To effectively reduce the cardiovascular (CV) diseases it is necessary to develop a long-term system of primary prevention among young people. The development of such system starting from the stage of predictive diagnostics looks especially promising from the standpoint of the modern concept of the phenotypes of vascular aging.
OBJECTIVE
Assess whether young people (YP) belong to different vascular phenotypes depending on body mass index (BMI) and gender.
MATERIAL AND METHODS
96 boys and 175 girls (271 YPs in total) aged 18 to 25 were examined at the health center of the StSMU. All YPs were divided into quartile groups for the vascular stiffness index, the cardiovascular vascular index (CAVI) which was determined using the VaSera-1500 diagnostic complex (Fukuda Denshi, Japan). According to the latest recommendations of international experts the fourth quartile of this distribution corresponds to premature vascular aging or early vascular aging syndrome; and the first quartile corresponds to favorable vascular aging. The representation of young carriers of overweight, normal and deficient body weight (BW) in each of the four CAVI quartiles was analyzed. Data processing was carried out using the Statistica 10.0 software package (StatSoft Inc., USA).
RESULTS
Most YPs with signs of overweight and obesity are presented in the lower two quartiles and the overwhelming majority of YPs with insufficient BM are in the upper two CAVI-quartile groups. Normal weight YPs were distributed evenly across CAVI-quartile groups. Gender differences were revealed among YPs in terms of predisposition to EVA syndrome and favorable vascular aging depending on height and weight characteristics.
CONCLUSION
It is useful to take into account the obtained data when conducting prophylactic medical examination of young people in order to form more differentiated groups of CV risk for further implementation of individualized programs of preventive interventions, taking into account the peculiarities assessment of vascular aging phenotype of each young person.