Assessment of framingham cardiovascular disease risk among militaries in the Kingdom of Saudi Arabia.

Military medicine

PubMedID: 23707117

Al-Dahi S, Al-Khashan H, Al Madeer MA, Al-Saif K, Al-Amri MD, Al-Ghamdi O, Al-Helali N, Selim M, Mishriky AM. Assessment of framingham cardiovascular disease risk among militaries in the Kingdom of Saudi Arabia. Mil Med. 2013;178(3):299-305.
OBJECTIVES
To measure the risk factors for cardiovascular disease (CVD) among militaries in the Kingdom of Saudi Arabia and to assess their Framingham CVD risk.

METHODS
A nationwide survey included 10,500 active military personnel selected by multistage stratified random sampling representing various ranks in the army forces of 5 regions. The study used the World Health Organization STEPwise approach to chronic disease risk factor surveillance (STEPS) in the design of data collection tool. Data included demographic and health behavior information; physical assessment; and anthropometric, random blood glucose, serum cholesterol, and triglycerides measurements.

RESULTS
The response rate was 97.4%. The results showed that 9.1% of the sample population had 10% or higher Framingham 10-year office-based CVD risk score, with a mean of 4.5. The risk varied by region, armed force, crowding index, waist-hip ratio, total cholesterol, and triglycerides. Multivariate analysis identified crowding index, physical inactivity, and military rank as independent predictors, apart from Framingham predictors.

CONCLUSION
The prevalence of CVD risk factors is high among militaries in the Kingdom of Saudi Arabia, with an associated high 10-year CVD Framingham risk. The military health services must implement intervention programs to reduce these risks, with follow-up of the participants with identified CVD risk.