[en] BACKGROUND: Despite the remarkable technological progress in health care and treatment, cardiovascular disease remains the leading cause of premature death, prolonged hospitalization and disability in most European countries. In the population of the Greater Region (Grand-Duchy of Luxembourg, Wallonia in Belgium, and Lorraine in France), the prevalence of cardiovascular risk factors and disease is among the highest in Europe, warranting the need for a better understanding of factors contributing to this pattern. In this context, the cross-border "Nutrition, Environment and Cardiovascular Health-NESCAV" project is initiated by an inter-regional multi-disciplinary consortium and supported by the INTERREG IV A program "Greater Region", 2007-2013, to fight synergically and harmoniously against this major public health problem. METHODS/DESIGN: The objectives of the three-year planned project are to assess, in a representative sample of 3000 randomly selected individuals living at the Greater Region, 1) the cardiovascular health and risk profile, 2) the association between the dietary habits and the cardiovascular risk, 3) the association of occupational and environmental pollution markers with the cardiovascular risk, 4) the knowledge, awareness and level of control of cardiovascular risk factors, 5) the potential gaps in the current primary prevention, and finally, to address evidence-based recommendations enabling the development of inter-regional guidance to help policy-makers and health care workers for the prevention of cardiovascular disease. DISCUSSION: The findings will provide tools that may enable the Greater Region's decision-makers and health professionals to implement targeted and cost-effective prevention strategies.
Disciplines :
General & internal medicine
Author, co-author :
Alkerwi, Ala'a
Guillaume, Michèle ; Université de Liège - ULiège > Département des sciences de la santé publique > Informatique médicale et biostatistique - Santé publique : aspects spécifiques
Zannad, Faiez
Laufs, Ulrich
Lair, Marie-Lise
Language :
English
Title :
Nutrition, environment and cardiovascular health (NESCAV): protocol of an inter-regional cross-sectional study.
European cardiovascular disease statistics. MPS Rayner, 2000
Guidelines on cardiovascular disease prevention in clinical practice: the European perspective. IM Graham, Curr Opin Cardiol 2005 20 5 430 439 10.1097/01.hco.0000176405.56119.54 16093763
Report of the inter-regional groupe of work on the Project Ple de prévention cardiovasculaire transfrontalier-INTERREG IIIA, Mortalité, morbidité et facteurs de risque cardiovasculaire en Wallonie, Lorraine, Luxembourg - Recensement des données existantes, comparaisons et premières conclusions. 2005
Air pollution and cardiovascular disease: a statement for healthcare professionals from the Expert Panel on Population and Prevention Science of the American Heart Association. RD Brook B Franklin W Cascio Y Hong G Howard M Lipsett R Luepker M Mittleman J Samet SC Smith Jr, et al. Circulation 2004 109 21 2655 2671 10.1161/01.CIR.0000128587.30041.C8 15173049
AHA Guidelines for Primary Prevention of Cardiovascular Disease and Stroke: 2002 Update: Consensus Panel Guide to Comprehensive Risk Reduction for Adult Patients Without Coronary or Other Atherosclerotic Vascular Diseases. American Heart Association Science Advisory and Coordinating Committee. TA Pearson SN Blair SR Daniels RH Eckel JM Fair SP Fortmann BA Franklin LB Goldstein P Greenland SM Grundy, et al. Circulation 2002 106 3 388 391 10.1161/01.CIR.0000020190.45892.75 12119259
Rapport SurF1. Surveillance des facteurs de risque liés aux maladies non transmissibles: état actuel des données mondiales. K Strong R Bonita, Organisation mondiale de la santé 2003
Sample Size Determination in Health Studies: A Practical Manual. SK Lwanga S Lemeshow, 1991
The Study of Health Assessment and Risk in Ethnic groups (SHARE): rationale and design. The SHARE Investigators. SS Anand S Yusuf V Vuksan S Devanesen P Montague L Kelemen J Bosch C Sigouin KK Teo E Lonn, et al. Can J Cardiol 1998 14 11 1349 1357 9854515
Background and rationale behind the SU.VI.MAX Study, a prevention trial using nutritional doses of a combination of antioxidant vitamins and minerals to reduce cardiovascular diseases and cancers. SUpplementation en VItamines et Mineraux AntioXydants Study. S Hercberg P Galan P Preziosi AM Roussel J Arnaud MJ Richard D Malvy A Paul-Dauphin S Briancon A Favier, Int J Vitam Nutr Res 1998 68 1 3 20 9503043
First nationwide survey on cardiovascular risk factors in Grand-Duchy of Luxembourg (ORISCAV-LUX). A Alkerwi N Sauvageot AF Donneau ML Lair S Couffignal J Beissel C Delagardelle Y Wagener A Albert M Guillaume, BMC Public Health 2010 10 468 10.1186/1471-2458-10-468 20698957
Comparison of participants and non-participants to the ORISCAV-LUX population-based study on cardiovascular risk factors in Luxembourg. A Alkerwi N Sauvageot S Couffignal A Albert ML Lair M Guillaume, BMC Med Res Methodol 2010 10 80 10.1186/1471-2288-10-80 20819238
Contemporary awareness and understanding of cholesterol as a risk factor: results of an American Heart Association national survey. IS Nash L Mosca RS Blumenthal MH Davidson SC Smith Jr RC Pasternak, Archives of internal medicine 2003 163 13 1597 1600 10.1001/archinte.163.13.1597 12860584
Awareness and control of hypertension in Austria. A Rieder, J Hum Hypertens 2004 18 8 535 537 10.1038/sj.jhh.1001687 14961046
Physician attitudes and practices and patient awareness of the cardiovascular complications of diabetes. CN Merz JB Buse D Tuncer GB Twillman, Journal of the American College of Cardiology 2002 40 10 1877 1881 10.1016/S0735-1097(02)02529-9 12446074
Preventive cardiology by lifestyle intervention: opportunity and/or challenge? Presidential address at the 2005 American Heart Association Scientific Sessions. RH Eckel, Circulation 2006 113 22 2657 2661 10.1161/CIRCULATIONAHA.106.175744 16754814
Cardiovascular disease knowledge and risk perception among underserved individuals at increased risk of cardiovascular disease. CJ Homko WP Santamore L Zamora G Shirk J Gaughan R Cross A Kashem S Petersen AA Bove, J Cardiovasc Nurs 2008 23 4 332 337 18596496
AHA/ACCF [corrected] 2009 performance measures for primary prevention of cardiovascular disease in adults: a report of the American College of Cardiology Foundation/American Heart Association task force on performance measures (writing committee to develop performance measures for primary prevention of cardiovascular disease): developed in collaboration with the American Academy of Family Physicians; American Association of Cardiovascular and Pulmonary Rehabilitation; and Preventive Cardiovascular Nurses Association: endorsed by the American College of Preventive Medicine, American College of Sports Medicine, and Society for Women's Health Research. RF Redberg EJ Benjamin V Bittner LT Braun DC Goff Jr S Havas DR Labarthe MC Limacher DM Lloyd-Jones S Mora, et al. Circulation 2009 120 13 1296 1336 10.1161/CIRCULATIONAHA.109.192617 19770388
The National Cholesterol Education Program: progress and prospects. JI Cleeman C Lenfant, JAMA 1998 280 24 2099 2104 10.1001/jama.280.24.2099 9875878
Effects of communitywide education on cardiovascular disease risk factors. The Stanford Five-City Project. JW Farquhar SP Fortmann JA Flora CB Taylor WL Haskell PT Williams N Maccoby PD Wood, JAMA 1990 264 3 359 365 10.1001/jama.264.3.359 2362332
Primary prevention of cardiovascular diseases in people with diabetes mellitus: a scientific statement from the American Heart Association and the American Diabetes Association. JB Buse HN Ginsberg GL Bakris NG Clark F Costa R Eckel V Fonseca HC Gerstein S Grundy RW Nesto, et al. Circulation 2007 115 1 114 126 10.1161/CIRCULATIONAHA.106.179294 17192512
Explanations of socioeconomic differences in excess risk of type 2 diabetes in Swedish men and women. EE Agardh A Ahlbom T Andersson S Efendic V Grill J Hallqvist CG Ostenson, Diabetes care 2004 27 3 716 721 10.2337/diacare.27.3.716 14988291
Socioeconomic factors and cardiovascular disease: a review of the literature. GA Kaplan JE Keil, Circulation 1993 88 4 Pt 1 1973 1998 8403348
Educational inequalities in the metabolic syndrome and coronary heart disease among middle-aged men and women. K Silventoinen J Pankow P Jousilahti G Hu J Tuomilehto, Int J Epidemiol 2005 34 2 327 334 10.1093/ije/dyi007 15659460