Accuracy of the Simplified Version of the Global Risk Score in Detecting Cardiovascular Risk in Women from Quilombola Communities in the State of Alagoas, Brazil
Int. j. cardiovasc. sci. (Impr.)
;
34(4): 358-368, July-Aug. 2021. tab, graf
Artículo
en Inglés
| LILACS
| ID: biblio-1286844
ABSTRACT
Abstract Background:
Cardiovascular risk (CVR) monitoring is important for defining preventive actions against cardiovascular disease; this condition prevails more intensely in scenarios with less infrastructure such as African descent communities. The Framingham Risk Score (FRS) and the Global Risk Score (GRS) have been used in Brazil for CVR monitoring based on scales of points for certain risk factors. Among these, hypercholesterolemia and low high-density lipoprotein cholesterol require tests not always available in primary care. An alternative would be the simplified GRS (sGRS), in which these tests are replaced by the body mass index (kg/m2).Objective:
To determine the accuracy of the sGRS in estimating CVR in African descent women (quilombolas) from Alagoas.Method:
This is a cross-sectional study with a representative sample (n=1015) of women from African descent communities in Alagoas. GRS, sGRS, and FRS consisted in the sum of points obtained according to their respective scales. Receiver operating characteristic curves were used to compare the accuracy of these instruments as CVR predictors, assuming the GRS as reference. Statistical significance was assumed when p<0.05.Results:
The prevalence of high CVR assessed with the GRS or sGRS was similar (20.1% vs. 20.7%; p>0.05) and higher than that found with the FRS (4.5%; p<0.001). Considering the area under the curve (AUC), the sGRS had a higher discriminatory power (AUC=0.98; 95%CI 0.98-0.99) than the FRS (AUC=0.91; 95%CI 0.90-0.93).Conclusion:
Among black women living in regions with less infrastructure, the sGRS produced similar results to the GRS, with greater operational simplicity.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Enfermedades Cardiovasculares
/
Factores de Riesgo de Enfermedad Cardiaca
/
Quilombola
Tipo de estudio:
Estudio de etiología
/
Estudio observacional
/
Estudio de prevalencia
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Adulto
/
Femenino
/
Humanos
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Int. j. cardiovasc. sci. (Impr.)
Asunto de la revista:
Cardiología
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Faculty of Nutrition of the Federal University of Alagoas/BR
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