Modifiable risk factors for thrombosis in Tyumen women


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Abstract

Abstract: Relevance. The article discusses modifiable risk factors for thrombosis in women of reproductive age in the city of Tyumen outside pregnancy. The relevance of the study is due to the increase in cases of venous thromboembolic complications and the incidence of venous thromboembolic complications in 110 per 100,000 people in the Russian Federation.

The aim of the work is to assess the prevalence of modifiable risk factors for thrombosis among women of fertile age living in the city of Tyumen.

Materials and methods. A questionnaire was conducted on the modifiable risk factor for thrombosis among women aged 18 to 35 years (n=101). The results were processed using the Microsoft Office Excel 2007 program.

The results of the study. 85.4% of women in the survey have modifiable risk factors for thrombosis. The most significant risk factors are physical inactivity (41.6%), smoking (32.7%), and changes in BMI (28.71%). Chronic diseases also affect the development of venous thromboembolic complications: cardiovascular (11.98%), endocrine (5.94%), gastrointestinal tract (10.98%).

Conclusion. Thus, the majority of respondents have modifiable risk factors for thrombosis. In order to reduce the risk of thromboembolic complications, prevent thrombosis in early pregnancy, and reduce maternal mortality, risk factors for venous thromboembolic complications should be identified and adjusted in advance. The prevention of reducing risk factors are: quitting smoking, the need to carefully assess risk factors when prescribing combined oral contraceptives, rational nutrition and weight control, as well as combating physical inactivity in the form of an active lifestyle and taking 10,000 steps a day.

Keywords: modifiable risk factors; thrombosis

 

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                  Relevance. The relevance of the study is due to the registration of the largest number of cases of thrombosis among women aged 20-45 years, while the frequency of VTE among women is 110 per 100,000 people, according to literary sources, increasing during pregnancy to 1-2 cases per 1,000 people. Currently, modifiable risk factors for thrombosis are widespread among women of fertile age, such as: physical inactivity, smoking, the presence of chronic diseases, changes in body mass index (overweight and obesity), long trips over 4-6 hours, as well as taking hormonal contraceptives [1-5].

                 The aim of the work is to assess the prevalence of modifiable risk factors for thrombosis among women of fertile age living in the city of Tyumen.

                 Materials and methods of research. A questionnaire was conducted on the risk factors of thrombosis among women aged 18 to 35 years. The analysis of the materials was carried out in the Microsoft Office Excel program with the calculation of the average age of women, which was 23 ± 0.37 years. A total of 101 questionnaires were analyzed.

                The results of the study. According to the results of the survey, 85.4% of the women surveyed have modifiable risk factors. Among them, physical inactivity (41.6%) and tobacco smoking are the most common (32.7%). Overweight, obesity of I, II, III degrees are 28.71% of respondents. 23.8% of women take combined oral contraceptives. 56, 44% of the respondents have extragenital diseases. The most important in the formation of venous thromboembolic complications are cardiovascular diseases (in 11.98% of respondents), endocrine diseases (5.94%) and diseases of the gastrointestinal tract (10.98%)[2]. The most common extragenital pathology that has a direct impact on a woman's reproductive function is gynecological diseases (in 30.69% of respondents). The least significant modifiable risk factors in the formation of venous thromboembolic complications are long trips lasting more than 4-6 hours, which are noted in 9.9% of respondents.

               Conclusion. Thus, the majority of respondents have modifiable risk factors for thrombosis. In order to reduce the risk of thromboembolic complications, prevent thrombosis in early pregnancy, and reduce maternal mortality, risk factors for venous thromboembolic complications should be identified and adjusted in advance[3]. The prevention of reducing risk factors are: quitting smoking, the need to carefully assess risk factors when prescribing combined oral contraceptives, rational nutrition and weight control, as well as combating physical inactivity in the form of an active lifestyle and taking 10,000 steps a day.

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About the authors

Nadezhda Sergeevna Danilova

Tyumen medical university

Author for correspondence.
Email: nadezhda.lis2001@gmail.com
ORCID iD: 0009-0007-3154-9660
Russian Federation, 52 Odesskaya str., Tyumen, Russia

Elena Yuryevna Pankratova

Tyumen medical university

Email: lena1372145@gmail.com
ORCID iD: 0009-0009-5897-9024
Russian Federation, 52 Odesskaya str., Tyumen, Russia

Tatyana Nikolaevna Hvoschina

Tyumen medical university

Email: hvoschina-t@yandex.ru
ORCID iD: 0000-0003-1007-185X

Candidate of Medical Sciences, Associate Professor of the Department of Obstetrics and Gynecology, Tyumen Medical University

Russian Federation, 52 Odesskaya str., Tyumen, Russia

References

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  2. • Мовчан, Т. В. Факторы риска и особенности соматической патологии при артериальных и венозных тромбозах у женщин репродуктивного возраста / Т. В. Мовчан, Н. К. Вереина, Т. Н. Хвощина // Медицинская наука и образование Урала. – 2023. – Т. 24, № 1. – С. 44-49.
  3. • Ясафова, Н.Н. Факторы риска острых венозных тромбозов у женщин репродуктивного возраста / Н. Н. Ясафова, К. А. Момот, Д. С. Бубликов [и др.] // Акушерство и гинекология Санкт-Петербурга. – 2018. – № 3-4. – С. 14-19.
  4. • Вереина, Н. К. Факторы риска венозных и артериальных тромбозов у молодых женщин вне беременности / Н. К. Вереина, Т. В. Мовчан, В. С. Чулков // Атеротромбоз. – 2020. – № 1. – С. 18-32.
  5. • Карпова, И.А. Тромботические осложнения на фоне гормональной контрацепции у женщин / И.А. Карпова, Т.С. Сигильетова, А.Л. Чернова [и др.] // Медицинская наука и образование Урала. – 2012. – Т. 13, № 3-2. – С. 12-15.

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