Check-up and cardiovascular risk progression: is there a room for innovation?

• Published in: Einstein (São Paulo, Brazil) Brazil), 2015-04, Vol.13 (2), p.196-201
• Main Authors: Conceição, Raquel Dilguerian de Oliveira, Laurinavicius, Antonio Gabriele, Kashiwagi, Nea Miwa, Carvalho, José Antonio Maluf de, Oliva, Carlos Alberto Garcia, Santos Filho, Raul Dias
• Format: Article
• Language: English
• Subjects: Adult; Body Mass Index; Cardiovascular Diseases - diagnosis; Cardiovascular Diseases - prevention & control; Cholesterol - blood; Diabetes Mellitus - blood; Disease Progression; Doenças cardiovasculares; Fatores de risco; Female; Humans; Life Style; Male; Mass Screening - methods; MEDICINE, GENERAL & INTERNAL; Middle Aged; Original; Physical Examination - methods; Políticas públicas de saúde; Retrospective Studies; Risk Assessment - classification; Risk Assessment - methods; Risk Factors; Sex Factors; Smoking; Stress, Psychological - diagnosis; Time Factors
• ISSN: 1679-4508; 2317-6385; 2317-6385; 1679-4508
• DOI: 10.1590/S1679-45082015AO3216

To evaluate the impact of traditional check-up appointment on the progression of the cardiovascular risk throughout time. This retrospective cohort study included 11,126 medical records of asymptomatic executives who were evaluated between January, 2005 and October, 2008. Variables included participants' demographics characteristics, smoking habit, history of cardiovascular diseases, diabetes, dyslipidemia, total cholesterol, HDL, triglycerides, glucose, c-reactive protein, waist circumference, hepatic steatosis, Framingham score, metabolic syndrome, level of physical activity, stress, alcohol consumption, and body mass index. A total of 3,150 patients was included in the final analysis. A worsening was observed in all risk factors, excepting in smoking habit, incidence of myocardial infarction or stroke and in the number of individuals classified as medium or high risk for cardiovascular events. In addition, a decrease in stress level and alcohol consumption was also seen. The adoption of consistent health policies by companies is imperative in order to reduce the risk factors and the future costs associated with illness and absenteeism.