Cardiovascular risk assessment according to the Framingham score and abdominal obesity in individuals seen by a clinical school of nutrition

Oliveira, Alane Cabral Menezes de; Ferreira, Raphaela Costa; Santos, Arianne Albuquerque

doi:10.1590/1806-9282.62.02.138

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ORIGINAL ARTICLES • Rev. Assoc. Med. Bras. 62 (2) • Mar-Apr 2016 • https://doi.org/10.1590/1806-9282.62.02.138 copy

Cardiovascular risk assessment according to the Framingham score and abdominal obesity in individuals seen by a clinical school of nutrition

Avaliação do risco cardiovascular segundo escore de Framingham e obesidade abdominal em indivíduos atendidos por uma clínica escola de nutrição

Authorship SCIMAGO INSTITUTIONS RANKINGS

Summary

Objective:

To analyze the relation of abdominal obesity on cardiovascular risk in individuals seen by a clinic school of nutrition, classifying them based on Framingham score.

Methods:

Cross-sectional study, conducted at the nutrition clinic of a private college in the city of Maceió, Alagoas. We included randomly selected adults and elderly individuals with abdominal obesity, of both sexes, treated from August to December of 2009, with no history of cardiomyopathy or cardiovascular events. To determine the cardiovascular risk, the Framingham score was calculated. All analyzes were performed with SPSS software version 20.0, with p <0.05 as significative.

Results:

We studied 54 subjects, 83% female, the mean age was 48 years old, ranging from 31 to 73 years. No correlation was observed between measurements of waist circumference and cardiovascular risk in the subjects studied (r=0.065, p=0.048), and there was no relationship between these parameters.

Conclusion:

Abdominal fat distribution was weakly related to cardiovascular risk in patients seen by a clinical school of nutrition.

Keywords:
Abdominal obesity; cardiovascular diseases; obesity; risk factors

	Adults (< 60 years)				Elderly (> 60 years)
Variables	Female (n=35)	Male (n=6)	Total (n=41)	p^** ****** Chi-square test, Fisher’s exact test	Female (n=10)	Male (n=3)	Total (n=13)	p^** ****** Chi-square test, Fisher’s exact test
	n (%)	n (%)	n (%)		n (%)	n (%)	n (%)
Excess weight ^* * Excess weight according to the IMC	29 (82.85)	5 (83.33)	34 (82.92)	0.7322	7 (70.00)	2 (66.66)	9 (69.23)	0.7062
Excess fat tissue^ Excess adipose tissue according to the sum of skin folds	27 (77.14)	4 (66.66)	31 (75.60)	0.4583	7 (70.00)	3 (100.00)	10 (76.92)	0.4195
Fasting hyperglycemia	7 (20.00)	0 (0)	7 (17.07)	0.2991	3 (30.00)	2 (66.66)	5 (38.46)	0.3146
Elevated serum triglyceride	12 (34.28)	2 (33.33)	14 (34.14)	0.6723	2 (20.00)	1 (33.33)	3 (23.07)	0.5804
Elevated serum cholesterol	17 (45.57)	3 (50.00)	20 (48.78)	0.6445	7 (70.00)	1 (33.33)	8 (61.53)	0.3146
Elevated serum LDL-c	11 (31.42)	2 (33.33)	13 (31.70)	0.6320	4 (40.00)	1 (33.33)	5 (38.46)	0.6853
Low serum HDL-c	15 (42.85)	1 (16.66)	16 (39.02)	0.2284	0 (0)	0 (0)	0 (0)	------
Dyslipidemia^* ***** Medical diagnosis	6 (17.14)	1 (16.66)	7 (17.07)	0.7322	1 (10.00)	0 (0)	1 (7.69)	0.7292
Diabetes mellitus^* ***** Medical diagnosis	2 (5.71)	0 (0)	2 (4.87)	0.7256	1 (10.00)	1 (33.33)	2 (15.38)	0.4230
Arterial high blood pressure^* ***** Medical diagnosis	12 (34.28)	1 (16.66)	13 (37.14)	0.3679	7 (70.00)	3 (100.00)	10 (76.92)	0.4195
Drinking habit	11 (31.42)	3 (50.00)	14 (34.14)	0.3276	1 (10.00)	1 (33.33)	2 (15.38)	0.4230
Physical inactivity	25 (71.42)	4 (66.66)	29 (70.73)	0.5774	2 (20.00)	1 (33.33)	3 (23.07)	0.5804
Smoking habit	0 (0)	0 (0)	0 (0)	-----	1 (10.00)	1 (33.33)	2 (15.38)	0.4230
Family history of CVD	24 (68.57)	5 (83.33)	29 (70.73)	0.4225	6 (60.00)	1 (33.33)	7 (53.84)	0.4370

	Adults (< 60 years)			Elderly (> 60 years)
Variables	Female (n=35)	Male (n=6)	p^* * Student’s t test	Female (n=10)	Male (n=3)	p^* * Student’s t test
Body mass index (Kg/m²)	29.75±5.41	27.12±4.50	0.203	28.22±4.67	28.77±5.29	0.606
Body fat (%)	38.17±5.63	28.90±5.06	0.001	36.98±8.17	30.40±4.23	0.044
Waist circumference (cm)	98.46±10.64	102.16±13.68	0.858	95.90±16.46	103.27±7.29	0.155
Fasting blood glucose (mg/dL)	92.63±16.84	85.60±10.85	0.267	94.76±12.24	98.33±23.45	0.588
Serum triglyceride (mg/dL)	119.15±54.69	116.00±44.08	0.881	124.23±70.19	127.66±114.09	0.928
Serum cholesterol (mg/dL)	213.42±49.85	193.16±27.03	0.799	184.50±27.83	228.33±32.65	0.589
Serum HDL-c (mg/dL)	61.06±12.83	51.83±12.59	0.833	53.60±13.18	58.66±6.02	0.766
Serum LDL-c (mg/dL)	119.74±34.88	124.76±28.74	0.708	136.56±54.93	117.04±46.13	0.515

	Adults (< 60 years)				Elderly (> 60 years)
Cardiovascular risk	Female (n=35)	Male (n=6)	Total (n=41)	p^* * Chi-square test, Fisher’s exact test	Female (n=10)	Male (n=3)	Total (n=13)	p^* * Chi-square test, Fisher’s exact test
	n (%)	n (%)	n (%)		n (%)	n (%)	n (%)
Low	33 (94.28)	5 (83.33)	38 (92.68)	0.3860	9 (90.00)	2 (66.66)	11 (84.61)	0.4230
Medium	1 (2.85)	1 (16.66)	2 (4.87)	0.2743	1 (10.00)	1 (33.33)	2 (15.38)	0.4230
High	1 (2.85)	0 (0)	1 (2.43)	0.8536	0 (0)	0 (0)	0 (0)	------

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