Change search
ReferencesLink to record
Permanent link

Direct link
Cardiovascular disease risk factor patterns and their implications for intervention strategies in Vietnam
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
Show others and affiliations
2012 (English)In: International Journal of Hypertension, ISSN 2090-0384, E-ISSN 2090-0392, 560397Article in journal (Refereed) Published
Abstract [en]

Background. Data on cardiovascular disease risk factors (CVDRFs) in Vietnam are limited. This study explores the prevalence of each CVDRF and how they cluster to evaluate CVDRF burdens and potential prevention strategies. Methods. A cross-sectional survey in 2009 (2,130 adults) was done to collect data on behavioural CVDRF, anthropometry and blood pressure, lipidaemia profiles, and oral glucose tolerance tests. Four metabolic CVDRFs (hypertension, dyslipidaemia, diabetes, and obesity) and five behavioural CVDRFs (smoking, excessive alcohol intake, unhealthy diet, physical inactivity, and stress) were analysed to identify their prevalence, cluster patterns, and social predictors. Framingham scores were applied to estimate the global 10-year CVD risks and potential benefits of CVD prevention strategies. Results. The age-standardised prevalence of having at least 2/4 metabolic, 2/5 behavioural, or 4/9 major CVDRF was 28%, 27%, 13% in women and 32%, 62%, 34% in men. Within-individual clustering of metabolic factors was more common among older women and in urban areas. High overall CVD risk (≥20% over 10 years) identified 20% of men and 5% of women—especially at higher ages—who had coexisting CVDRF. Conclusion. Multiple CVDRFs were common in Vietnamese adults with different clustering patterns across sex/age groups. Tackling any single risk factor would not be efficient.

Place, publisher, year, edition, pages
2012. 560397
National Category
Public Health, Global Health, Social Medicine and Epidemiology
URN: urn:nbn:se:umu:diva-55187DOI: 10.1155/2012/560397OAI: diva2:526187
Available from: 2012-05-10 Created: 2012-05-10 Last updated: 2015-07-13Bibliographically approved
In thesis
1. Understanding and managing cardiovascular disease risk factors in Vietnam: integrating clinical and public health perspectives
Open this publication in new window or tab >>Understanding and managing cardiovascular disease risk factors in Vietnam: integrating clinical and public health perspectives
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Background: Vietnam, like other low-income countries, is facing an epidemic burden of cardiovascular disease risk factors (CVDRFs). The magnitude and directions of CVDRF progression are matters of uncertainty.

Objectives: To describe the epidemiological progression of CVDRFs and the preventive effects of community lifestyle interventions, with reference to the differences in progression of CVDRF patterns between men and women.

Methods: The study was conducted during 2001-2009 in nationally representative samples and in a local setting of rural areas of Ba-Vi district, Ha-Tay province. Both epidemiological and interventional approaches were applied: (i) a population-based cross-sectional survey of 2,130 people aged ≥25 years in Thai-Binh and Hanoi; (ii) an individual participant-level meta analysis of 23,563 people aged 24-74 years from multiple similar surveys in 9 provinces around Vietnam; (iii) a 17-month cohort study of 497 patients in a hypertension management programme; (iv) a quasi-experimental trial on community lifestyle promotion integrated with a hypertension management programme, evaluated by surveys of 4,645 people in both intervention and reference communes before and after a 3-year intervention.

Main findings: (i) in the general adult population ≥25 years, CVDRFs were common, often clustered within individuals, and increased with age; (ii) the Vietnamese population is facing a growing epidemic of CVDRFs, which are generally not well managed; (iii) it is possible to launch a community intervention in low-resource settings within the scope of a commune-based patient-targeted programme on hypertension management; (iv) community health intervention with comprehensive healthy lifestyle promotion improves blood pressure and some behavioural CVDRFs.

Conclusion: Alarming increases in CVDRFs in the general population need comprehensive multi-level prevention strategies, which combine both individual high-risk and population health approaches. The commune-based hypertension-centred management programmes integrated with community health promotion are the initial but essential steps towards comprehensive and effective management of CVDRFs and should be part of an integrated and co-ordinated national program on the prevention and control of chronic diseases in low-resource settings like Vietnam.

Place, publisher, year, edition, pages
Umeå: Umeå universitet, 2012. 62 p.
Umeå University medical dissertations, ISSN 0346-6612 ; 1498
cardiovascular disease risk factors, epidemiology, prevention, hypertension, Vietnam, yếu tố nguy cơ bệnh tim mạch, dịch tễ học, dự phòng, tăng huyết áp, Việt Nam
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
urn:nbn:se:umu:diva-55132 (URN)978-91-7459-420-1 (ISBN)
Public defence
2012-06-01, Room 135, Family Medicine, Umeå University Hospital, Umeå, Sweden, 13:00 (English)
Available from: 2012-05-11 Created: 2012-05-09 Last updated: 2015-04-29Bibliographically approved

Open Access in DiVA

fulltext(1435 kB)54 downloads
File information
File name FULLTEXT01.pdfFile size 1435 kBChecksum SHA-512
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Search in DiVA

By author/editor
Nguyen, Ngoc QuangPham, Thai SonWall, StigWeinehall, LarsByass, Peter
By organisation
Epidemiology and Global Health
In the same journal
International Journal of Hypertension
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar
Total: 54 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 138 hits
ReferencesLink to record
Permanent link

Direct link