Fatores associados ao alto risco cardiovascular segundo o Escore de Framingham: revisão integrativa

Palavras-chave: Fatores de risco de doenças cardíacas; Comportamentos de risco à saúde; Estudos longitudinais; Adulto; Estudo observacional.

Resumo

Objetivo: investigar na literatura científica os fatores associados ao alto risco cardiovascular de 10 e de 30 anos. Método: revisão integrativa da literatura realizada entre julho e novembro de 2021 nas bases de dados MEDLINE, CINAHL, WoS e EMBASE e no portal da Biblioteca Virtual de Saúde. Os artigos duplicados foram identificados com o software EndNote e o processo de seleção dos estudos foi apresentado no diagrama da declaração PRISMA. Resultados: foram selecionados 13 artigos com um ou mais fatores associados ao alto risco cardiovascular, segundo o escore de Framingham de 10 anos. Nenhum artigo selecionado investigou os fatores associados ao alto risco de 30 anos. Os maus hábitos alimentares, a baixa posição socioeconômica, a baixa prática de atividade física/sedentarismo, o padrão de sono prejudicado, a adiposidade abdominal, os níveis aumentados do Antígeno Prostático Específico nos homens, a pré-fragilidade em mulheres mais velhas, o estado civil (homem divorciado ou viúvo), a profissão (motorista) e a cor (mulher branca) se associam ao alto risco cardiovascular de 10 anos. Conclusão: fatores de risco que não compõem o escore de Framingham deverão ser investigados durante a coleta de dados de enfermagem visando à implementação de ações de prevenção e promoção da saúde cardiovascular.

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Biografia do Autor

Renata Soares Passinho, Universidade Federal do Sul da Bahia

Enfermeira. Mestre em Enfermagem. Estudante de Doutorado da Universidade Federal de Minas Gerais. Professora do Centro de Formação em Ciências da Saúde da Universidade Federal do Sul da Bahia. Teixeira de Freitas, Bahia, Brasil.

Renan Sallazar Ferreira Pereira, Universidade Federal do Tocantins

Enfermeiro. Doutor em Enfermagem. Professor do Departamento de Enfermagem Universidade Federal do Tocantins. Palmas, Tocantins, Brasil.

Adriano Marçal Pimenta, Universidade Federal do Paraná

Enfermeiro. Doutor em Enfermagem. Professor do Departamento de Enfermagem, Setor de Ciências da Saúde, da Universidade Federal do Paraná. Curitiba, Paraná, Brasil. 

Referências

Roth GA, Mensah GA, Johnson CO, Addolorato G, Ammirati E, Baddour LM, et al.; GBD-NHLBI-JACC Global Burden of Cardiovascular Diseases Writing Group. Global Burden of Cardiovascular Diseases and Risk Factors, 1990-2019: Update From the GBD 2019 Study. J Am Coll Cardiol. 2020;76(25):2982-3021. DOI: https://doi.org/10.1016/j.jacc.2020.11.010.

Schultz WM, Kelli HM, Lisko JC, Varghese T, Shen J, Sandesara P, et al. Socioeconomic status and cardiovascular outcomes: challenges and interventions. Circulation. 2018;137(20):2166-2178. DOI: https://doi.org/10.1161/CIRCULATIONAHA.117.029652.

D'Agostino RB Sr, Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM, et al. General cardiovascular risk profile for use in primary care: the Framingham Heart Study. Circulation. 2008;117(6):743-53. DOI: https://doi.org/10.1161/CIRCULATIONAHA.107.699579.

Pencina MJ, D’Agostino RB, Larson MG, Massaro JM, Vasan RS. Predicting the 30-year risk of cardiovascular disease: the Framingham heart study. Circulation [serial on the Internet]. 2009 Jun [cited 2021 Sep 15];119(24):3078-84. DOI: https://doi.org/10.1161/CIRCULATIONAHA.108.816694.

Mendes KS, Silveira RC, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm. 2008;17(4):758-764. DOI: https://doi.org/10.1590/S0104-07072008000400018.

Morgan RL, Whaley P, Thayer KA, Schünemann HJ. Identifying the PECO: A framework for formulating good questions to explore the association of environmental and other exposures with health outcomes. Environ Int. 2018;121(Pt 1):1027–1031. DOI: https://doi.org/10.1016/j.envint.2018.07.015.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi: 10.1136/bmj.n71.

Pompeo DA. Diagnóstico de enfermagem náusea em pacientes no período pós-operatório imediato: revisão integrativa da literatura. 2007. [dissertação]. Ribeirão Preto (SP). Programa de Pós-graduação em Enfermagem. Universidade de São Paulo – USP. 2007. Disponível em: https://www.teses.usp.br/teses/disponiveis/22/22132/tde-15102007-140328/pt-br.php. Acesso em 25 de julho de 2022.

Oxford Centre for Evidence-based Medicine. The Centre for Evidence-Based Medicine: Levels of Evidence (March 2009) [Internet]. 2009 [cited 2021 Aug 18]. Disponível em: https://www.cebm.net/2009/06/oxford-centreevidence-based-medicine-levels-evidence-march-2009/.

Boreskie KF, Rose AV, Hay JL, Kehler DS, Costa EC, Moffatt TL, et al. Frailty status and cardiovascular disease risk profile in middle-aged and older females. Exp Gerontol. 2020;140:111061. DOI: https://doi.org/10.1016/j.exger.2020.111061.

Boreskie KF, Oldfield CJ, Hay JL, Moffatt TL, Hiebert BM, Arora RC, et al. Myokines as biomarkers of frailty and cardiovascular disease risk in females. Exp Gerontol. 2020;133:110859. DOI: https://doi.org/10.1016/j.exger.2020.110859.

Hammam N, Ezeugwu VE, Rumsey DG, Manns PJ, Pritchard-Wiart L. Physical activity, sedentary behavior, and long-term cardiovascular risk in individuals with rheumatoid arthritis. Phys Sportsmed. 2019;47(4):463-470. DOI: https://doi.org/10.1080/00913847.2019.1623995.

Raposo MA, Armiliato GN, Guimarães NS, Caram CA, Silveira RD, Tupinambás U. Metabolic disorders and cardiovascular risk in people living with HIV/AIDS without the use of antiretroviral therapy. Rev Soc Bras Med Trop. 2017;50(5):598-606. DOI: https://doi.org/10.1590/0037-8682-0258-2017.

Vasankari V, Husu P, Vähä-Ypyä H, Suni J, Tokola K, Halonen J, et al. Association of objectively measured sedentary behaviour and physical activity with cardiovascular disease risk. Eur J Prev Cardiol. 2017;24(12):1311-1318. DOI: https://doi.org/10.1177/2047487317711048.

Denova-Gutiérrez E, Tucker KL, Flores M, Barquera S, Salmerón J. Dietary patterns are associated with predicted cardiovascular disease risk in an urban Mexican adult population. J Nutr. 2016;146(1):90-97. DOI: https://doi.org/10.3945/jn.115.217539.

Doo M, Kim Y. Sleep duration and dietary macronutrient consumption can modify the cardiovascular disease for Korean women but not for men. Lipids Health Dis. 2016;15:17. DOI: https://doi.org/10.1186/s12944-015-0170-7.

Lima MM Junior, Bezerra EA, Ticianeli JG. Cardiovascular risk in men aged over 40 in Boa Vista, Brazil. Int J Prev Med. 2016;7:42. DOI: https://doi.org/10.4103/2008-7802.177861.

Wennman H, Vasankari T, Borodulin K. Where to sit? Type of sitting matters for the Framingham Cardiovascular Risk Score. AIMS Public Health. 2016;3(3):577-591. DOI: https://doi.org/10.3934/publichealth.2016.3.577.

Park K, Hwang SY. 10-year risk for cardiovascular disease among male workers in small-sized industries. J Cardiovasc Nurs. 2015;30(3):267-73. DOI: https://doi.org/10.1097/JCN.0000000000000146.

Setayeshgar S, Whiting SJ, Pahwa P, Vatanparast H. Predicted 10-year risk of cardiovascular disease among Canadian adults using modified Framingham Risk Score in association with dietary intake. Appl Physiol Nutr Metab. 2015;40(10):1068-74. DOI: https://doi.org/10.1139/apnm-2015-0074.

Wennman H, Kronholm E, Partonen T, Tolvanen A, Peltonen M, Vasankari T, et al. Interrelationships of physical activity and sleep with cardiovascular risk factors: a person-oriented approach. Int J Behav Med. 2015;22(6):735-47. DOI: https://doi.org/10.1007/s12529-015-9470-6.

Boo S, Froelicher ES. Cardiovascular risk factors and 10-year risk for coronary heart disease in Korean women. Asian Nurs Res (Korean Soc Nurs Sci). 2012;6(1):1-8. DOI: https://doi.org/10.1016/j.anr.2012.02.001.

Piché ME, Poirier P, Lemieux I, Després JP. Overview of epidemiology and contribution of obesity and body fat distribution to cardiovascular disease: an update. Prog Cardiovasc Dis. 2018;61(2):103-113. DOI: https://doi.org/10.1016/j.pcad.2018.06.004.

Janzi S, Ramne S, González-Padilla E, Johnson L, Sonestedt E. Associations between added sugar intake and risk of four different cardiovascular diseases in a Swedish population-based prospective cohort study. Front Nutr. 2020;7:603653. DOI: https://doi.org/10.3389/fnut.2020.603653.

Li X, Wu C, Lu J, Chen B, Li Y, Yang Y, et al. Cardiovascular risk factors in China: a nationwide population-based cohort study. Lancet Public Health. 2020;5(12):e672-e681. DOI: https://doi.org/10.1016/S2468-2667(20)30191-2.

Lavie CJ, Ozemek C, Carbone S, Katzmarzyk PT, Blair SN. Sedentary behavior, exercise, and cardiovascular health. Circ Res. 2019;124(5):799-815. DOI: https://doi.org/10.1161/CIRCRESAHA.118.312669.

Foster HM, Ho FK, Sattar N, Welsh P, Pell JP, Gill JM, et al. Understanding how much TV is too much: a nonlinear analysis of the association between television viewing time and adverse health outcomes. Mayo Clin Proc. 2020;95(11):2429-2441. DOI: https://doi.org/10.1016/j.mayocp.2020.04.035.

Souza LP, Miranda AE, Hermsdorff HH, Silva CS, Barbosa DA, Bressan J, et al. Binge drinking and overweight in brazilian adults: CUME Project. Rev Bras Enferm. 2020;73(Suppl 1):e20190316. DOI: https://doi.org/10.1590/0034-7167-2019-0316.

Fat LN, Bell S, Britton A. A life-time of hazardous drinking and harm to health among older adults: findings from the Whitehall II prospective cohort study. Addiction. 2020;115(10):1855-1866. DOI: https://doi.org/10.1111/add.15013.

Back I., Dias BC, Batista VC, Ruiz AG, Peruzzo HE, Druciak CD, Marcon SS. Fatores de risco para doenças cardiovasculares em universitários: diferenças entre os sexos. CiencCuidSaude, 2019; 18(1):1-8. e40096. doi: https://doi.org/10.4025/ciencuidsaude.v18i1.40096.

Zhou T, Yuan Y, Xue Q, Li X, Wang M, Ma H, et al. Adherence to a healthy sleep pattern is associated with lower risks of all-cause, cardiovascular and cancer-specific mortality. J Intern Med. 2021 Jul 8. DOI: https://doi.org/10.1111/joim.13367.

Rosengren A, Smyth A, Rangarajan S, Ramasundarahettige C, Bangdiwala SI, AlHabib KF, et al. Socioeconomic status and risk of cardiovascular disease in 20 low-income, middle-income, and high-income countries: the Prospective Urban Rural Epidemiologic (PURE) study. Lancet Glob Health. 2019;7(6):e748-e760. DOI: https://doi.org/10.1016/S2214-109X(19)30045-2.

Xu H, Farmer HR, Granger BB, Thomas KL, Peterson ED, Dupre ME. Perceived versus actual risks of 30-day readmission in patients with cardiovascular disease. Circ Cardiovasc Qual Outcomes. 2021;14(1):e006586. DOI: https://doi.org/10.1161/CIRCOUTCOMES.120.006586.

Showande SJ, Odukoya IO. Prevalence and clusters of modifiable cardiovascular disease risk factors among intra-city commercial motor vehicle drivers in a Nigerian metropolitan city. Ghana Med J. 2020;54(2):100-109. DOI: https://doi.org/10.4314/gmj.v54i2.8.b

Benjamin EJ, Muntner P, Alonso A, Bittencourt MS, Callaway CW, Carson AP, et al. Heart disease and stroke statistics-2019 update: a report from the American Heart Association. Circulation. 2019;139:e56–e52. DOI: https://doi.org/10.1161/CIR.0000000000000659.

Chang Y, Kim JH, Noh JW, Cho YS, Park HJ, Joo KJ, et al. Prostate-specific antigen within the reference range, subclinical coronary atherosclerosis, and cardiovascular mortality. Circ Res. 2019;124(10):1492–504. DOI: https://doi.org/10.1161/CIRCRESAHA.118.313413.

Flint, K. Which came first, the frailty or the heart disease?: exploring the vicious cycle. J Am Coll Cardiol. 2015;65(10):984-6. DOI: https://doi.org/10.1016/j.jacc.2014.12.042.

Lloyd-Jones DM, Allen N B, Anderson C, Black T, Brewer LC, Foraker RE, et al. Life's Essential 8: Updating and Enhancing the American Heart Association's Construct of Cardiovascular Health: A Presidential Advisory From the American Heart Association. Circulation. 2022;146:00–00. DOI: 10.1161/CIR.0000000000001078.

Publicado
2023-02-28
Como Citar
Soares Passinho, R., Sallazar Ferreira Pereira, R., & Marçal Pimenta, A. (2023). Fatores associados ao alto risco cardiovascular segundo o Escore de Framingham: revisão integrativa . Ciência, Cuidado E Saúde, 22. https://doi.org/10.4025/ciencuidsaude.v22i0.64364
Seção
Artigos de revisão