scholarly journals Framingham Risk Score Assessment in Subjects with Pre-diabetes and Diabetes: A Cross-sectional Study in Korea

Author(s):  
Hyuk Sang Kwon ◽  
Kee Ho Song ◽  
Jae Myung Yu ◽  
Dong Sun Kim ◽  
Ho Sang Shon ◽  
...  
BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e022974
Author(s):  
Juan Zhou ◽  
Qin Gao ◽  
Jun Wang ◽  
Min Zhang ◽  
Jianping Ma ◽  
...  

ObjectiveMetabolic syndrome (MetS) is a notable risk factor of coronary heart disease (CHD). However, there are differences in the methods used to define MetS. The purpose of this study was to determine which MetS definition most fully reflects the 10-year probability of CHD based on the Framingham risk algorithm.DesignCross-sectional study.SettingData were obtained from the China Health and Nutrition Survey and the Influencing Factors of Chronic Diseases Survey conducted among residents of Nanshan District in Shenzhen, China.ParticipantsIn total, 1721 participants aged 20–80 years were included in this study.MethodsMetS was diagnosed according to the criteria of the National Cholesterol Education Program’s Adult Treatment Panel (revised NCEP-ATP III), the International Diabetes Federation (IDF) and the Chinese Diabetes Society (CDS). The NCEP-ATP III algorithm was used to calculate the Framingham risk score, and the Framingham risk score was used to define the probability of developing CHD within 10 years either as low (<6%), moderate (6%–10%), moderately high (10%–20%) or high (>20%). Chi-square tests with or without the Bonferroni correction were used to compare the differences in the distribution of the 10-year estimated risk of developing CHD among the three definitions.ResultsCompared with the other definitions, the revised NCEP-ATP III criteria identified more participants (30.96%, 95% CI 28.8% to 33.2%) as having MetS, while the CDS criteria showed the highest 10-year probability of developing CHD. The 10-year probability of developing CHD in the participants with MetS was significantly higher than that in the participants without MetS (CDS: χ2=157.65, revised ATP III: χ2=45.17, IDF: χ2=306.15, all p<0.001), and all definitions more fully reflect the CHD risk in men than in women (revised NCEP-ATP III: χ2=72.83; IDF: χ2=63.60; CDS: χ2=23.84; all p<0.001).ConclusionsThis study demonstrates the differences in the prevalence and distribution of the 10-year estimated risk of developing CHD based on the definition of MetS. A significant finding of this study is that the MetS definitions have better performance for men than for women. Further studies in China, especially longitudinal studies, are needed to determine which definition of MetS is best suited for predicting CHD risk.


Jurnal NERS ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 98
Author(s):  
Nina Calisanie ◽  
Santi Susanti ◽  
Linlin Lindayani

Introduction: Cardiovascular disease is a disease caused by the misfunctioning of the heart and blood vessels. Atherosclerosis is the main cause of cardiovascular disease. Prevention and control of cardiovascular disease can be done with early detection through screening activities. Framingham Risk Score using Body Mass Index (FRS BMI) risk assessment is very useful and easy, which is used without using lipid indicator. This study aims to estimate the risk of cardiovascular disease on patients with hypertension with Framingham Risk Score BMI.Methods: The study used a descriptive method with cross-sectional design. The samples in this study were 130 respondents who were selected using consecutive sampling and retrieval technique by using FRS BMI application questionnaire.Results: There were 11.5% respondents in low risk of CVD, 22.7% respondents at moderate risk and 60.8% respondents in higher category of cardiovascular disease 10 years later.Conclusion: Majority of patients with hypertension showed a high risk of CVD for the next 10 years. Patients’ sex and age also play an important role to increase the risk, whereby men show a higher risk of CVD for the next ten years. The hospital management and health worker should pay more attention and educate the patient about the prevention of heart disease for the next 10 years, especially for those with high risk of CVD based on FRS BMI measurement.


Author(s):  
Balaji Arumugam ◽  
Aadarshna R. ◽  
Suganya E.

Background: Diabetes mellitus is a metabolic syndrome due to insulin deficiency, characterized by hyperglycaemia. Indian diabetes risk score (IDRS) is the most commonly used one to determine the risk status. However there is lot of inconvenience and possible errors in measuring the waist circumference to determine the IDRS, hence the study was planned to evaluate if neck circumference could replace waist circumference in determining the diabetes risk.Methods: This cross sectional study was conducted among 300 study participants fulfilling the eligible criteria. Socio-demographic variables, parameters required for determining the IDRS was assessed, in addition, neck circumference (NC) was measured using standard protocol. Another risk score was calculated by replacing waist circumference (WC) with neck circumference and scoring was named as IDRS-NC. Pearson correlation and Wilcoxan sign rank test was done to find out the relationship between WC and NC and also to determine if IDRS-NC could replace IDRS.Results: Out of 300 study population, majority of the participants are in the age group of <35 years 129 (43%) and around 2/3rd of the participants were females. Among the study participants proportion of participants belonging to low risk, medium risk and high risk assessed using IDRS and IDRS-NC was 18.7%, 41%, 40.3% and 31.7%, 38%, 30.3% respectively. There was a strong positive correlation (r=0.837) between the neck circumference and waist circumference. Wilcoxan sign rank test was significant between the 2 scores having a p value of <0.05.Conclusions: In our study there was a positive correlation between neck circumference and waist circumference.


Author(s):  
Mostafa Abbas ◽  
Raghvendra Mall ◽  
Khaoula Errafii ◽  
Abdelkader Lattab ◽  
Ehsan Ullah ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document