23 Profile of Cardiovascular Risks among Participants of a Heart Screening Program at Siloam Heart Institute – Siloam Hospital Kebon Jeruk. (November 2017)

• Record Type: Journal Article
• Authors: Suciadi, Leonardo P.; A.H., Santoso; Sutandar, Antono
• Is Part Of: Journal of hypertension. Volume 35(2017)Supplement 3
• Publication Date: 2017-11
• Subjects: Hypertension -- Periodicals; Hypertension -- Periodicals; 616.132005
• DOI: 10.1097/01.hjh.0000527407.96858.22
• Languages: English
• ISSNs: 1473-5598

Abstract

Abstract : Background: Unhealthy behaviors and hypertension are known to be modifiable risk factors of adverse cardiovascular events. Unhealthy behaviors as defined by America's Health Ranking (AHR) were: currently smoking, obesity, excessive alcohol intake, lack of physical activity, and insufficient sleep. Public awareness and clinical identification of these issues in community are the important steps in a prevention program. Method: During a one-day Heart Screening Program (September 18, 2016), we enrolled healthy adults who were >40 year-old and by history had no evidence of angina nor functional limiting dyspnea. Body weight, body height, blood pressure, and pulse rate were measured. The Jakarta Cardiovascular Risk Score was calculated, and the participants had to respond to a questionnaire on unhealthy behaviors of AHR criteria. Result: We enrolled 328participants. Baseline demographics showed mean age 57.7 ± 8.3 yo., with 59.8% being female. The prevalence of participants with one, two, or more than 3 (multiple) unhealthy behaviors were respectively 37.8%, 36.9%, and 10.9%. The JCR Score were low (score -7–1), moderate (score 2–4), and high (score ≥5) in respectively 5.8%, 24.1%, and 70.1% participants. Hypertension was detected in 46% participants. The prevalence of hypertension in male age group 40–50, 51–60, and above 61 yo were consecutively 46.7%, 45%, and 64.3%. Whereas the prevalence in female age group 40–50, 51–60, and above 61 yo. were consecutively 26.1%, 38.5%, and 58.2%. The prevalence of overweight (BMI 23–27.4 kg/m 2 ) and obesity (BMI ≥27.5 kg/m 2 ) were respectively 48.3% and 31.4%. Of those with BMI >23 kg/m 2, 80% participants had central obesity as defined by waist circumference ≥80 cm in female or ≥90 cm in male. Central obesity appears more common in female (87.6%) compared to male (69.8%); and more frequently in age group 40–50 yo. (75% of total participants in this age group) compared to age group >50 yo. Blood sugar which was determined as fasting or 2-hour post prandial showed a prevalence of pre-diabetes and diabetes in consecutively 12% and 6%. Of those with BMI >23 kg/m 2, the prevalence of pre-diabetes/ diabetes was 19.3%. Conclusion: Hypertension and having at least 1 unhealthy behavior (including obesity) area common finding in our high risk participants. Hypertension is more prevalent in older age group, although it is detected in younger age in male. Having multiple unhealthy behaviors, including obesity, is more prevalent in younger age group. Central obesity is dominant form among participants with BMI >23 kg/m 2 .