Coronary disease risk assessment in men: Comparison between ASCVD Risk versus Framingham.

INTRODUCTION: This study evaluated the risk of men developing coronary heart disease and its determinant variables, comparing these results through two validated coronary risk scales. METHODS: A cross sectional epidemiological analytical study in which data were collected by spontaneous demand, through a semi-structured questionnaire, clinical examination, and blood collection. The Chi-square test, logistic regression and Kappa for statistical analysis were performed. RESULTS: The study included 637 men. Age was a determining factor (p<0.05) in blood pressure (BP) changes, central obesity, BMI, glycemia, total cholesterol, LDL and triglycerides. From this group of 637, 252 presented BP above the recommended values. It was found that 34.54% of men had high total cholesterol, 19.94% had high LDL, 46.78% presented HDL below normal values and 36.42% had elevated triglycerides. Metabolic syndrome was found in 24.96% of the men. With the Framingham scale, 637 men were evaluated, 12.56% were at intermediate-risk and 5.49% elevated risk, while on the ASCVD Risk scale 553 men were evaluated, and 7.05% had moderate risk and none had high coronary risk. In this study, 50.43% of men still had no previous diagnosis for any disease that increases the risk factors. CONCLUSIONS: The determinant clinical variables were age, blood pressure, smoking, central obesity, race and education. The Framingham scale allowed the assessment of cardiac risk of all men in the study, with no age restriction or cholesterol value, so in population studies it shows advantages over the ASCVD Risk due to its comprehensive feature of including all individuals.

Associação dos níveis de GMFCS com grau de escolaridade, tipo de marcha, empregabilidade e dor em adultos com paralisia cerebral / The association of GMFCS levels with education, type of motion, pain, and employability in adults with cerebral palsy

Adultos com paralisia cerebral (PC) apresentam um envelhecimento precoce associado aodeclínio da função. E apesar da melhoria na assistência a saúde, estudos mostram que estesindivíduos possuem menos oportunidades de possuir algum grau de escolaridade e emprego.Além de apresentarem queixas com relação a dor e alteração quanto sua capacidade de marcha.Objetivo: Verificar a associação dos níveis de GMFCS para os parâmetros: empregabilidade, graude escolaridade, nível de marcha e queixa de dor em adultos com PC. Método: Foram selecionados 671 prontuários para análise de correlação entre as variáveis citadas acima. Resultado: Foi observado que aqueles com níveis mais acometidos da PC possuem menos chance de terem algum nível de escolaridade e emprego, além de apresentarem pior nível de marcha. Conclusão: Não foi encontrada correlação entre os níveis de GMFCS para o item dor.

Adults with cerebral palsy (CP) have experienced premature aging associated with functiondecline. And despite improvements in health care, studies show that these individuals havefewer opportunities to have some kind of education and employment, in addition to presentingcomplaints of pain and alterations in their ability to walk. Objective: The aim of this study was tocheck the association of GMFCS levels with the parameters of employability, education, level ofambulation, and pain in adults with CP. Method: 671 medical records were selected to analyzethe correlations among the variables mentioned above. Result: It was noticed that those withthe more severe levels of CP have fewer chances to get any level of education and employment,in addition to presenting a worse gait. Conclusion: No association was found between levels ofGMFCS and the parameter for pain.