Original Research
National Prevalence of Self-Reported Coronary Heart Disease and Chronic Stable Angina Pectoris: Factor Analysis of the Underlying Cardiometabolic Risk Factors in the SuRFNCD-2011
Authors:
Mehrshad Abbasi,
Department of Nuclear Medicine, Vali-Asr Hospital, Tehran University of Medical Sciences, Tehran, IR
Mohamadreza Neishaboury,
Endocrinology and Metabolism Research Center (EMRC), Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, IR
Jalil Koohpayehzadeh,
Center for Disease Control, Ministry of Health and Medical Education, Tehran, IR
Koorosh Etemad,
Center for Disease Control, Ministry of Health and Medical Education, Tehran, IR
Alipasha Meysamie,
Department of Preventive Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, IR
Fereshteh Asgari,
Center for Disease Control, Ministry of Health and Medical Education, Tehran, IR
Sina Noshad,
Endocrinology and Metabolism Research Center (EMRC), Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, IR
Mohsen Afarideh,
Endocrinology and Metabolism Research Center (EMRC), Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran; Tehran Heart Center, Tehran University of Medical Sciences, Tehran, IR
Alireza Ghajar,
Endocrinology and Metabolism Research Center (EMRC), Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, IR
Morsaleh Ganji,
Endocrinology and Metabolism Research Center (EMRC), Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, IR
Ali Rafei,
Center for Disease Control, Ministry of Health and Medical Education, Tehran, IR
Mostafa Mousavizadeh,
Endocrinology and Metabolism Research Center (EMRC), Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, IR
Elias Khajeh,
Endocrinology and Metabolism Research Center (EMRC), Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, IR
Behnam Heidari,
Endocrinology and Metabolism Research Center (EMRC), Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, IR
Mohammad Saadat,
Endocrinology and Metabolism Research Center (EMRC), Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran; Tehran Heart Center, Tehran University of Medical Sciences, Tehran, IR
Manouchehr Nakhjavani,
Endocrinology and Metabolism Research Center (EMRC), Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, IR
Alireza Esteghamati
Endocrinology and Metabolism Research Center (EMRC), Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, IR
Abstract
Background: Coronary heart disease (CHD) is one of the most common causes of mortality worldwide. The national prevalence remains unclear in most of the developing countries.
Objective: This study sought to estimate national prevalence of self-reported CHD and chronic stable angina pectoris in the general adult population of Iran using data from the fourth round of the Surveillance of Risk Factors of Non-Communicable Diseases (SuRFNCD-2011) survey.
Methods: The analysis comprised data of 11,867 civilian, nonhospitalized and noninstitutionalized residents ages 6 to 70 years of age. The calculated prevalence of self-reported CHD and chronic stable angina pectoris were extrapolated to the Iranian adult population who were >20 years old using the complex sample analysis. The factor analysis was performed for clustering of the associated cardiometabolic risk factors among people ages >40 years of age.
Results: The estimated national prevalence of self-reported CHD and chronic stable angina pectoris were 5.3% (95% confidence interval: 4.6 to 5.9) and 7.7% (95% confidence interval: 4.6 to 8.7), respectively. Higher prevalence of these conditions were observed among the older people, urban residents, and women. Factor analysis generated 4 distinct factors that were mainly indicators of dyslipidemia, hypertension, central obesity, hyperglycemia, and tobacco smoking. The factor incorporating hypertension was a significant correlate of selfreported CHD.
Conclusions: We report concerning prevalence of self-reported CHD and chronic stable angina pectoris in the adult population of Iran. The constellation of raised systolic and diastolic blood pressures was significantly predictive of the presence of self-reported CHD.
Highlights
- The prevalence of self-reported CHD and chronic stable angina pectoris was determined in the adult population of Iran in 2011.
- The estimated national prevalence of self-reported CHD was calculated at 5.3% (95% CI: 4.6 to 5.9).
- The estimated national prevalence of chronic stable angina pectoris was calculated at 7.7% (95% CI: 4.6 to 8.7).
- Hypertension was an independent correlate of self-reported CHD and chronic angina pectoris among Iranian adult population.
- Monitoring people with raised SBP and DBP should be the focus of future nationwide CHD prevention programs.
How to Cite:
Abbasi M, Neishaboury M, Koohpayehzadeh J, Etemad K, Meysamie A, Asgari F, et al.. National Prevalence of Self-Reported Coronary Heart Disease and Chronic Stable Angina Pectoris: Factor Analysis of the Underlying Cardiometabolic Risk Factors in the SuRFNCD-2011. Global Heart. 2018;13(2):73–82. DOI: http://doi.org/10.1016/j.gheart.2018.01.001
Published on
01 Jun 2018.
Peer Reviewed
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