scholarly journals A Retrospective Exploratory Analysis on Cardiovascular Risk and Cognitive Dysfunction in Multiple Sclerosis

2021 ◽  
Vol 11 (4) ◽  
pp. 502
Author(s):  
Antonio Reia ◽  
Martina Petruzzo ◽  
Fabrizia Falco ◽  
Teresa Costabile ◽  
Matteo Conenna ◽  
...  

Background. Cardiovascular comorbidities have been associated with cognitive decline in the general population. Objectives. To evaluate the associations between cardiovascular risk and neuropsychological performances in MS. Methods. This is a retrospective study, including 69 MS patients. For all patients, we calculated the Framingham risk score, which provides the 10-year probability of developing macrovascular disease, using age, sex, diabetes, smoking, systolic blood pressure, and cholesterol levels as input variables. Cognitive function was examined with the Brief International Cognitive Assessment for MS (BICAMS), including the Symbol Digit Modalities Test (SDMT), the California Verbal Learning Test-II (CVLT-II), and the Brief Visuospatial Memory Test-Revised (BVMT-R). Results. Each point increase of the Framingham risk score corresponded to 0.21 lower CVLT-II score. Looking at Framingham risk score components, male sex and higher total cholesterol levels corresponded to lower CVLT scores (Coeff = −8.54; 95%CI = −15.51, −1.57; and Coeff = −0.11; 95%CI = −0.20, −0.02, respectively). No associations were found between cardiovascular risk and SDMT or BVMT-R. Conclusions. In our exploratory analyses, cardiovascular risk was associated with verbal learning dysfunction in MS. Lifestyle and pharmacological interventions on cardiovascular risk factors should be considered carefully in the management of MS, given the possible effects on cognitive function.

2013 ◽  
Vol 167 (6) ◽  
pp. 2904-2911 ◽  
Author(s):  
Stig Lyngbæk ◽  
Jacob L. Marott ◽  
Thomas Sehestedt ◽  
Tine W. Hansen ◽  
Michael H. Olsen ◽  
...  

Author(s):  
Yuji Hirowatari ◽  
Daisuke Manita ◽  
Keiko Kamachi ◽  
Akira Tanaka

Background Dietary habits are associated with obesity which is a risk factor for coronary heart disease. The objective is to estimate the change of lipoprotein(a) and other lipoprotein classes by calorie restriction with obesity index and Framingham risk score. Methods Sixty females (56 ± 9 years) were recruited. Their caloric intakes were reduced during the six-month period, and the calorie from fat was not more than 30%. Lipoprotein profiles were estimated at baseline and after the six-month period of calorie restriction. Cholesterol levels in six lipoprotein classes (HDL, LDL, IDL, VLDL, chylomicron and lipoprotein(a)) were analysed by anion-exchange liquid chromatography. The other tests were analysed by general methods. Additionally, Framingham risk score for predicting 10-year coronary heart disease risk was calculated. Results Body mass index, waist circumference, insulin resistance, Framingham risk score, total cholesterol, LDL-cholesterol and IDL-cholesterol were significantly decreased by the calorie restriction, and the protein and cholesterol levels of lipoprotein(a) were significantly increased. The change of body mass index was significantly correlated with those of TC, VLDL-cholesterol and chylomicron-cholesterol, and that of waist circumference was significantly correlated with that of chylomicron-cholesterol. The change of Framingham risk score was significantly correlated with the change of IDL-C. Conclusion Obesity indexes and Framingham risk score were reduced by the dietary modification. Lipoprotein profile was improved with the reduction of obesity indexes, but lipoprotein(a) was increased. The changes of obesity indexes and Framingham risk score were related with those of triglyceride-rich lipoproteins, e.g. IDL, VLDL and CM.


2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Elijah Stone ◽  
Yuling Zhou ◽  
Herbert Jelinek ◽  
Craig S. Mclachlan

Abstract Background Prolonged electrocardiogram (ECG) QRS duration has been associated with increased cardiovascular risk. It is unclear whether the main predictor of cardiovascular risk, the Framingham risk score also predicts short-term changes in ECG QRS duration. Our aim is to determine whether baseline Framingham risk score is associated with baseline or changes in QRS duration. Methods A retrospective cross-sectional analysis was performed using observational data obtained from two hundred two participants. Framingham risk score was calculated using an online risk calculator. QRS duration was obtained using a 10 s trace from a Welch Allyn PC-based 12-lead ECG system. Results Average follow-up duration was 3.3 ± 1.1 years. Mean QRS change was 1.8 ± 11.4 ms. Specifically, among two hundred two participants, there are 104 subjects with a greater QRS duration at follow-up, while 98 subjects had the same or a shorter follow-up QRS duration. Baseline Framingham risk score did not significantly predict an increase in QRSd with an odds ratio of 1.04 (P = 0.230). Regression analysis of QRS duration at baseline and Framingham risk at baseline had a weak association (R2 = 0.020; P = 0.043). The Framingham risk score at follow-up was likewise has a weak association with follow-up QRS duration (R2 = 0.045; P = 0.002). Conclusions Our results do not demonstrate a statistically significant association between Framingham risk parameters and future QRS duration changes over longitudinal time. QRS duration had variable changes between baseline and follow-up. This might suggest that a longer period of follow-up is required to document more stable increases in QRS duration associated with ventricular pathology. A larger population study is needed to confirm our observations.


Author(s):  
Juliana Mezzomo ◽  
Bruna Cocco Pilar ◽  
Patrícia Maurer ◽  
Vanusa Manfredini ◽  
Graziela Morgana Silva Tavares ◽  
...  

Metabolic syndrome is a set of factors that can increase the mortality from cardiovascular disease. Thus, knowledge about the prevalence of MS in the elderly is important, since the risk factors tend to increase significantly with age. The aim of this study is analyze the prevalence of metabolic syndrome (MS) among elderly according to the IDF and NCEP criteria and determining its relation to Framingham Risk Score (FRS). Elderly people (60 years old or older) of both genders participated in the study. Volunteers signed a TCLE and were interviewed, as well as physical exams. The biochemical analyzis were performed on an automated analyzer LABTEST, LabMax 240 model with biochemical reagents Labtest brand. For the diagnosis of MS NCEP and IDF criteria were used and cardiovascular risk was estimated by calculating the FRS. Descriptive statistics were performed, chi-square test for ordinal variables and ANOVA or Student-t test for quantitative data. Multivariate analysis was performed by logistic regression (backward conditional method). Differences were considered statistically significant at p ≤ 0.05. The overall prevalence of MS found in the sample following the NCEP and IDF criteria was 55.8% and 60.8%, respectively. No associations were found between gender and diagnostic criteria. Individuals with high+moderate FRS had a higher risk of developing MS compared to those with low FRS. Logistic regression analysis showed an independent association of abdominal adiposity by the IDF criteria (OR 4.8, CI 1.0- 22.1; p = 0.04) and glycemia by NCEP criteria (OR 3.0, CI 1.1-8.4; p = 0.03) with moderate+high FRS. The prevalence of MS was high under both criteria, being more predominant in those patients with moderate+high FRS. Thus, the components of MS abdominal adiposity and glucose levels were associated with increased CRF, indicating that the control of these factors can be decisive in reducing cardiovascular risk in the elderly.


2014 ◽  
Vol 2 (1) ◽  
pp. 2 ◽  
Author(s):  
Yasmeen Hetari ◽  
Archana Iyer ◽  
Said S M Eldesouky ◽  
Nabil Alama ◽  
Saleh M Aldaqal ◽  
...  

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