Screening score for early detection of cardio-metabolic risk in Indian adults

Deepa Pandit-Agrawal (), Anuradha Khadilkar (), Shashi Chiplonkar (), Vaman Khadilkar () and Vivek Patwardhan ()
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Deepa Pandit-Agrawal: Jehangir Hospital
Anuradha Khadilkar: Jehangir Hospital
Shashi Chiplonkar: Jehangir Hospital
Vaman Khadilkar: Jehangir Hospital
Vivek Patwardhan: Jehangir Hospital

International Journal of Public Health, 2017, vol. 62, issue 7, No 10, 787-793

Abstract: Abstract Objectives To develop and to evaluate efficacy of screening score for early detection of cardio-metabolic risk (CMR) in adults. Methods Cross-sectional data on anthropometry, lipids, sugar levels, diet, and physical activity were collected on 720 adults (361 men, 35–50 year) using standardized techniques. Screening score was developed using regression analysis—cluster of risk conditions (blood pressure, lipids, and sugar levels) was dependent variable against age, sex, waist, diet, and physical activity as independent variables. Odd ratios were added to obtain final score and receiver-operating characteristic (ROC) curves were constructed to identify cut-off value of CMR score. Results Mean age and BMI were 42.7 ± 9.4 years and 25.7 ± 5.0 kg/m2. Analysis showed age, male sex, waist, lack of fruits, green leafy vegetables, and lack of physical activity were independent predictors for increased CMR (p 8 had sensitivity (76%) and specificity (56%) for screening cases with CMR. Conclusions Screening score is a pragmatic way of identifying individuals with CMR without performing biochemical tests. Cost-effective community screening programs may be planned.

Keywords: Screening; Cardio-metabolic risk; Adults; Early detection; India (search for similar items in EconPapers)
Date: 2017
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DOI: 10.1007/s00038-017-0994-1

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