OBJECTIVE
To optimize the diagnostic and motivational aspects of the youth prevention system based on screening assessment of the characteristics of vascular aging in students.
MATERIAL AND METHODS
From 346 to 2245 people aged 18 to 25 were examined using various screening methods at the University Health Center. The examined individuals were divided into tercile groups by vascular stiffness (VS) indicators, such as the cardioankle vascular index CAVI (R and L) and the aortic augmentation index Aixao. The indicator values were determined using the VaSera-1500 sphygmometer (Fukuda Denshi Co., Ltd., Japan), BPLab software, and hardware complex for daily blood pressure monitoring (Pyotr Telegin LLC, Russia). VS was regarded as the main determinant of vascular aging. The lower tertile in this distribution of individuals of the same sex and age corresponded to a favorable or healthy state, the middle — to usual state, and the upper tercile denoted early vascular aging (EVA syndrome). Individual profiles of main risk factors (RF) were also determined.
RESULTS
We substantiated the quantitative parameters of three phenotypes of vascular aging in young people for two diagnostic technologies convenient for large-group screening. A negative trend in the frequency of major RFs in students during 6 years of university study was confirmed. The body weight (BW) example demonstrated an unexpected influence of RF on VS at a young age: BW elevation decreases the VS values. Angio screening has a significant psycho-motivational role for young people concerning their involvement in preventive measures. After angio screening, young people 3 times more frequently signed up for educational preventive cycles, and 7 more times people who underwent angio screening among those who completed such training.
CONCLUSION
Instrumental screening for VS should be more broadly integrated into preventive events for young people since it allows early diagnostics of arterial wall lesions as the target organ and effectively motivates young people to consciously master the preventive techniques of cardiometabolic health self-control.
