Cardiovascular risk in primary care: comparison between Framingham Score and waist circumference

Main Article Content

Nina Vitória de Souza Silva Andrade
https://orcid.org/0000-0001-8793-5260
Isis Marinho de Noronha
https://orcid.org/0000-0003-4165-0635
Larisse Xavier Almeida
https://orcid.org/0000-0001-6781-5595
Fernanda Siqueira
https://orcid.org/0000-0003-0705-7854
Tatiana Onofre
https://orcid.org/0000-0003-4985-1466

Abstract

Objectives: To estimate and compare the cardiovascular risk using the Framingham risk score (FRS) and waist circumference (WC) in primary care individuals and, secondarily, determine the main factors associated with these scores. Methods: Cross-sectional study involving individuals of both sexes attended in a primary health unit and aging between 30 and 74 years. The cardiovascular risks (FRS and WC) were stratified as low, intermediate, and high. The weighted Kappa coefficient was used to assess agreements between scores. Results: Fifty-five individuals (52.8 ± 9.4 years, 70.9% women) were evaluated. Using the FRS, 40.0% of the sample presented a low risk, 45.5% intermediate risk, and 14.5% high risk of cardiovascular disease. Conversely, when analyzed using the WC score, the highest frequency (71%) was observed in the high-risk category. Also, no agreement (K= 0.36; p= 0.55) was found between scores. FRS was associated with hypertension (p<0.01), diabetes (p=0.01), and stress in women (p=0.01), while the WC score was associated with hypertension (p=0.02), obesity (p<0.01), and high-density lipoprotein cholesterol HDL-c (p=0.03). Conclusions: Primary care individuals presented intermediate cardiovascular risk in the FRS and high risk in the WC, with no agreement between scores. Hypertension, diabetes, stress, obesity, and HDL-c represented the factors that were most associated with these scores.



Article Details

How to Cite
1.
Andrade NV de SS, Noronha IM de, Almeida LX, Siqueira F, Onofre T. Cardiovascular risk in primary care: comparison between Framingham Score and waist circumference. HSJ [Internet]. 2021 Dec. 23 [cited 2024 Nov. 2];11(4):53-60. Available from: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1152
Section
ORIGINAL ARTICLE
Author Biographies

Nina Vitória de Souza Silva Andrade, Federal University of Amapá (Unifap)

Physical Therapy Academic at the Federal University of Amapá (Unifap) Macapá, AP, Brazil.

Isis Marinho de Noronha, Federal University of Amapá (Unifap)

Physical Therapy Academic at the Federal University of Amapá (Unifap) Macapá, AP, Brazil.

Larisse Xavier Almeida, Federal University of Amapá (Unifap)

Physical Therapy Academic at the Federal University of Amapá (Unifap) Macapá, AP, Brazil.

Fernanda Siqueira, Federal University of Amapá (Unifap)

Assistant Professor of the Physiotherapy Course at the Federal University of Amapá (Unifap). Macapá, AP, Brazil.

Tatiana Onofre, Federal University of Amapá (Unifap)

Adjunct Professor of the Physiotherapy Course at the Federal University of Amapá (Unifap). Macapá, AP, Brazil.

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