Calculated and perceived cardiovascular risk in asymptomatic subjects submitted to a routine medical evaluation: The perception gap

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art_KATZ_Calculated_and_perceived_cardiovascular_risk_in_asymptomatic_subjects_2015.PDF (234.51 KB)
Citações na Scopus
35
Tipo de produção
article
Data de publicação
2015
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SAGE PUBLICATIONS LTD
Autores
KATZ, Marcelo
FRANCO, Fabio G. M.
CONCEICAO, Raquel D.
CARVALHO, Jose A. M.
PESARO, Antonio E. P.
Citação
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY, v.22, n.8, p.1076-1082, 2015
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background Poor adherence to medical treatment represents a major health problem. A subject's misperception of his own cardiovascular risk has been indicated as a key driver for low compliance with preventive measures. This study analysed the relationship between objectively calculated short- and long-term cardiovascular risk and its subjective perception. Design Cross-sectional study in asymptomatic Brazilian subjects. Methods Individuals (N=6544, mean age 49.17 years, 22.2% female) who underwent a routine mandatory health evaluation were studied. A questionnaire in which each individual rated his own cardiovascular risk as low, intermediate or high according to his own perception was used. The 10-year and lifetime cardiovascular risk were calculated respectively using the Framingham risk (FRS) and Lifetime risk (LRS) scores. Individuals were classified as hypo-perceivers (i.e. perceived risk lower than estimated risk), normo-perceivers (i.e. perceived risk coincident with estimated risk) and hyper-perceivers (i.e. perceived risk higher than estimated risk). Results Cardiovascular risk, using the FRS, was low in 77.9% (N=5071), intermediate in 14.4% (N=939) and high in 7.7% (N=499) of subjects. Cardiovascular risk, using the LRS, was low in 7.6% (N=492), intermediate in 43.1% (N=2787) and high in 49.3% (N=3184) of the study population. The prevalence of normo-perceivers was 57.6% using the FRS and only 20.6% using the LRS. Using the LRS, 72.3% of the intermediate and 91.2% of the high-risk subjects were hypo-perceivers. Conclusions In a large sample of asymptomatic individuals, there was a gap between calculated and perceived cardiovascular risk. Using a long-term risk score, most of the intermediate- and high-risk subjects were hypo-perceivers.
Palavras-chave
Cardiovascular disease, risk, perception
URI
https://observatorio.fm.usp.br/handle/OPI/11583
Referências
  1. Parker RM, 1999, JAMA-J AM MED ASSOC, V281, P552
  2. Alkerwi A, 2013, PLOS ONE, V8
  3. AVIS NE, 1989, AM J PUBLIC HEALTH, V79, P1608, DOI 10.2105/AJPH.79.12.1608
  4. Baur DM, 2012, BMC PUBLIC HEALTH, V12, DOI 10.1186/1471-2458-12-480
  5. Carroll C, 2003, DIABETIC MED, V20, P355, DOI 10.1046/j.1464-5491.2003.00910.x
  6. Christian AH, 2005, MAYO CLIN PROC, V80, P1593
  7. Cleeman JI, 2001, JAMA-J AM MED ASSOC, V285, P2486, DOI 10.1001/jama.285.19.2486
  8. Frijling BD, 2004, PATIENT EDUC COUNS, V52, P47, DOI 10.1016/S0738-3991(02)00248-3
  9. Goldman RE, 2006, ANN FAM MED, V4, P205, DOI 10.1370/afm.534
  10. Grundy SM, 2014, J CLIN LIPIDOL, V8, P29, DOI 10.1016/j.jacl.2013.12.005
  11. Hunt K, 2000, HEALTH EDUC RES, V15, P131, DOI 10.1093/her/15.2.131
  12. Jackson R, 2005, LANCET, V365, P434
  13. JANZ NK, 1984, HEALTH EDUC QUART, V11, P1, DOI 10.1177/109019818401100101
  14. Lloyd-Jones DM, 2006, CIRCULATION, V113, P791, DOI 10.1161/CIRCULATIONAHA.105.548206
  15. Lozano R, 2012, LANCET, V380, P2095, DOI 10.1016/S0140-6736(12)61728-0
  16. MARTEAU TM, 1995, BRIT J GEN PRACT, V45, P5
  17. Martell-Claros N, 2013, EUR J PREV CARDIOL, V20, P21, DOI 10.1177/1741826711423114
  18. Ndumele CE, 2011, ARTERIOSCL THROM VAS, V31, P1927, DOI 10.1161/ATVBAHA.111.228262
  19. NIKNIAN M, 1989, AM J PUBLIC HEALTH, V79, P1653, DOI 10.2105/AJPH.79.12.1653
  20. PERLOFF D, 1993, CIRCULATION, V88, P2460
  21. Prentice-Dunn S, 1986, HLTH ED RES, V1, P153, DOI 10.1093/HER/1.3.153
  22. Reyna VF, 2009, PSYCHOL BULL, V135, P943, DOI 10.1037/a0017327
  23. van der Weijden T, 2007, MED DECIS MAKING, V27, P754, DOI 10.1177/0272989X07305323
  24. Webster Ruth, 2010, Risk Manag Healthc Policy, V3, P49, DOI 10.2147/RMHP.S8288
  25. WEINSTEIN ND, 1987, J BEHAV MED, V10, P481, DOI 10.1007/BF00846146
  26. Yusuf S, 2004, LANCET, V364, P937, DOI 10.1016/S0140-6736(04)17018-9

Coleções
Artigos e Materiais de Revistas Científicas - FM/MCP
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - ODS/03