A sedentary lifestyle and physical inactivity affects more than half of the population worldwide. Despite the burdens that obesity and diabetes impose on our society, awareness of the cardiovascular disease as a result, is poor. What about primary prevention of cardiovascular diseases in our population with obesity and diabetes?
To investigate the feasibility in our daily practice of Cardiovascular (CV) primary prevention in Algerian patients without established cardiovascular disease.
A cohort of 517 patients mean age 58.9 ± 12.2 years, of them 318 women (61.5%), was enrolled in an observational prospective multicenter study in 2008. The global cardiovascular risk was assessed according both to the European Score chart low risk and to the risk chart from the European Society of Hypertension. Current situation of the knowledge of the healthy lifestyle was tested.
We have examined these patients within the setting of hypertension, diabetes, valvulopathies, dyspnea, noncardiac surgery cardiovascular assessment, and chest pain. No physical activity in the women. Cardiovascular risk assessment of this cohort showed that European Score low risk underestimates the risk as compared to ESH risk chart and this suggests to use preferably for our patients both European Score chart high risk and the risk chart from ESH.
Given the already increasing numbers of obesity diabetes and hypertension in our country, we should work together with the governments to decrease the aggressive marketing of high-calorie food and to support women for physical activity.