[Cardiometabolic risk factors detected with a preventative screening programme]
Rolf M van de Kerkhof1, Merijn B Godefrooij, Paul J Wouda
1Stichting Gezondheidscentra Eindhoven, Gezondheidscentrum Woensel, the Netherlands.
Nederlands Tijdschrift Voor Geneeskunde
|November 3, 2010
Summary
A preventative screening program for cardiometabolic risk in general practice successfully identified new cases. This study demonstrates the feasibility of early detection and treatment of conditions like cardiovascular diseases and diabetes in primary care settings.
Area of Science:
- Cardiology
- Endocrinology
- Nephrology
- General Practice
- Preventative Medicine
Background:
- Cardiometabolic diseases pose a significant public health challenge.
- Early detection and intervention are crucial for managing cardiometabolic risk.
- Primary care settings are well-positioned for preventative screening programs.
Purpose of the Study:
- To design and implement a preventative screening program for cardiometabolic risk assessment in a general practice.
- To determine the response rate of the screening program.
- To quantify the number of newly detected diseases requiring treatment.
Main Methods:
- A questionnaire-based and observational research design was employed.
- 1704 patients aged 40-75 without prior cardiometabolic disease received invitations.
- A multi-step screening process assessed cardiometabolic risk, followed by treatment offers.
Main Results:
- A 75% response rate (1270 patients) was achieved for the initial screening questionnaire.
- 145 participants (11%) were diagnosed with conditions requiring treatment or follow-up.
- Detected conditions included elevated cardiovascular risk, hypertension, diabetes mellitus, hypercholesterolemia, and renal disorders.
Conclusions:
- Implementing a cardiometabolic screening program in primary care is feasible.
- The program successfully identified a notable number of previously undiagnosed cases.
- Further research is needed to evaluate long-term health outcomes and program efficiency.
Related Concept Videos
Coronary Artery Disease I: Introduction
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
Coronary Artery Disease IV: Preventive Measures
Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
Preventive Healthcare Services
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
Cancer Prevention
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
Cancer Prevention
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
Type II Diabetes I: Introduction
Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by insulin resistance, in which target tissues such as the liver, muscle, and adipose tissue respond poorly to insulin. It is also associated with inadequate compensatory insulin secretion, where pancreatic β-cells fail to produce sufficient insulin. Together, these abnormalities lead to persistent hyperglycemia.EtiologyT2DM develops through a complex interaction of genetic predisposition and environmental or...

