Family history: a vital predictor of cardiovascular health

  • Authors

    • Jaspinder Kaur ECHS Polyclinic
    2014-05-08
    https://doi.org/10.14419/ijh.v2i1.2402
  • Objective: Family history, one of the traditional tools in clinical medicine, is frequently neglected which can be used to identify persons at increased cardiovascular disease (CVD) risk. The present study aimed to determine the influence of family history on cardiovascular health.

    Methodology: A cross sectional study was conducted on the retired defense personnel to study the relation of socio-demographic variables, physical activity, body mass index, sleep, stress and metabolic syndrome with family history from Jun to Oct, 2013. Chi Square test was used with statistical significance of P value <0.05.

    Results: A positive family history was reported among 32.77% of the study subjects with statistically significant higher recording by females (60.87%; P <0.01), those who were aged 20-60years (62.60%; P<0.001), and had higher education level (42.61%; P<0.05). A statistically significant stress (29.56%; P<0.001), sedentary lifestyle (72.17%; P<0.05) and insomnia (29.56%) was reported among subjects reporting positive family history. A statistically significant prevalence of metabolic syndrome (36.53%; P<0.05), hypertension (56.52%; P<0.01), obesity (54.78%), dyslipidemia (33.05%; P<0.05) and dysglycemia (31.31%; P<0.05) was more in subjects reporting positive than negative family history (metabolic syndrome: 23.73%; (P<0.05); hypertension: 41.52% (P<0.01); obesity: 50.00%; dyslipidemia: 21.61% (P<0.05); dysglycemia: 21.19% (P<0.05)).

    Conclusions: A statistical association between positive family history and metabolic syndrome shows CVD susceptibility which prompts to utilize every opportunity to involve concerned families in health education by promoting healthy lifestyle changes in their diet and physical activity.

     

    Keywords: Cardiovascular Disease, Family History, Metabolic Syndrome.

  • References

    1. Allen MT, Sherwood A, Obrist PA, Crowell MD & Grange LA (1987), Type A behavior pattern, parental history of hypertension, and cardiovascular reactivity in college males. Health Psychology 6, 113–130.
    2. Baptiste-Roberts K, Gary TL, Beckles GL, Gregg EW, Owens M, Porterfield D & Engelgau MM et al (2007), Family history of diabetes, awareness of risk factors, and health behaviors among African Americans. Is J Public Health 97, 907–912?
    3. Bertuzzi M, Negri E, Tavani A & La vecchia C (2003), Family history of ischemic heart disease and risk of acute myocardial infarction. Prev Med. 37, 183-187.
    4. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr., Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ, Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; National Heart, Lung, and Blood Institute & National High Blood Pressure Education Program Coordinating Committee (2003), Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension 42, 1206-1252.
    5. Chow CK, Pell AC, Walker a, O’Dowd C, Dominiczak AF & Pell JP (2007), Families of patients with premature coronary heart disease: an obvious but neglected target for primary prevention. BMJ 335, 481-485.
    6. Dallongeville J, Grupposo MC, Cottel D, Ferrie`res J, Arveiler D, Bingham A, Ruidavets JB, Haas B, Ducimetie`re P & Amouyel P (2006), Association between the metabolic syndrome and parental history of premature cardiovascular disease. European Heart Journal 27, 722–728.
    7. Dhiman P, Kai J, Horsfall L, Walters K & Qureshi N (2014), Availability and Quality of Coronary Heart Disease Family History in Primary Care Medical Records: Implications for Cardiovascular Risk Assessment. PLoS ONE 9, e81998.
    8. Endre T, Mattiasson I, Berglund G & Hulthen L (1994), Insulin resistance is coupled to low physical fitness in normotensive men with a family history of hypertension. Journal of Hyper-tension 12, 81–88.
    9. EUROSPIRE study group (1997), A European Society of Car-diology survey of secondary preventions of coronary heart disease: principal results. Eur Heart J. 18, 1569–1582.
    10. Global Atlas on Cardiovascular Disease Prevention and Control. Mendis S, Puska P & Norrving B editors. World Health Organization (in collaboration with the World Heart Federation and World Stroke Organization), Geneva 2011.
    11. Grotto I, Huerta M, Kark JD, Shpilberg O & Meyerovitch J (2003), Relation of parental history of coronary heart disease to obesity in young adults. Int J Obes Relat Metab Disord 27, 362–368.
    12. Hamang A, Eide GE, Rokne B, Nordin K & Øyen N (2011), General anxiety, depression, and physical health in relation to symptoms of heart-focused anxiety- a cross sectional study among patients living with the risk of serious arrhythmias and sudden cardiac death. Health and Quality of Life Outcomes 9, 100.
    13. Harrap SB, Stebbing M, Hopper JL, Hoang HN & Giles GG (2000), Familial patterns of covariation for cardiovascular risk factors in adults: The Victorian Family Heart Study. Am J Epidemiol 152, 704–715?
    14. Hunt K, Davison C, Emslie C & Ford G (2000), Are perceptions of a family history of heart disease related to health-related attitudes and behaviour? Health Educ Res. 15, 131-143.
    15. Kip KE, McCreath HE, Roseman JM, Hulley SB & Schreiner PJ (2002), Absence of risk factor change in young adults after family heart attack or stroke: the CARDIA Study. Is J Prev Med. 22, 258–266?
    16. McCusker ME, Yoon PW, Gwinn M, Malarcher AM, Neff L & Khoury MJ (2004), Family history of heart disease and cardiovascular disease risk-reducing behaviours. Genet Med. 6, 153–158.
    17. Misra A, Chowbey P, Makkar BM, Vikram NK, Wasir JS, Chadha D, Joshi SR, Sadikot S, Gupta R, Gulati S, Munjal YP & Concensus Group (2009), Consensus statement for diagnosis of obesity, abdominal obesity and the Metabolic Syndrome for Asian Indians and Recommendations for Physical activity, medical and surgical management. Journal of Association of Physicians of India 57, 163–170.
    18. Qureshi N, Armstrong S, Dhiman P, Saukko P, Middlemass J, Evans PH, Kai J & ADDFAM study group (2012), Effect of Adding Systematic Family History Enquiry to Cardiovascular Disease Risk Assessment in Primary Care: A Matched-Pair, Cluster Randomized Trial. Ann Intern Med. 156, 253–262.
    19. Sesso HD, Lee IM, Gaziano JM, Rexrode KM, Glynn RJ & Buring JE (2001), Maternal and Paternal History of Myocardial Infarction and Risk of Cardiovascular Disease in Men and Women. Circulation 104, 393-398.
    20. Sheerin I, Hamilton G, Humphrey A & Scragg A (2007), Issues in the assessment of cardiovascular risk in selected general practices in Canterbury, New Zealand. New Z Med J. 120, U2714.
    21. Tavaresa P, Oliveiraa A & Lopes C (2011), Family history of coronary heart disease, health care and health Behaviours. Rev Port Cardiol. 30, 703-710.
    22. Van der Sande MAB, Walraven GEL, Milligan PJM, Banya WAS, Ceesay SM, Nyan OA & McAdam KPWJ (2001), Family history: an opportunity for early interventions and improved control of hypertension, obesity and diabetes. Bulletin of the World Health Organization 79, 321–328.
    23. Williams CJ, Hu FB, Patel SR & Mantzoros CS (2007), Sleep Duration and Snoring in Relation to Biomarkers of Cardiovascular Disease Risk among Women with Type 2 Diabetes. Diabetes care 30, 1233–1240.
    24. World Heart Federation. Accessed from http://www.world-heart-federation.org/cardiovascular-health/cardiovascular-disease-risk-factors/family-history/ on March 3, 2014.
    25. Zlot AI, Valdez R, Han Y, Silvey K & Leman RF (2010), Influence of Family History of Cardiovascular Disease on Clinicians’ Preventive Recommendations and subsequent adherence of patients without cardiovascular disease. Public Health Genomics 13, 457-466.
  • Downloads

    Additional Files

  • How to Cite

    Kaur, J. (2014). Family history: a vital predictor of cardiovascular health. International Journal of Health, 2(1), 17-21. https://doi.org/10.14419/ijh.v2i1.2402