Abstract
Introduction: The most important way to reduce CVD-related mortality is to apply appropriate treatment according to the risk status of the patients. For this purpose, the SCORE risk model is used in Europe. In addition to these risk models, some anthropometric measurements are known to be associated with CVD risk and risk factors. Objectives: This study aimed to investigate the association of these anthropometric measurements, especially neck circumference (NC), with the SCORE risk chart. Methods: This was planned as a cross-sectional study. The study population were classified according to their SCORE risk values. The relationship of NC and other anthropometric measurements with the total cardiovascular risk indicated by the SCORE risk was investigated. Results: A total of 232 patients were included in the study. The patients participating in the study were analysed in four groups according to the SCORE ten-year total cardiovascular mortality risk. As a result, the NC was statistically significantly lower among the SCORE low and moderate risk group than all other SCORE risk groups (low-high and very high 36(3)–38(4) (IQR) p: 0.026, 36(3)–39(4) (IQR) p < 0.001, 36(3)–40(4) (IQR) p < 0.001), (moderate-high and very high 38(4) vs. 39(4) (IQR) p: 0.02, 38(4) vs. 40(4) (IQR) p < 0.001, 39(4) vs. 40(4) (IQR) p > 0.05). NC was found to have the strongest correlation with SCORE than the other anthropometric measurements. Conclusion: Neck circumference correlates strongly with the SCORE risk model which shows the ten-year cardiovascular mortality risk and can be used in clinical practice to predict CVD risk.
Highlights
Cardiovascular diseases (CVD) are the most common cause of mortality and morbidity worldwide [1]
Patients between the ages of 40–75 years who applied to cardiology outpatient clinic with atherosclerotic risk factors or documented atherosclerotic diseases between September 2020 and January 2021 were classified according to their SCORE risk values (Figure 1)
We revealed that female patients were statistically significantly higher in the group with low SCORE ten-year total cardiovascular mortality risk compared to the other groups
Summary
Cardiovascular diseases (CVD) are the most common cause of mortality and morbidity worldwide [1]. It is generally believed that even though genetic defects underlie some infrequent forms of heart disease, most CVD is due to interactions between several gene variants and lifestyle factors. The specific contribution of the genes and the environment remains poorly understood, it is thought that environmental factors and lifestyle play a more dominant role in CVD development. This belief is based on the results of many studies showings that, to a large extent, CVD could be prevented by maintaining a healthy lifestyle. Of coronary events could be prevented by maintaining a healthy lifestyle [2].
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