Preview

Rational Pharmacotherapy in Cardiology

Advanced search

FEATURES OF SEASONAL CARDIOVASCULAR MORTALITY IN WINTER IN RUSSIAN REGIONS WITH DIFFERENT CLIMATIC AND GEOGRAPHICAL CHARACTERISTICS

https://doi.org/10.20996/1819-6446-2013-9-6-627-632

Full Text:

Abstract

Aim. To study seasonal changes in cardiovascular mortality in winter in Arkhangelsk, Ivanovo and Saratov regions – Russian regions with different climatic and geographical characteristics.
Material and methods. Comparison of mortality in Arkhangelsk, Ivanovo and Saratov regions in 2007-2012 in January-March, December and April-November was performed by multivariate analysis of variance. Significance of differences was assessed by t-test of analysis of variance using programme GLM of SAS system.
Results. Significantly higher cardiovascular mortality in population of Arkhangelsk (by 12.0%), Ivanovo (by 13.4%) and Saratov (by 11.5%) regions, as well as higher overall death-rate, during January-March, December, compared with April-November (p<0.0001) were found. Cardiovascular mortality decreased from 2007 to 2012 by 32.4% and by 32.9% per year and per January-March, December, respectively (p<0.0001). Higher cardiovascular mortality in the cold months of the year persisted in 2007-2012 and was higher than mortality per whole year by 8-14%. This difference in mortality did not decrease significantly (p>0.05).
Conclusion. These findings point out the necessity of elaboration and implementation of the measures to prevent a winter increase in mortality, including the prevention of negative impact on the population of lowtemperature air, seasonal prophylaxis of acute respiratory viral infection, influenza and its complications, pharmacologic and non-pharmacologic prevention of cardio-vascular complications.

About the Authors

S. A. Boytsov
State Research Centre for Preventive Medicine, Moscow
Russian Federation


M. M. Lukyanov
State Research Centre for Preventive Medicine, Moscow
Russian Federation


A. V. Kontsevaya
State Research Centre for Preventive Medicine, Moscow
Russian Federation


A. D. Deev
State Research Centre for Preventive Medicine, Moscow
Russian Federation


Yu. A. Balanova
State Research Centre for Preventive Medicine, Moscow
Russian Federation


A. V. Kapustina
State Research Centre for Preventive Medicine, Moscow
Russian Federation


V. G. Klyashtorny
State Research Centre for Preventive Medicine, Moscow
Russian Federation


M. B. Hudyakov
State Research Centre for Preventive Medicine, Moscow
Russian Federation


References

1. Protecting health in terms of climate change impacts on the environment: European Regional Framework for Action. Available at: http://www.euro.who.int/data/assets/pdf_file/0009/95886/Par- ma_EH_Conf_rdoc06rev1.pdf. Accessed 22.12.2013. Russian (Защита здоровья в условиях воздействия изменения климата на окружающую среду: Европейская региональная рамочная программа действий. Доступна на: http://www.euro.who.int/data/assets/pdf_file/0009/95886/Parma_EH_Conf_rdoc06rev1.pdf. Дата доступа 22.12.2013).

2. Climate change and health. WHO fact sheet number 266. November 2013. Available at: http://www.who.int/mediacentre/factsheets/fs266/ru/index.html. Accessed 22.12.2013. Russian (Изменение климата и здоровье. Информационный бюллетень ВОЗ №266. Ноябрь 2013. Доступно на: http://www.who.int/mediacentre/factsheets/fs266/ru/index.html. Дата доступа 22.12.2013).

3. Michelozzi P, Kirchmayer U, Katsouyanni K, et al. Assessment and prevention of acute health effects of weather conditions in Europe, the PHEWE project: background, objectives, design. Environmental Health 2007; 6:12.

4. Revich B. Changing the health of the Russian population in a changing climate. Problems of Forecasting 2010; (3):140-50. Russian (Ревич Б.А. Изменение здоровья населения России в условиях меняющегося климата. Проблемы Прогнозирования 2010;(3):140-50).

5. Fomina NV, Altarev SS, Barbarash OL. Annual biological rhythms as an additional risk factor for death in patients with ischemic heart disease. Circulation Pathology and Surgery 2007; (1) :44-7. Russian (Фомина Н.В., Алтарев С.С., Барбараш О.Л. Годовые биологические ритмы как дополнительный фактор риска смерти при ишемической болезни сердца. Патология Кровообращения и Кардиохирургия 2007; (1):44-7).

6. Afanasyeva GA, Panova TN. Seasonal variations in mortality from complications of hypertension in Astrakhan. Astrakhan Medical Journal 2010; 5 (3): 134-8. Russian (Афанасьева Г.А. Панова Т.Н. Сезонные колебания смертности от осложнений артериальной гипертонии в г. Астрахани. Астраханский Медицинский Журнал 2010;5(3): 134-8).

7. Healy JD. Excess winter mortality in Europe: a cross country analysis identifying key risk factors. J Epidemiol Community Health 2003; 57:784-9.

8. Donaldson GC, Keatinge WR. Excess winter mortality: influenza or cold stress? BMJ 2002; 324:89-90.

9. Reichert TA, Simonsen L, Sharma A, et al. Influenza and the winter increase in mortality in the United States, 1959-1999. Am J Epidemiol 2004; 160:492-502.

10. Statistics Weather Russian cities. Available in: http://www.atlas-yakutia.ru/weather/climate_russia-III.html. Accessed 22.12.2013. Russian (Статистика погоды городов России. Доступна на: http://www.atlas-yakutia.ru/weather/climate_russia-III.html. Дата доступа 22.12.2013).

11. Health and demographic indicators of the Russian Federation in 2008: Statistic Handbook. Moscow: Health Ministry of Russia; 2009. Russian (Медико-демографические показатели Российской Федерации в 2008 году: Статистический Справочник. М.: Минздравсоцразвития России; 2009).

12. Health and demographic indicators of the Russian Federation in 2009: Statistical Handbook. Moscow: Health Ministry of Russia; 2010. Russian (Медико-демографические показатели Российской Федерации в 2009 году: Статистический Справочник. М.: Минздравсоцразвития России; 2010).

13. Health and demographic indicators of the Russian Federation in 2010: Statistical Handbook. Moscow: Health Ministry of Russia; 2011. Russian (Медико-демографические показатели Российской Федерации в 2010 году: Статистический Справочник. М.: Минздравсоцразвития России; 2011).

14. Health and demographic indicators of the Russian Federation in 2011: Statistical Handbook. Moscow: Health Ministry of Russia; 2013. Russian (Медико-демографические показатели Российской Федерации в 2011 году: Статистический Справочник. М.: Минздравсоцразвития России; 2013).

15. Health and demographic indicators of the Russian Federation in 2012: Statistical Handbook. Moscow: Health Ministry of Russia; 2013. Russian (Медико-демографические показатели Российской Федерации в 2012 году: Статистический Справочник. М.: Минздравсоцразвития России; 2013).

16. Analitis A, Katsouyanni K, Biggeri A, et al. Effects of Cold Weather on Mortality: Results From 15 European Cities Within the PHEWE Project. Am J Epidemiol 2008; 168 (12): 1397-408.

17. Eng H, Mercer JB. Seasonal Variations in Mortality Caused by Cardiovascular Diseases in Norway and Ireland. European Journal of Preventive Cardiology 1998; 5(2): 89-95.

18. Xu B, Liu H, Su N. Association between winter season and risk of death from cardiovascular diseases: A study in more than half a million inpatients in Beijing, China. BMC Cardiovascular Disorders 2013; 13:93.

19. Tanner LM, Moffatt S, Milne EMG et al. Socioeconomic and behavioural risk factors for adverse winter health and social outcomes in economically developed countries: a systematic review of quantitative observational studies J Epidemiol Community Health 2013;67: 1061-7.

20. Warren-Gash C, Hayward AC, Hemingway H, et al. Influenza Infection and Risk of Acute Myocardial Infarction in England and Wales: A CALIBER Self-Controlled Case Series Study. J Infect Dis 2012 ; 206 (11): 1652-9.


For citation:


Boytsov S.A., Lukyanov M.M., Kontsevaya A.V., Deev A.D., Balanova Yu.A., Kapustina A.V., Klyashtorny V.G., Hudyakov M.B. FEATURES OF SEASONAL CARDIOVASCULAR MORTALITY IN WINTER IN RUSSIAN REGIONS WITH DIFFERENT CLIMATIC AND GEOGRAPHICAL CHARACTERISTICS. Rational Pharmacotherapy in Cardiology. 2013;9(6):627-632. (In Russ.) https://doi.org/10.20996/1819-6446-2013-9-6-627-632

Views: 445


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1819-6446 (Print)
ISSN 2225-3653 (Online)