Concordance between the ideal cardiovascular health score and the Fuster-BEWAT score
Abstract
Introduction: The following five indicators of cardiovascular health: blood pressure, physical activity, body mass index, fruit and vegetable consumption and tobacco smoking, may be sufficient to predict cardiovascular risk in healthy individuals through the Fuster-BEWAT score.
Objective: To compare the results of the Fuster-BEWAT score and the ideal cardiovascular health score to determine health.
Method: A cross-sectional descriptive study was carried out in the Primary Care Service of the Hospital Manuel Fajardo Rivero in Santa Clara, from January to June 2019, evaluating the cardiovascular health status of 347 healthy individuals without a history of cardiovascular disease, between the ages of 40 and 59 years old. Cohen's kappa coefficient was used to determine the concordance between the ideal cardiovascular health score and the Fuster-BEWAT score.
Results: Low physical activity (79.8%), unbalanced diet (74.9%), and uncontrolled blood pressure were the worst markers found. Only 15.3% of the analyzed men and women met the ideal condition for all markers of the Fuster-BEWAT score and 17.8% of the ideal cardiovascular health score. The concordance obtained between both scores, through Cohen's kappa coefficient (0.935), showed an almost perfect relationship.
Conclusions: Both scores showed similar values. The Fuster-BEWAT score is simpler and does not require analytical results; it can be considered as a first option in contexts where access to laboratory tests is limited.Downloads
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