Surveillance des facteurs de risque des maladies cardiovasculaires en Tunisie: méthodologie et principaux résultats. Reference Type: Journal Article Record Number: 13 Author: Ben Romdhane, H.; Skhiri, H.; Bougatef, S.; Gharbi, D.; Ben Alaya, N.; Achour, N. Year: 2005 Title: Surveillance des facteurs de risque des maladies cardiovasculaires en Tunisie: méthodologie et principaux résultats. Journal: Tunis Med Volume: 83 Suppl 5 Pages: 8-13 Date: May Original Publication: Surveillance des facteurs de risque des maladies cardiovasculaires en Tunisie: methodologie et principaux resultats. Accession Number: 16094844 Abstract: OBJECTIVE: To assess the Cardiovascular risk factors trend in community based surveys. METHOD: Two population surveys were conducted in 1996-97 and 2000-01 in the Ariana region among 7608 adults 35-70 years aged. The surveys were based on: 1--a questionnary, 2--an anthropometrical and physical examination, 3--a biological investigation, and 4--an ECG registration for the second cohort. RESULTS: Relative to the first survey, the prevalence of hypertension, diabetes, hypercholesterolemia didn't change significantly while borderline cholesterol increased on both genders, tobacco smoking decreased and ex-smokers increased on men. In both genders, hypertension and diabetes prevalence is low before 50 years but it increased after this age. Risk factors association is common: about 35% have more than two risk factors. This association is more common on women and diabeteshypertension is the most frequent. CONCLUSION: These two surveys integrated in a global surveillance program has contributed to assess the CVDs burden and to identify priorities and intervention relevant to epidemiological region context. Notes: 0041-4131 Journal Article URL: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation& list_uids=16094844 Author Address: Laboratoire de recherche en epidemiologie et prevention des maladies cardiovasculaires en Tunisie, Institut National de Sante Publique. Reference Type: Journal Article Record Number: 12 Author: Ben Romdhane, H.; Bougatef, S.; Skhiri, H.; Gharbi, D.; Haouala, H.; Achour, N. Year: 2005 Title: Prévalence des cardiopathies ischémiques: résultats d'un dépistage en population. Journal: Tunis Med Volume: 83 Suppl 5 Pages: 14-8 Date: May Original Publication: Prévalence des cardiopathies ischémiques: résultats d'un dépistage en population. Accession Number: 16094845 Abstract: OBJECTIVE: A cross-sectional population survey was carried out in the Ariana region in 2000-01. The aim of this study is to report the prevalence of CHD as indicated by ECG Minnesota coding. METHOD: A randomly selected sample included 1837 adults 40-70 years. Data on socio-economic status, demographic, medical history, health behaviour, clinical and biological investigations were recorded. Risk factors (hypertension, dyslipedemia, obesity, diabetes) are defined according to WHO criterias. Standard supine 12 lead ECGs were recorded. All ECGs are red and classified according to the Minnesota codes criteria on CHD probable, CHD possible and on Major abnormalities and minor abnormalities. RESULTS: CHD prevalence was higher on women. Major abnormalities are more common on women (20.6% vs 13%), while minor abnormalities prevalence was higher on men (15.5% vs 7.5%) (p<0.0001). The prevalence increased with age in both genders. CONCLUSION: This study tested how feasible is the population approach on CVDs surveillance. It highlighted the burden of cardiovascular diseases and support that women are at risk as men are. The value of ECG findings must be integrated in the cardiovascular diseases surveillance to identify high risk population. Notes: 0041-4131 Journal Article URL: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation& list_uids=16094845 Author Address: Laboratoire de recherche en epidemiologie et prevention des maladies cardiovasculaires en Tunisie, Institut National de Sante Publique.