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Community screening for cardiovascular risk factors and levels of treatment in a rural Māori cohort

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Authors:
Summary:

These researchers sought to determine levels of cardiovascular disease (CVD), diagnosed and undiagnosed risk factors and clinical management of CVD risk in a rural Māori cohort of 252 adults aged 20–64 years (mean age 45.7 years). At the screening visit, 8% reported a history of cardiac disease, 43% were current smokers, 22% had a healthy BMI, 30% were overweight and 48% obese. A total of 25% of participants had previous diagnoses of hypertension; an additional 22% received new diagnoses of hypertension at screening. Similarly, 14% of participants had previous diagnoses of dyslipidaemia and an additional 43% were dyslipidaemic at screening. Type 2 diabetes was previously diagnosed in 11%. Among those with type 2 diabetes, only 21% achieved glycaemic control. Blood pressure and cholesterol exceeded recommended targets in more than half of those with diagnosed CVD risk factors.

Comment:
As the authors state, opportunistic screening for CVD and diabetes should be encouraged. There is now also strong evidence confirming the role of obstructive sleep apnoea as a risk factor for CVD and DM; this too should be considered/enquired about during consultations.
Reference: Aust N Z J Public Health. 2011;35(6):517-23.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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