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SCORE2 Outperforms Pol-SCORE in Detecting Increased Cardiovascular Risk.

Magdalena Zawadzka1,2, Ewelina Ejchman-Pac1, Amelia Kowalska2

  • 1Department of Health Education, Prevention, and Promotion, Military Institute of Hygiene and Epidemiology, Kozielska Street 4, 01-163 Warsaw, Poland.

Pathophysiology : the Official Journal of the International Society for Pathophysiology
|September 22, 2025
PubMed
Summary

The SCORE2 model identifies more individuals at high cardiovascular risk than the Pol-SCORE system. Many military and civilian employees underestimate their health risks, highlighting a need for better prevention strategies.

Keywords:
Pol-SCORESCORE2cardiovascular diseasehypertensionmilitary personnelobesitypreventive medicinepublic healthtobacco use

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Area of Science:

  • Cardiology
  • Public Health
  • Occupational Health

Background:

  • Cardiovascular disease (CVD) is Europe's leading cause of death.
  • Rising modifiable risk factors like obesity and smoking affect high-demand professions, including military personnel.
  • The SCORE2 model provides a more comprehensive cardiovascular risk assessment than the traditional Pol-SCORE system.

Purpose of the Study:

  • To assess and compare cardiovascular risk in military and civilian employees using both Pol-SCORE and SCORE2 models.
  • To evaluate self-awareness of cardiovascular risk factors within these occupational groups.

Main Methods:

  • Inclusion of military and civilian defense employees.
  • Health questionnaires and clinical evaluations (blood pressure, lipid profiling).
  • Cardiovascular risk assessment using Pol-SCORE and SCORE2 models.

Main Results:

  • SCORE2 identified significantly more individuals at high or very high cardiovascular risk compared to Pol-SCORE.
  • Elevated blood pressure, overweight, obesity, smoking, and stress were prevalent.
  • Low screening participation and underestimation of personal health risks were observed despite awareness of prevention.

Conclusions:

  • The SCORE2 model is a more sensitive and comprehensive tool for cardiovascular risk evaluation.
  • Targeted prevention strategies and health education are crucial for high-risk occupational groups like military personnel.
  • Addressing unrecognized or underestimated cardiovascular risks is essential.