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June 12, 2026European Journal of Preventive CardiologyOpen Access

Rural residence is linked to higher BMI and waist circumference, and less physical activity versus urban.

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Why the study?

Real-world evidence on the early identification and management of modifiable cardiovascular risk factors in primary care remains limited for Eastern Europe.

Population

130 adults aged 40-65 years visiting their family physician in Romania

Comparison

Apparently healthy vs diabetic vs known ASCVD

Design

Prospective cross-sectional study

Key result

Rural residence was associated with higher waist circumference (p=0.0068), higher BMI (p=0.0017), and lower physical activity levels (p=0.0443) compared to urban residence.

Authors

MGM German-SalloZPZ PregDBD Balint-Szentendrey

Discussion

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Overview

Alerts clinicians to high CV risk burden in primary care; leaves open whether targeted interventions improve outcomes in similar cohorts.

Key Points

  • To assess the prevalence of cardiovascular risk factors and estimate ten-year CV risk in middle-aged adults attending primary care.
  • Prospective cross-sectional study involving 130 adults aged 40-65 years.
  • Data collected included demographics, medical history, anthropometric measurements, and lifestyle factors.
  • Ten-year CV risk estimated using SCORE 2, SCORE 2 Diabetes, or SMART charts.
  • 79.2% of participants were obese, with 76.9% having arterial hypertension.
  • 34.5% were at very high CV risk and 43.6% at high risk based on available data.
  • Mean CV risk estimates were 8.5% (SCORE 2), 13.6% (SCORE 2 Diabetes), and 21.8% (SMART).

Study Design

Type

Cross-Sectional (n=130)

Multicenter

No

Structured PICO

P
Population
130 middle-aged adults (40-65 years) attending a primary care practice in Romania, assessed for cardiovascular risk factors and 10-year cardiovascular risk.
O
Outcome
Prevalence of major cardiovascular risk factors and estimated ten-year cardiovascular risksurrogate

Middle-aged adults in Romanian primary care exhibit a high burden of cardiovascular risk factors and elevated 10-year cardiovascular risk, emphasizing the need for improved preventive strategies.

Cite This Study

German-Sallo et al. (2026) conducted a cross-sectional in Cardiovascular risk (n=130). Rural residence vs. Urban residence was evaluated on Prevalence of major cardiovascular risk factors and estimated ten-year cardiovascular risk. Rural residence was associated with higher waist circumference (p=0.0068), higher BMI (p=0.0017), and lower physical activity levels (p=0.0443) compared to urban residence.

synapsesocial.com/papers/6a2bd1386550ea4541ffe963https://doi.org/10.1093/eurjpc/zwag249.179
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