Relationship between obesity index and cardiovascular risk in primary care patients on Crete, Greece: a data driven sub-analysis

Ann Ig. 2022 May-June;34(3):259-265. doi: 10.7416/ai.2021.2464. Epub 2021 Aug 3.

Abstract

Background: The present sub-analysis aimed to examine the relationship between obesity index and cardiovascular risk among primary care attendees.

Study design: Stratified random sampling was previously used to recruit general practitioners, practicing on Crete island, Greece, whose patients were then enrolled.

Methods: Initial sample included 815 primary care attendees (55.7% women; mean age 65.2 years; range 40-98 years). Due to missing values regarding 13 participants, data from 802 patients were included for the current analysis. Body measurements (weight, height), among other bio-clinical parameters, were recorded upon practice visit. The 10-year cardiovascular disease risk was estimated using the European Society of Cardiology (and other societies), 10-year Systematic Coronary Risk Estimation and multivariate linear regression was used to assess relationships between Obesity Index and cardiovascular disease risk.

Results: Higher risk is shown to be significantly related with male gender, older age, unemployed/retired status, urban area of living or smoking (p<0.05), as well as with higher levels of obesity index (stand. beta=0.048, p=0.028).

Conclusions: Obesity Index may be useful for cardiovascular disease risk prediction and correction at the primary care settings, since obesity is easily addressed during the first medical contact.

Keywords: Cardiovascular risk; Lifestyle; Obesity; Primary care.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Body Mass Index
  • Cardiovascular Diseases* / epidemiology
  • Cardiovascular Diseases* / etiology
  • Female
  • Greece / epidemiology
  • Heart Disease Risk Factors
  • Humans
  • Male
  • Middle Aged
  • Obesity / complications
  • Obesity / epidemiology
  • Primary Health Care
  • Risk Factors