Sensitivity of FRAMINGHAM, PROCAM and SCORE models in Turkish people with type 2 diabetes: comparison of three cardiovascular risk calculations
Özet
Purpose: To determine the cardiovascular risk factors according to the Framingham, PROCAM
and SCORE models, to evaluate the 10-year cardiovascular disease (CVD) risk factors, and to
compare the suitability of different models in Turkish Type 2 diabetes patients.
Methods: Risk factors and the 10-year CVD risk in 265 patients were evaluated using three
risk models. Measurements included blood pressure, weight, height, waist and hip
circumferences. Cholesterol, triglycerides, fasting and postprandial plasma glucose and
HbA1c were measured. Low-, moderate- and high-risk groups were determined according to
the three risk calculations.
Results: Hypertension, obesity and no exercise, dyslipidemia and high HbA1c in women, and
excessive cigarette/alcohol consumption, increased weight, dyslipidemia and high HbA1c in
men were crucial. Men were in the moderate-risk group according to three risk models.
Women were in the medium-risk group according to the Framingham and PROCAM risks
and in the low-risk group according to the SCORE.
Conclusion: Results estimating the 10-year CVD according to the three risk models were
inconsistent. More sensitive CVD risk calculators are needed.
Discussion and practice implications: Our results could guide diabetes specialists in
identifying gender-specific risks and designing preventive interventions.
