XXXX is associated with ineffective control of cardiovascular risk factors in primary care in France.

@entity1 @entity101 @entity6 @entity1674 @entity13519 @entity1144 @entity165
AIM: Insufficient control of cardiovascular risk factors is observed in primary care. The goal of the present study was to evaluate the association of @entity1144 with achievement of treatment targets for HbA(1c), LDL @entity165 , @entity1674 , HDL @entity165 and blood pressure in primary care. METHODS: In this cross-sectional observational epidemiological study, primary-care practitioners completed a questionnaire covering demographic and socioeconomic data, medical history, drug treatment, and clinical and biological characteristics for 3351 @entity1 (1630 @entity1 and 1721 @entity1 ). Therapeutic targets were HbA(1c) <7%, LDL @entity165 <1.6g/L, @entity1674 <1.5 g/L and @entity13519 /DBP <140/90 mmHg. Multivariate analyses were performed to assess the relationship between waist circumference and a lack of cardiovascular risk-factor control. RESULTS: The @entity1 ' mean ages were 58+/-14 years and 55+/-16 years for @entity1 and @entity1 , respectively. A large waist circumference was positively and significantly (P<0.0001 for all) associated with @entity6 , hypercholesterolaemia, hypertriglyceridaemia, low HDL @entity165 and @entity101 . The prevalence of @entity1 not achieving therapeutic targets increased across waist-circumference quartiles. For treated @entity1 , the odds ratios (95% CI) (adjusted for age, gender, education, smoking status and medical specialty) for not achieving treatment targets were 17.6 (2.2-142) for @entity1674 , 2.8 (1.3-6.1) for HbA(1c) and 1.4 (0.9-2.0) for blood pressure on comparisons with extreme quartiles of waist-circumference distribution. CONCLUSION: In primary care, a lack of control of @entity1674 , HbA(1c) and, to a lesser extent, blood pressure increases with waist circumference independently of confounders. This suggests that @entity1144 is associated of poor results in the treatment of @entity6 and hypertriglyceridaemia.
