological Studies: The ERICE Study

Rafael Gabriel a, Margarita Alonso a, Antonio Segura b, María J Tormo c, Luis M Artigao d, José R Banegas e, Carlos Brotons f, Roberto Elosua g, Arturo Fernández-Cruz h, Javier Muñiz i, Blanca Reviriego j, Fernando Rigo a

a Unidad de Epidemiología Clínica-Investigación y Red RECAVA, Hospital Universitario La Paz, Madrid, Spain
b Instituto de Ciencias de la Salud-Enfermedades Cardiovasculares de Castilla-La Mancha, Talavera de la Reina, Toledo, Spain
c Sección de Estudios Epidemiológicos, Consejería de Sanidad y Consumo de la Región de Murcia, Murcia, Spain
d Grupo GEVA, Albacete, Spain
e Departamento de Salud Pública, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, Spain
f CAP Sardenya, Red RECAVA, Barcelona, Spain
g Unidad de Epidemiología Cardiovascular y Nutricional, Instituto Municipal de Investigaciones Médicas (IMIM), Barcelona, Spain
h Centro de Prevención Cardiovascular, Hospital Clínico San Carlos, Madrid, Spain
i Instituto Universitario de Ciencias de la Salud de la Universidad de La Coruña, Red RECAVA, La Coruña, Spain
j Grupo CORSAIB, IB-Salut, Palma de Mallorca, Islas Baleares, Spain

Keywords

Epidemiology. Cardiovascular risk factors. Geographic variability. Spain.

Abstract

Introduction and objectives. To determine the prevalence and geographic distribution of major cardiovascular risk factors in the Spanish population. To investigate whether geographic variability exists. Methods. Data were pooled from eight cross-sectional epidemiologic studies carried out in Spain between 1992 and 2001 whose methodological quality satisfied predefined criteria. Individual data were reassessed and analyzed by age group (20-44 years, 45-64 years, and ≥65 years), sex, and geographic area. The study population included 19 729 individuals. Mean values and unadjusted and adjusted prevalence rates were derived for various risk factors. Results. The most common cardiovascular risk factors in the Spanish population were, in descending order: hypercholesterolemia (ie, total cholesterol >200 mg/dL) in 46.7%, hypertension in 37.6%, smoking in 32.2%, obesity in 22.8%, and diabetes mellitus in 6.2%. The mean values for blood pressure, body mass index, high-density lipoprotein cholesterol, and glycemia varied considerably with age, sex, and geographic area. The highest levels of cardiovascular risk factors were observed in Mediterranean and south-eastern areas of the country and the lowest, in northern, and central areas. Conclusions. The prevalence of major cardiovascular risk factors in Spain was high. Their distribution varied considerably with geographic area.

1885-5857/© 2008 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved

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