卡纳塔克邦达克希纳卡纳达农村地区成年人心血管疾病十年风险预测

Animesh Gupta, Diwakar Singh, P. M. Naik, S. Hameed, Nanjesh Kumar
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摘要

背景:心血管疾病(CVD)是一种非传染性疾病,已成为发展中国家和发达国家的一个主要公共卫生问题,也是导致发病率和死亡率的主要原因。心血管疾病的重要危险因素是肥胖、高血压、糖尿病、高脂血症、不健康饮食、缺乏运动和吸烟。心血管风险方法是一种可行且具有成本效益的工具,有助于识别心血管疾病的高危人群,从而可以立即采取预防措施或行动来降低风险。目的:使用Framingham心脏风险评估评分来评估患心血管疾病的十年风险。材料和方法:2013年7月至2013年12月,对居住在达克希纳卡纳达区农村地区的成年人进行了为期6个月的社区横断面研究。数据是通过访谈的方法,使用预测试的半结构化问卷收集的。进行人体测量和血液调查(空腹血糖和血脂状况)。Framingham风险评分是一种用于估计个人10年心血管风险的特定性别算法。结果:在712名研究参与者中,95名(13.3%)和20名(2.8%)参与者在10年内分别有患心血管疾病的中风险和高风险。与女性相比,男性心血管疾病中期风险预测和高危预测的比例更高。结论:肥胖、不运动、糖尿病、高血压等心血管危险因素在农村成年人中普遍存在。研究参与者在未来10年内发展为心血管疾病的高危预测为2.8%。关键词:心血管风险因素,Framingham风险评分,10年心血管疾病风险预测,患病率
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Ten Years Risk Prediction of Cardiovascular Disease among Adults in Rural Area of Dakshina Kannada, Karnataka
Background: Cardiovascular disease (CVD), one of the non-communicable diseases, has become a major public health problem and it is a leading cause of morbidity and mortality in both developing and developed countries. The important CVD risk factors are obesity, hypertension, diabetes, hyperlipidaemia, unhealthy diet, physical inactivity and tobacco use. Cardiovascular risk approach is feasible and cost-effective tool, which helps to identify those at high risk for developing CVDs, so that immediate preventive measures or action can be taken to reduce the risk. Objectives: estimate the ten-year risk of developing cardiovascular disease using Framingham heart risk assessment score. Materials and Methods: A community-based, cross-sectional study was conducted among adults residing in a rural area of Dakshina Kannada District for a period of 6 months from July 2013 to December 2013. The data was collected using pretested semi structured questionnaire through interview methods. Anthropometric measurement and blood investigation (fasting blood sugar and lipid profile) was done. The Framingham Risk Score is a gender-specific algorithm used to estimate the 10-year cardiovascular risk of an individual Results: Among 712 study participants, 95 (13.3%) and 20 (2.8%) participants had intermediate and high risk of developing cardiovascular disease in 10 years respectively. The proportion of intermediate CVD risk prediction and high-risk predication was more in males as compared to females. Conclusion: The cardiovascular risk factors like obesity, physical inactivity, diabetes and hypertension are widely prevalent among adults in rural areas. The high-risk prediction for developing CVD among study participants in next 10 years was 2.8%. Keywords: Cardiovascular risk factors, Framingham risk score, 10 years CVD risk prediction, Prevalence
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