Cardiovascular risk assessment in the resource limited setting of Western Honduras: An epidemiological perspective

Sanchez, Eleazar Enrique Montalvan; Urrutia, Samuel; Rodriguez, A; Duarte, Gabriela; Murillo, Axel; Rivera, Ricardo; Henriquez, Andrea Alejandra Paredes; Sanchez, Daniela Maria Montalvan; Ordoñez, Eva; Norwood, Dalton A.; Dominguez, Lucia Belem; Domínguez, Ricardo L.; Torres, Karla; Fajardo, Esmelia Michell Reyes; Godoy, Carlos Amilcar

doi:10.1016/j.ijcha.2020.100476

Cited by 7 publications

(6 citation statements)

References 35 publications

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“…We found a high prevalence of increased CVD risk, i.e., Framingham risk score ≥ 10%, in this population. Our estimates were higher than those reported in Peru ( 34 ), Argentina ( 35 ) and Southern Brazil ( 20 , 36 ), similar to India ( 37 ), but lower than Honduras ( 38 ) and China ( 39 ). These differences might be explained by genetic, racial, sociodemographic, and cultural diversity, as well as the use of other versions of the Framingham risk score, with a varied set of predictors.…”

Section: Discussioncontrasting

confidence: 90%

Cardiovascular Risk, Obesity, and Sociodemographic Indicators in a Brazilian Population

Moreira

Mdala

Hussain

et al. 2021

Front. Public Health

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Background and Aims: Cardiovascular diseases (CVDs) are the leading cause of death globally and in Brazil. Evidence suggests that the risk of CVDs differs by race/ethnicity. Scarce information exists about the association between CVD risk, obesity indicators and sociodemographic characteristics in the Brazilian population.Objectives: We aimed to assess the CVD risk following the Framingham risk score in relation to the population's sociodemographic profile. Further, we examined the association between anthropometric markers and risk of CVDs.Methods: A total of 701 subjects aged ≥20 years from North-eastern Brazil were recruited randomly to participate in a population-based, cross-sectional survey. Age-adjusted data for CVD risk, sociodemographic characteristics, and anthropometric indices were assessed, and their relationships examined.Results: High CVD risk (Framingham risk score ≥10%) was observed in 18.9% of the population. Males (31.9 vs. 12.5%) and older subjects (age ≥45 years: 68.9% vs. age <45 years: 4.2%) had significantly higher risk of CVDs, whereas those employed in manual labor showed lower risk (7.6 vs. 21.7%). Central obesity measures like waist-to-hip ratio and waist-to-height ratio were more strongly associated with predicted CVD risk than body mass index.Conclusions: Our population had a high risk of CVDs using the Framingham risk score. Cost-effective strategies for screening, prevention and treatment of CVDs may likely reduce disease burden and health expenditure in Brazil. Central obesity measures were strongly associated with predicted CVD risk and might be useful in the clinical assessment of patients. Follow-up studies are warranted to validate our findings.

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Section: Discussioncontrasting

confidence: 90%

Cardiovascular Risk, Obesity, and Sociodemographic Indicators in a Brazilian Population

Moreira

Mdala

Hussain

et al. 2021

Front. Public Health

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“…1 , Table 1 ). In our review, some national surveys assessed the prevalence of diabetes via population representative samples [ 33 , 36 , 38 , 40 , 42 – 44 , 47 , 49 , 55 , 60 , 61 , 65 , 66 , 68 , 72 , 85 – 87 , 89 , 91 , 96 , 98 , 105 , 107 ] and used similar population sampling methods (e.g., multi-stage, clustered, probabilistic sampling), whereas other studies focused on specific geographic regions or communities [ 34 , 35 , 37 , 45 , 46 , 48 – 54 , 56 – 58 , 63 , 67 , 73 – 75 , 77 , 82 – 84 , 92 – 95 , 102 , 110 – 112 ], recruited participants from clinical settings [ 51 , 59 , 62 , 69 , 95 ], or focused on specific age groups [ 37 , 42 , 56 – 58 , 75 , 109 , 112 ]. Also, the age range of the population surveyed—and consequently, age-adjustment estimates—varied among surveys.…”

Section: Prevalence Of Diabetes Mellitus In Latin Americamentioning

confidence: 99%

“… N = 400 (69.1% women) Age ≥ 18 years FBG > 7.0 mmol/L (≥ 126 mg/dL) HbA1c > 6.5% Total: 13.81% (women = 14.56%; men = 12.20%) Prevalence increased with age, but not BMI (kg/m 2 ). Montalván Sánchez, 2020 [ 51 ] 2016–2017 Honduras CVD burden in Copán First study on CV Risk Factors in Western Honduras Random volunteer-based, cross sectional descriptive study Attending both private and public medical institutions in the Department of Copán N = 384 (62% women) Age: 45–75 years Self-report and taking meds; fasting blood glucose >125 mg/dL Self-reported diabetes: women = 22.1% and men =19% (overall 21%) 6.7% with abnormal blood glucose without a previous diagnosis of diabetes. Laux, 2012 [ 52 ] 2007–2009 Nicaragua Study on the prevalence of diabetes and hypertension in one urban and five rural communities in Nicaragua Five communities in the northwest (Leon and Chinandega) and one community in central Nicaragua (Matagalpa) N = 1355 (56.5% women) Age: 20–60 years Self-report or glucosuria ≥ 100 mg/dL, uncontrolled diabetes solely diagnosed as glucosuria > 100 mg/dL Total prevalence = 3.0% (40/1355); 33 (82.5% women).…”

Section: Prevalence Of Diabetes Mellitus In Latin Americamentioning

confidence: 99%

“…Although fewer than studies focused on prevalence, a considerable number of reports centered on diabetes awareness, treatment, and control across LatAm were published between 2005 and 2020 (Table 2 ) [ 33 , 37 , 40 , 41 , 43 , 44 , 49 , 51 , 60 – 63 , 65 , 72 , 73 , 87 , 98 , 101 , 103 , 104 , 111 , 112 , 159 – 189 ]. A few of the studies evaluated diabetes awareness, treatment, and control altogether [ 85 , 185 , 189 ].…”

Section: Diabetes Awareness Treatment and Controlmentioning

confidence: 99%

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Current State of Diabetes Mellitus Prevalence, Awareness, Treatment, and Control in Latin America: Challenges and Innovative Solutions to Improve Health Outcomes Across the Continent

et al. 2020

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Purpose of Review Latin America is the scenario of great inequalities where about 32 million human beings live with diabetes. Through this review, we aimed at describing the current state of the prevalence, awareness, treatment, and control of diabetes mellitus and completion of selected guidelines of care across Latin America and identify opportunities to advance research that promotes better health outcomes. Recent Findings The prevalence of diabetes mellitus has been consistently increasing across the region, with some variation: higher prevalence in Mexico, Haiti, and Puerto Rico and lower in Colombia, Ecuador, Dominican Republic, Peru, and Uruguay. Prevalence assessment methods vary, and potentially underestimating the real number of persons with diabetes. Diabetes unawareness varies widely, with up to 50% of persons with diabetes who do not know they may have the disease. Glycemic, blood pressure, and LDL-C control and completion of guidelines to prevent microvascular complications are not consistently assessed across studies, and the achievement of control goals is suboptimal. On the other hand, multiple interventions, point-of-care/rapid assessment tools, and alternative models of health care delivery have been proposed and tested throughout Latin America. Summary The prevalence of diabetes mellitus continues to rise across Latin America, and the number of those with the disease may be underestimated. However, some local governments are embedding more comprehensive diabetes assessments in their local national surveys. Clinicians and public health advocates in the region have proposed and initiated various multi-level interventions to address this enormous challenge in the region. Keywords Latin America. Diabetes prevalence. Diabetes treatment. Control. Diabetes complications. Interventions. Health care This article is part of the Topical Collection on Diabetes Epidemiology

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“…In fact, in Mali, in a study of hypertension and associated factors in rural and urban areas,Hamidou OB, et al, 2018 [14] showed that the overweight and obese pa-Senegal) with a prevalence of 5.8% smokers reported by Pessinaba S, et al, 2013[19]. Smoking is a well-known and modifiable risk factor for CVDs as reported by many studies[20] [21][22] [23]. The prevalence of harmful alcohol consumption in our patients was 13.01%.Hamidou OB, et al, 2018 [14] reported 2.6% of alcohol consumption exclusively represented by male sex in their series in the department of cardiology at the teaching hospital Gabriel Touré of Bamako (Mali).…”

mentioning

confidence: 99%

Cardiovascular Risk Factors among Outpatients: An Alarming Sign of the Epidemiological Transition in Developing Country?

Coulibaly¹,

Samaké²,

Boubacar³

et al. 2021

WJCD

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Background: Noncommunicable diseases are the leading cause of death in the world and low and middle-income countries suffer from preventable premature death. The aim of this study was to assess the risk factors for noncommunicable disease (NCDs) in general and particular cardiovascular diseases (CVDs) among the outpatients of our department of medicine. Methods: We performed a cross-sectional study from April to December 2017 by the consecutive enrollment of outpatients who attended in our department of medicine of Hôpital Sominé DOLO de Mopti, Mali. Clinical and laboratory data were measured for cardiovascular risk assessment. Framingham Risk Score (FRS) and Systemic Coronary Risk Estimation (SCORES) were computed by using Framingham and SCORE equations. Metabolic syndrome was defined using the harmonized criteria from the International Diabetes Federation (IDF) and the American Heart Association/National Heart, Lung, and Blood Institute (AHA/NHLBI). Data were captured in excel and analyzed with R version 4.0.3. The statistical significance was set at p = 0.05. Results: A total of 292 patients were enrolled in this study. The prevalence of traditional cardiovascular risk factors was 36.64%, 21.57%, 14.04%, and 13.01% for high blood pressure, hyperglycemia, smoking, and alcohol consumption, respectively. The metabolic syndrome accounted for 23.63%.

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Cardiovascular risk assessment in the resource limited setting of Western Honduras: An epidemiological perspective

Cited by 7 publications

References 35 publications

Cardiovascular Risk, Obesity, and Sociodemographic Indicators in a Brazilian Population

Cardiovascular Risk, Obesity, and Sociodemographic Indicators in a Brazilian Population

Current State of Diabetes Mellitus Prevalence, Awareness, Treatment, and Control in Latin America: Challenges and Innovative Solutions to Improve Health Outcomes Across the Continent

Cardiovascular Risk Factors among Outpatients: An Alarming Sign of the Epidemiological Transition in Developing Country?

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