MB, A., WA, K. (2021). Cardiovascular Diseases Risk Prediction Using the Framingham Risk Score. Egyptian Journal of Occupational Medicine, 45(3), 249-264. doi: 10.21608/ejom.2021.193283
Awad Allah MB; Khalil WA. "Cardiovascular Diseases Risk Prediction Using the Framingham Risk Score". Egyptian Journal of Occupational Medicine, 45, 3, 2021, 249-264. doi: 10.21608/ejom.2021.193283
MB, A., WA, K. (2021). 'Cardiovascular Diseases Risk Prediction Using the Framingham Risk Score', Egyptian Journal of Occupational Medicine, 45(3), pp. 249-264. doi: 10.21608/ejom.2021.193283
MB, A., WA, K. Cardiovascular Diseases Risk Prediction Using the Framingham Risk Score. Egyptian Journal of Occupational Medicine, 2021; 45(3): 249-264. doi: 10.21608/ejom.2021.193283
Cardiovascular Diseases Risk Prediction Using the Framingham Risk Score
1Department of Public Health and Community Medicine, Faculty of Medicine, Zagazig University, Egypt
2Department of Cardiology, Faculty of Medicine, Zagazig University, Egypt
Abstract
Introduction: Cardiovascular diseases (CVD) are the world’s most common cause of death. The Framingham risk score (FRS) is the most commonly used method for CVD risk assessment. Low-risk individuals have 10% or less coronary heart diseases (CHD) risk at 10 years, 10-20% have intermediate risk and 20% or more have high risk. Aim of Work: To estimate the risk of developing cardiovascular diseases over next ten years among the administrative staff at Zagazig University, Egypt. Material and Methods: A structured questionnaire was used to get data about socio demographic characteristics, anthropometric measurements was done, laboratory investigations to measure fasting and post brandial blood sugar and lipid profile. The Framingham risk score (FRS) was calculated by using information on age, gender, smoking , diabetes mellitus (DM), systolic blood pressure , treatment for hypertension , and total blood cholesterol and high-density lipoprotein levels for every subject. Results: About 55% of the studied sample were males and 44.8% were females, the overall prevalence of systolic hypertension was 45.7% , 36.2% had a positive family history of CVD , 25% were physically active ( the majority of them were males),21.5% were diabetic, 63.7% had high blood cholesterol,55.1% had central obesity,68.1% were overweight or obese. FRS mean for males was higher as compared to females (14.3±7.1 and11.9±5.8 respectively). Participants with high CVR risk were mainly inactive, smokers, with positive family history, diabetics, hypertensive, with high blood cholesterol level, high density lipoprotein and with central obesity .A statistically significant positive correlation was observed between FRS and age, cholesterol, systolic blood pressure, blood glucose ,weight , waist circumference and body mass index(BMI) Conclusion: About 42% of our studied subjects were at low anticipated 10-year CVD risk, 30% were at moderate risk, and 28% of them were at high risk .The most significant risk factors were male gender ,smoking, physical inactivity , hypertension, diabetes mellitus, obesity, abdominal obesity , high levels of total cholesterol and low HDL-cholesterol level in addition to positive family history . CVD is a preventable public health issue; most of its risk factors are modifiable.