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I Balaguer Vintró

Publications and source records attributed to I Balaguer Vintró.

At least 19 recordsLinked to original sources
PubMed2001

[Risk factors and coronary morbimortality in a Mediterranean industrial cohort over 28 years of follow-up. The Manresa Study].

OBJECTIVE: To study the incidence and mortality of coronary heart disease (CHD) and all-cause mortality in a cohort of men followed during 28 years, and their association with serum cholesterol, systolic blood pressure, glycemia, cigarette smoking and body mass index measured at baseline. RESEARCH DESIGN AND METHODS: A cohort of 1,059 men aged 30 to 59 years and free of cardiovascular diseases at baseline in 1968, was examined every five years until 1988. The last examination was performed in 1996. Information was collected in 96.4% of the participants. RESULTS: Incidence and mortality rates from CHD and from all-causes of death per 105 person-years of observation were 499.80, 235.80 and 925.33, respectively. At the end of follow-up, high levels of serum cholesterol and smoking were independently associated with the incidence and mortality from CHD adjusted for age, blood pressure, glycemia and BMI. Serum cholesterol, hyperglycemia and smoking were independently associated with all-cause mortality. CONCLUSIONS: In this industrial cohort of men, with a relatively low incidence of CHD, smoking and serum cholesterol at baseline were independently associated with the incidence of CHD over 28 years of observation.

Adult↗
PubMed2000

[Incidence, mortality and risk factors for stroke in the Manresa Study: 28 years of follow-up].

INTRODUCTION AND OBJECTIVES: The information concerning stroke mortality is limited in Spain, and the information on morbidity is even scarcer similarly to other countries. This is true also for the decrease of frequency observed in the last decades. The objective of this paper is to provide data in the incidence, mortality and cardiovascular risk factors associated to stroke in our surrounding through by the prolonged observation of a working population. MATERIAL AND METHODS: In the Manresa Study, which began in 1968, a cohort of 1,059 men, from 30 to 59 years old, was followed for 28 years. We recorded new cases of fatal and nonfatal stroke and the relationship between stroke incidence and risk factors of cardiovascular disease found in the initial examination. RESULTS: Incidence rate for stroke was 183 x 100,000 per year, 64% of the cases were registered after they turned 60 years of age. Mortality rate due to stroke was 88 x 100,000 per year, 91.6% of fatal cases were over 60 years old. Factors associated to the stroke morbimortality incidence were age, high blood pressure and overweight. In a bivariate regression model, stroke mortality was found significantly associated to the presence of atrial fibrillation, diabetes, hypercholesterolemia and tobacco smoking. CONCLUSIONS: Stroke frequency rates in the Manresa cohort are ranged at a medium level compared to data from other general population studies. The role of atrial fibrillation in the stroke morbimortality has been confirmed. The associated factors, age, high blood pressure and overweight, are similar role to that which was found in other research studies. The priorities in the cerebrovascular disease prevention in our surroundings are discussed.

Adult↗
PubMed1998

[Strategies in the control of coronary risk factors in primary and secondary prevention].

The longitudinal observational studies began in 1948, have permitted to identify the coronary risk factors that is, the biological signs and lifestyles more frequent in the future coronary patients than in the entire cohort. The long follow-up of these studies has cooperate in the identification of other important risk factors and their role in middle aged women and in both genders older than 65 years. There are two strategies in the primary prevention, one directed to community and the other to the high risk group. As a consequence of the progress in the identification of the high risk candidates, the primary prevention of the high risk groups become similar to the strategy in the secondary prevention of the coronary patients. The advances in the reduction of the mortality and morbidity by the main risk factors control observed in the last years, increase the need of a more energetic approach to the high risk groups in the primary and secondary prevention. The differences in the coronary mortality between countries suggest the adoption of acceptable priorities for the primary prevention of coronary heart disease in each country. My recommendations for Spain are: a) To discourage boys and adolescents from beginning cigarette smoking; b) To avoid that cigarette smoking becomes a sign of autoaffirmation for young women; c) To include the education for a balanced food intake in the school programs, d) To get that non competitive sport could be accessible and desirable for the youth after the end of education period, and e) To create the adequate conditions for the identification and control of the high risk group in primary care centers.

Age Factors↗
PubMed1997

[The future of cardiology in Spain from the perspective of the last 30 years].

Socioeconomic and geoenvironmental factors combined with technological advances play a decisive role in diseases control and in the imbalances in health care among countries and also among social groups within one country. We discuss the frequency and trends of cardiovascular disease in Spain during the last 30 years, the socioeconomical changes in health care and the role of the cardiologist over the last decade, as a background for the challenges to be addressed as the year 2000 approaches: the role of the demographic changes in the frequency of cardiac diseases, the control of "new" postsurgical populations, the integration of basic research in departments of cardiology, the selection of new technologies in terms of cost-effectiveness by means of randomized trials and the need to bridge the gap between the overflow of protocols, recommendations and consensus and their application to the population.

Aged↗