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Ten year risk assessment of ischemic cardiovascular disease and intervention analysis among middle-aged residents with moderate risk and above in a Shanghai-based community
  1. Qi Xu1,
  2. Jieyan Shen2,
  3. Rong Shi3 and
  4. Hui Zhao1
  1. 1. Department of General Medicine, Shanghai Hudong Community Health Service Center, Shanghai, China
  2. 2. Renji Hospital Shanghai Jiaotong University School of Medicine, Shanghai, China
  3. 3. Shanghai University of Traditional Chinese Medicine, Shanghai, China
  1. Corresponding Author: Qi Xu, MM Department of General Medicine, Shanghai Hudong Community Health Service Center, No.512 Laiyang Road, Pudong New Area, Shanghai 200129, China Tel.: +86-13761932078 E-mail: xuqi08{at}126.com

Abstract

Objective The exposure conditions with regard to 10-year ischemic cardiovascular disease (ICVD) risk among residents aged 45–59 years treated in Hudong Community Health Service Center were surveyed to provide an objective basis for further studies on the relation between risk factors and ICVD events.

Methods The survey was conducted from October 2013 to March 2014 with use of the principle of cluster sampling. Our investigation involved questionnaire and laboratory tests. All residents were evaluated according to the table of National 10-Year Risk Assessment for ICVD to forecast the 10-year risk. The community intervention methods were medication and lifestyle intervention based on the relevant guidelines.

Results The body mass index and smoking rate were significantly higher in men than in women. The 10-year ICVD risk was 6.1% for moderate risk or above. We performed intervention in such residents for 1 year, with the result that the blood pressure and total cholesterol levels were significantly decreased (P<0.05).

Conclusion It is imperative that early prediction and intervention be conducted for the residents with risk factors. After the intervention, we found that the risk declined in 79.41% of the residents with moderate risk and or above and that the 10-year ICVD risk score decreased.

  • Community health
  • ischemic cardiovascular disease
  • middle-aged assessment

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

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