Since the type of life-style often encountered in drug addicts is purp
orted to influence their risk of cardiovascular disease, it seemed of
interest to carry out a descriptive study on risk factors in young add
icts. Twenty-four young intravenous drug addicts, mean age 29 years an
d mean body mass index (BMI) 22.5 (kg/m(-2)), were compared with 24 he
althy people matched for age, gender and EMI. Both groups responded to
a questionnaire on life-style risk factors. In addition, fasting bloo
d samples were investigated for several coronary risk factors. Drug ad
dicts had smoked more cigarettes (17 vs. 3 cigarettes/day) for a longe
r time period (15 vs. 5 years) than control subjects. They also had hi
gher serum activities of liver enzymes related to alcohol abuse than c
ontrols. Level of physical activity and indicators of dietary intake o
f fruit, vegetables and salt were not significantly different between
the groups Blood lipid values, total cholesterol (5.1 vs. 5.6 mmol/l),
and HDL-cholesterol (1.2 mmol/l), apolipoproteins, and an atherogenic
index reflecting the balance between the atherogenic low density lipo
proteins (LDL) and the antiatherogenic fraction (HDL), as well as the
smoking-related factors fibrinogen and TEARS, were all similar in both
groups. The study indicates that the prevalence of many Known cardiov
ascular risk factors was similar in drug addicts and matched controls.