Contributing risk factors overview of high Castelli risk index-i of police officer: a cross-sectional study

Abstract

Abstract Funding Acknowledgements Type of funding sources: None. Background Dyslipidemia is a major risk factor of cardiovascular disease, many studies have shown that lipid ratios can be used to predict cardiovascular disease more effectively than individual lipid levels. Objective/Aims This study aims to evaluate the potential risk factors contributing to high Castelli Risk Index–I (CRI–I) in police officer. Methods This observational-descriptive with cross-sectional design study enrolled 3,018 members of East Java police officer. Data was obtained using physical and laboratory examinations that includes systolic blood pressure (SBP), diastolic blood pressure (DBP), body mass index (BMI), low density lipoprotein-C (LDL–C), high density lipoprotein–C (HDL–C), triglyceride (TG), total cholesterol (TC). BMI was classified into < 25 (normal BMI) and > 25 (higher than normal BMI). High blood pressure (BP) was defined as SBP ≥ 140 mmHg and/or DBP ≥ 90 mmHg. CRI-I was calculated using the formula of TC/HDL–C and was defined >5 as at risk and <5 as normal. Statistics were performed on SPSS version 25 and cross-tabulation test was performed on the CRI–I, BP, and BMI in a table form. Result 927 (30.7%) respondents had a CRI–I score > 5. Result of the cross-tabulation test of the high CRI–I score with the physical examination showed association with high BP (OR=1.394; p=0.0), and higher than normal BMI (OR=1.184; p=0.043). Conclusion There was a significant associations between high CRI-I and high blood pressure and higher than normal BMI among a clinical sample of Police Officers.