Estimation of the 10-Year Risk of Fatal Cardiovascular Disease in the Portuguese Population: Results from the First Portuguese Health Examination Survey (INSEF 2015)

Detalhes bibliográficos
Autor(a) principal: Gaio, Vânia
Data de Publicação: 2020
Outros Autores: Rodrigues, Ana Paula, Kislaya, Irina, Barreto, Marta, Namorado, Sónia, Dias, Carlos Matias
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13009
Resumo: Introduction: Cardiovascular disease is the leading cause of morbidity and mortality in Portugal and globally. Cardiovascular risk algorithms, namely the SCORE (Systematic Coronary Risk Evaluation), are recommended in the context of cardiovascular disease prevention. Our aim is to estimate and characterize the cardiovascular risk of the Portuguese population aged between 40 and 65 years old, in 2015, using the SCORE algorithm.Material and Methods: This study was performed on a subsample of the first Portuguese National Health Examination Survey - INSEF, including all participants between 40 and 65 years old with available data on sex, age, smoking status, total cholesterol and systolic blood pressure (n = 2945). The prevalence of the cardiovascular risk categories were stratified by sex, age group, marital status, educational level, occupational activity, urbanization of living area, region and income.Results: In 2015, about 5.1% and 11.9% of the Portuguese resident population aged between 40 and 65 years old were, respectively, at high and very high risk of having a fatal CV event in the following 10 years. The highest prevalence of very high cardiovascular risk was found in males, individuals aged 60-65 years old, married or living with someone, without any formal education or just with the 1st cycle of basic education and belonging to the less skilled category of the occupational activity (C category) in comparison with the othercorresponding groups.Discussion: A previous national study found a similar proportion of the population at high/very high cardiovascular risk (19.5% versus 17.1%). Our study is representative of the adult Portuguese population and adopted the European Health Examination Survey procedures, which are essential for future comparisons with other European countries. Some of the limitations of this study include the possible participation bias and the non-calibration of the SCORE algorithm for the Portuguese population.Conclusion: In 2015, a considerable proportion of the Portuguese population aged between 40 and 65 years old had a high or very high risk of developing a fatal cardiovascular event in the next 10 years. Due to the possible overestimation of the cardiovascular risk already reported in other European countries, it will be important to carry out a follow-up study to validate the adequacy of using the SCORE algorithm in the Portuguese population.
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spelling Estimation of the 10-Year Risk of Fatal Cardiovascular Disease in the Portuguese Population: Results from the First Portuguese Health Examination Survey (INSEF 2015)Estimativa do Risco a 10 Anos de Doença Cardiovascular Fatal na População Portuguesa: Resultados do 1º Inquérito Nacional de Saúde com Exame Físico (INSEF 2015)Cardiovascular DiseasesPortugalRisk AssessmentRisk FactorsSocioeconomic FactorsAvaliação do RiscoDoença CardiovascularFactores de RiscoFactores SocioeconómicosPortugalIntroduction: Cardiovascular disease is the leading cause of morbidity and mortality in Portugal and globally. Cardiovascular risk algorithms, namely the SCORE (Systematic Coronary Risk Evaluation), are recommended in the context of cardiovascular disease prevention. Our aim is to estimate and characterize the cardiovascular risk of the Portuguese population aged between 40 and 65 years old, in 2015, using the SCORE algorithm.Material and Methods: This study was performed on a subsample of the first Portuguese National Health Examination Survey - INSEF, including all participants between 40 and 65 years old with available data on sex, age, smoking status, total cholesterol and systolic blood pressure (n = 2945). The prevalence of the cardiovascular risk categories were stratified by sex, age group, marital status, educational level, occupational activity, urbanization of living area, region and income.Results: In 2015, about 5.1% and 11.9% of the Portuguese resident population aged between 40 and 65 years old were, respectively, at high and very high risk of having a fatal CV event in the following 10 years. The highest prevalence of very high cardiovascular risk was found in males, individuals aged 60-65 years old, married or living with someone, without any formal education or just with the 1st cycle of basic education and belonging to the less skilled category of the occupational activity (C category) in comparison with the othercorresponding groups.Discussion: A previous national study found a similar proportion of the population at high/very high cardiovascular risk (19.5% versus 17.1%). Our study is representative of the adult Portuguese population and adopted the European Health Examination Survey procedures, which are essential for future comparisons with other European countries. Some of the limitations of this study include the possible participation bias and the non-calibration of the SCORE algorithm for the Portuguese population.Conclusion: In 2015, a considerable proportion of the Portuguese population aged between 40 and 65 years old had a high or very high risk of developing a fatal cardiovascular event in the next 10 years. Due to the possible overestimation of the cardiovascular risk already reported in other European countries, it will be important to carry out a follow-up study to validate the adequacy of using the SCORE algorithm in the Portuguese population.Introdução: A doença cardiovascular é a principal causa de morbilidade e mortalidade a nível global e em Portugal. A utilização de algoritmos de avaliação do risco cardiovascular, nomeadamente o SCORE (Systematic Coronary Risk Evaluation), é recomendada no contexto da prevenção destas doenças. O objetivo deste estudo é estimar e caracterizar o risco cardiovascular na população portuguesa com idade compreendida entre os 40 e os 65 anos, em 2015, utilizando o algoritmo SCORE.Material e Métodos: Para o cálculo do risco cardiovascular foram considerados os participantes no Inquérito Nacional de Saúde com Exame Físico (INSEF), com idades entre os 40 e os 65 anos de idade, com dados disponíveis sobre sexo, idade, consumo de tabaco, colesterol total e pressão arterial sistólica (n = 2945). A prevalência das categorias de risco cardiovascular foi estratificada de acordo com o sexo, grupo etário, estado civil, escolaridade, ocupação, grau de urbanização, região e rendimento.Resultados: Em 2015, 5,1% e 11,9% da população residente em Portugal com idades entre os 40 e os 65 anos tinha, respetivamente, um risco elevado e um risco muito elevado de ter um evento cardiovascular fatal nos 10 anos seguintes. A maior prevalência de risco cardiovascular muito alto foi encontrada nos homens, nos indivíduos do grupo etário dos 60 aos 65 anos, casados ou vivendo conjugalmente, sem escolaridade ou apenas com o primeiro ciclo do ensino básico e pertencentes à categoria menos qualificada daatividade ocupacional (categoria C).Discussão: Um estudo nacional anterior encontrou uma percentagem semelhante da população com um risco elevado/muito elevado de ter um evento cardiovascular fatal (19,5% versus 17,1%). O nosso estudo é representativo da população portuguesa adulta e adotou os procedimentos do Inquérito Europeu de Saúde com Exame Físico, essencial para futuras comparações com outros países europeus. Algumas das limitações do presente estudo incluem o possível viés de participação e a não calibração do algoritmo SCORE para a população portuguesa.Conclusão: Uma percentagem considerável da população portuguesa com idade entre os 40 e os 65 anos tinha, em 2015, um risco alto ou muito alto de desenvolver um evento cardiovascular fatal nos 10 anos seguintes. Dada a possibilidade de sobrestimação de risco, já reportada para outros países Europeus, seria essencial realizar um estudo de follow-up para validar a adequação do uso do SCORE na população portuguesa.Ordem dos Médicos2020-11-02info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/mswordhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13009oai:ojs.www.actamedicaportuguesa.com:article/13009Acta Médica Portuguesa; Vol. 33 No. 11 (2020): November; 726-732Acta Médica Portuguesa; Vol. 33 N.º 11 (2020): Novembro; 726-7321646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13009https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13009/6111https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13009/11956https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13009/12149Direitos de Autor (c) 2020 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessGaio, VâniaRodrigues, Ana PaulaKislaya, IrinaBarreto, MartaNamorado, SóniaDias, Carlos Matias2022-12-20T11:06:45Zoai:ojs.www.actamedicaportuguesa.com:article/13009Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:20:15.876948Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Estimation of the 10-Year Risk of Fatal Cardiovascular Disease in the Portuguese Population: Results from the First Portuguese Health Examination Survey (INSEF 2015)
Estimativa do Risco a 10 Anos de Doença Cardiovascular Fatal na População Portuguesa: Resultados do 1º Inquérito Nacional de Saúde com Exame Físico (INSEF 2015)
title Estimation of the 10-Year Risk of Fatal Cardiovascular Disease in the Portuguese Population: Results from the First Portuguese Health Examination Survey (INSEF 2015)
spellingShingle Estimation of the 10-Year Risk of Fatal Cardiovascular Disease in the Portuguese Population: Results from the First Portuguese Health Examination Survey (INSEF 2015)
Gaio, Vânia
Cardiovascular Diseases
Portugal
Risk Assessment
Risk Factors
Socioeconomic Factors
Avaliação do Risco
Doença Cardiovascular
Factores de Risco
Factores Socioeconómicos
Portugal
title_short Estimation of the 10-Year Risk of Fatal Cardiovascular Disease in the Portuguese Population: Results from the First Portuguese Health Examination Survey (INSEF 2015)
title_full Estimation of the 10-Year Risk of Fatal Cardiovascular Disease in the Portuguese Population: Results from the First Portuguese Health Examination Survey (INSEF 2015)
title_fullStr Estimation of the 10-Year Risk of Fatal Cardiovascular Disease in the Portuguese Population: Results from the First Portuguese Health Examination Survey (INSEF 2015)
title_full_unstemmed Estimation of the 10-Year Risk of Fatal Cardiovascular Disease in the Portuguese Population: Results from the First Portuguese Health Examination Survey (INSEF 2015)
title_sort Estimation of the 10-Year Risk of Fatal Cardiovascular Disease in the Portuguese Population: Results from the First Portuguese Health Examination Survey (INSEF 2015)
author Gaio, Vânia
author_facet Gaio, Vânia
Rodrigues, Ana Paula
Kislaya, Irina
Barreto, Marta
Namorado, Sónia
Dias, Carlos Matias
author_role author
author2 Rodrigues, Ana Paula
Kislaya, Irina
Barreto, Marta
Namorado, Sónia
Dias, Carlos Matias
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Gaio, Vânia
Rodrigues, Ana Paula
Kislaya, Irina
Barreto, Marta
Namorado, Sónia
Dias, Carlos Matias
dc.subject.por.fl_str_mv Cardiovascular Diseases
Portugal
Risk Assessment
Risk Factors
Socioeconomic Factors
Avaliação do Risco
Doença Cardiovascular
Factores de Risco
Factores Socioeconómicos
Portugal
topic Cardiovascular Diseases
Portugal
Risk Assessment
Risk Factors
Socioeconomic Factors
Avaliação do Risco
Doença Cardiovascular
Factores de Risco
Factores Socioeconómicos
Portugal
description Introduction: Cardiovascular disease is the leading cause of morbidity and mortality in Portugal and globally. Cardiovascular risk algorithms, namely the SCORE (Systematic Coronary Risk Evaluation), are recommended in the context of cardiovascular disease prevention. Our aim is to estimate and characterize the cardiovascular risk of the Portuguese population aged between 40 and 65 years old, in 2015, using the SCORE algorithm.Material and Methods: This study was performed on a subsample of the first Portuguese National Health Examination Survey - INSEF, including all participants between 40 and 65 years old with available data on sex, age, smoking status, total cholesterol and systolic blood pressure (n = 2945). The prevalence of the cardiovascular risk categories were stratified by sex, age group, marital status, educational level, occupational activity, urbanization of living area, region and income.Results: In 2015, about 5.1% and 11.9% of the Portuguese resident population aged between 40 and 65 years old were, respectively, at high and very high risk of having a fatal CV event in the following 10 years. The highest prevalence of very high cardiovascular risk was found in males, individuals aged 60-65 years old, married or living with someone, without any formal education or just with the 1st cycle of basic education and belonging to the less skilled category of the occupational activity (C category) in comparison with the othercorresponding groups.Discussion: A previous national study found a similar proportion of the population at high/very high cardiovascular risk (19.5% versus 17.1%). Our study is representative of the adult Portuguese population and adopted the European Health Examination Survey procedures, which are essential for future comparisons with other European countries. Some of the limitations of this study include the possible participation bias and the non-calibration of the SCORE algorithm for the Portuguese population.Conclusion: In 2015, a considerable proportion of the Portuguese population aged between 40 and 65 years old had a high or very high risk of developing a fatal cardiovascular event in the next 10 years. Due to the possible overestimation of the cardiovascular risk already reported in other European countries, it will be important to carry out a follow-up study to validate the adequacy of using the SCORE algorithm in the Portuguese population.
publishDate 2020
dc.date.none.fl_str_mv 2020-11-02
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13009/6111
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13009/11956
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13009/12149
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2020 Acta Médica Portuguesa
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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 33 No. 11 (2020): November; 726-732
Acta Médica Portuguesa; Vol. 33 N.º 11 (2020): Novembro; 726-732
1646-0758
0870-399X
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