Assessment of coronary heart disease risk factors and relation to nutritional state

Abstract EN

Background : The Coronary heart disease (CHD) is a leading cause of mortality morbidity, and disability in the world.

The Framingham’s risk score had been used for CHD risk assessment that examine the distribution of lifestyle and emerging risk factors by 10 years risk of CHD.

Aims of study: To assess the risk of CHD development and to identify the relationship between obesity and the risk of developing CHD.

Patients and Methods : A hospital-based cross-sectional study has been carried out on (150) patients with no history of CHD, attending to Merjan Teaching Hospital in Al-Hillah City from March to June 2013.

Data has been obtained by questionnaire, measurement of anthropometric indices Blood pressure measurement, Electro–Cardio-Graph (ECG), echo study.

With laboratory investigations including fasting blood glucose and fasting serum lipid's profile.

Results : The average age was meam ±SD (49.64 ± 11.11).

(45 % ) female and (55 %) were male out of which (29 %) were diabetic, (22 %) were smoker, and (6 %) had high total cholesterol level > (above 6.2 mmol/l) , (21 %) have high triglyceride level > (2.26 mmol / l and above), 23 % have high LDL-c (4.1mmol / l and above, (71 %)have low HDL-c (<1 in male and <1.3 in female), (58 %) hypertension, and (86 % )of them were physically inactive, ( 59 %) were obese (BMI >30kg / m2) The Framingham’s risk score as total mean ± SD were (97.30 ± 5.65) The very low risk (<10 %) was ( 47 %), low risk (10-15 %) was (14 %), moderate risk score (15-20 %) was (18 %), high risk score (>20 % risk score) was (21 %).

There was significant association between that risk and physical inactivity and body mass index and waist / hip ratio.

There was significant association between that risk and physical inactivity.

There was significant association between coronary heart disease risk and body mass index, (68 %) of patients with high risk of development of coronary heart disease were pre-obese and obese