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Risk Assessment of Cardiovascular Disease Among Adults Attending Primary Healthcare Centers in Riyadh City 2015
Bader Alibrahim1, Jaber Sharaheeli1, Lujain Alassaf2
1Preventive Medicine, Field Epidemiology Training Program, Riyadh, SAU.
Insights
Cardiovascular disease (CVD) risk factors are common in Riyadh primary healthcare. This study assessed CVD risk, finding obesity prevalent and most participants at low risk, highlighting the need for community interventions.
Area of Science:
- Public Health
- Epidemiology
- Cardiology
Background:
- Cardiovascular disease (CVD) risk factors are increasing in Saudi Arabia.
- Effective primary CVD prevention requires accurate risk assessment and tailored interventions.
- Risk stratification helps categorize patients for appropriate management.
Purpose of the Study:
- To estimate the prevalence of cardiovascular disease (CVD) in primary healthcare (PHC) settings in Riyadh.
- To categorize the population into low, intermediate, and high CVD risk groups.
- To inform public health strategies for CVD prevention in Saudi Arabia.
Main Methods:
- A cross-sectional study was conducted across seven PHC centers in Riyadh.
- Seven hundred participants (50% male, 50% female) were randomly selected.
- Data collection involved questionnaires, physical measurements, and laboratory tests, utilizing World Health Organization risk prediction charts.
Main Results:
- Obesity (53.2%) and overweight (31.2%) were the most prevalent risk factors, with higher BMI in females.
- A significant majority (83.4%) had low CVD risk, while 12.9% had intermediate risk, and 3.7% had high risk.
- Age, systolic blood pressure, cholesterol, smoking, and diabetes were significant predictors of intermediate and high CVD risk.
Conclusions:
- CVD risk factors are common among the studied population in Riyadh.
- Community-based interventions are crucial for reducing CVD risk.
- Healthcare decision-makers should prioritize preventive strategies based on risk stratification.
Background:
The prevalence of cardiovascular disease (CVD) risk factors is expected to rise in Saudi Arabia as the prevalence of CVD risk factors rises. Effective primary CVD prevention necessitates risk assessment to categorize patients and select the most appropriate intervention for each category.
Objectives:
To estimate the prevalence of CVD at primary healthcare (PHC) in Riyadh city and to categorize the at-risk population as a slow, intermediate, or high risk of CVD.
Methods:
A cross-sectional study was carried out at seven PHC centers in Riyadh. Seven hundred participants (half of whom were males and the other half females) were selected at random from PHCs visitors, and data was collected using a structured questionnaire, as well as required measurements and laboratory investigations. The World Health Organization risk prediction charts were used to calculate CVD risk. Participants were assigned to one of three CVD risk categories (low, intermediate, high).
Results:
Obesity was found to be the most common risk factor found in this study (53.2%). Overweight (31.2%), with females having higher BMI levels. The study found that 83.4% of participants had low CVD risk, 12.9% had intermediate risk, and 3.7% had high CVD risk category. Age, systolic blood pressure, cholesterol level, smoking, and prior diagnosis of diabetes were all statistically significant predictors of moderate and high CVD risk.
Conclusion:
CVD risk factors were discovered to be common among study participants. It requires healthcare decision-makers to engage in community-based interventions to decrease the risk of CVD.
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