PP.30.01: BODY MASS INDEX AND CARDIOVASCULAR RISK. (June 2015)

• Record Type: Journal Article
• Authors: Bronze, L.; Carvalho-Rodrigues, M.; Batista, M.; Madruga, M.; Peixeiro, A.; Castelo-Branco, M.
• Is Part Of: Journal of hypertension. Volume 33(2015)Supplement 1
• Publication Date: 2015-06
• Subjects: Hypertension -- Periodicals; Hypertension -- Periodicals; 616.132005
• DOI: 10.1097/01.hjh.0000468625.37057.ab
• Languages: English
• ISSNs: 1473-5598

Abstract

Abstract : Objective: The body mass index (BMI) is well-established in terms of cardiovascular risk, yet it is still underused in clinical practice and not included in cardiovascular risk scores. Our objective was to relate the BMI to the risk score for atherosclerotic cardiovascular disease (ASCVD), based on the joint recommendations of the American College of Cardiology and the American Heart Association for assessment of cardiovascular risk. Design and method: Retrospective analysis of clinical and laboratory data in a population of 210 patients, over 65 years of age, followed in a primary care center. We valued the data needed to calculate the cardiovascular risk at 10 years, available athttp://tools.cardiosource.org/ASCVD-Risk-Estimator/ : ethnicity, gender, systolic blood pressure (SBP-mmHg), treatment for hypertension (TxHT) irrespective of the therapeutic agent, diabetes mellitus (DM), smoking (SK), total cholesterol (TC-mg/dl) and HDL cholesterol (HDL-mg/dl). BMI was calculated for every patient. Two groups were created according to of BMI less than 30 Kg/m 2 (Group 0), or BMI equal to or greater than 30 Kg/m 2 (Group 1). The two groups were compared (SPSS, Chicago Illinois, version 20) as to age, risk factors and the 10-Year ASCVD risk score (%). Linear correlation was performed between BMI and TC, HDL, PAS and the 10-Year ASCVD risk score. Results: All patients were of Caucasian ethnicity. The comparison between the two groups is expressed in the table below. Linear correlations were: BMI vs CT: R 2 = 0.002; BMI vs HDL: R 2 = 0.006; BMI vs PAS: R 2 = 0.002; BMI vs 10-Year ASCVD risk score: R 2 = 0.061 (see graph). Figure. No caption available. Conclusions: In this population, the presence of obesity relates to the presence of DM, to a greater therapeutic use and it appears to clearly influence the cardiovascular risk. BMI has a better correlation with ASCVD than the risk factors studied.