Community-based cardiovascular risk reduction: age and the Framingham risk score

Richardson, Gill, Van Woerden, Hugo Cornelis, Edwards, Rhiannon, Morgan, Lucy and Newcombe, Robert Gordon ORCID: https://orcid.org/0000-0003-4400-8867 2011. Community-based cardiovascular risk reduction: age and the Framingham risk score. British Journal of Cardiology 18 (4) , pp. 180-184.

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Abstract

This study examined the effect of a community-based intervention on the natural rise with age of the Framingham 10-year risk score. Patients in the 45–64-year-old age group from 10 general practices were sent an invite card including five self-screening questions. Those with any of the prescribed risk factors were invited to arrange an appointment to assess their risk of heart disease, where a Framingham risk score was calculated and advice given, and then invited for re-assessment around 18 months later. Of 6,704 individuals contacted, 2,017 individuals (30.1%) arranged a health check, 982 followed up, and risk scores were calculated on 727. A significant reduction in the geometric mean Framingham risk was observed (from 10.65% to 10.34%), largely attributable to improvements in systolic blood pressure, high-density lipoprotein (HDL), reduced smoking and, perhaps, increased fruit and vegetable consumption. Although participants were 1.5 years older at follow-up, their risk profile corresponded to being 0.55 years younger, and, arguably, progression of risk was wound back by just over two years. Some self-selection bias was apparent, as those followed up had higher mean anxiety/depression scores at baseline. In conclusion, community interventions can reduce cardiovascular risk even in deprived communities, although further analysis is required to establish cost-effectiveness.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Subjects:	H Social Sciences > HA Statistics Q Science > QA Mathematics R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine
Publisher:	British Journal of Cardiology
ISSN:	0969-6113
Last Modified:	20 Oct 2022 08:53
URI:	https://orca.cardiff.ac.uk/id/eprint/29945

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