National Journal of Community Medicine

Short Communication

Year: 2016 | Volume: 7 | Issue: 6 | Page No: 540-544

Cardiovascular Risk Screening Options in Diabetes: Framework for Selective Adoption

Author: Ezekiel Uba Nwose, Kester A Digban, Echinei J Oshionwu, Innocent C Onyia, Phillip Taderera Bwititi, Victor Maduabuchi Oguoma, Anayochukwu Edward Anyasodor, Prajwal Gyawali



"Background: There exist several models for assessment of risk of cardiovascular disease (CVD), including different criteria for diag-nosis of obesity, of which a major disparity is ‘definition of waist circumference’. Case reports and comparative reviews are hereby presented to exemplify that one cap ‘model’ does not fit all. Cases: First case illustrates how very slim person with BMI of 17 may possess cardiovascular risk ?22.7% compared to an obese in-dividual who has a BMI of 39 with CVD risk ?8.0%. Second case review illustrates how the same BMI and lipid models vary in outcomes depending on gender. Third case report shows how different ‘definitions of waist circumference’ impacts on identification of obesity, which in turn affect decision about metabolic syndrome. Conclusion: The needs for paradigm shift and 5-step framework are briefly highlighted. "

Keywords: cardiovascular risk, low-mid income communities, screening models, the 5As framework