Cardiovascular Disease Screening a Must For Young With Lifestyle Risks

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Dr Elena Kuklina (Center for Disease Control, Atlanta, GA) and her colleagues (Annalsj of Family Medicine) studied 2587 young adults—Men - ages 20 to 35 years and Women - ages 20 to 45 years (included in the 1999-2006 National Health and Nutrition Examination Surveys.) They felt that the low screening rates was of major concern, given the severity of atherosclerosis in young adult, which increases with the number of risk factors. The study showed that 55.2% of young adults (both men and women) had at least one CVD risk factor; 17.9% had two risk factors.

With regards to screening for elevated cholesterol levels, less than 50% of people were screened and of those the values were higher among women than men. With regards to CHD or CHD risk only 67% of young adults were screened for elevated cholesterol; and 47% of adults with two or more risk factors were screened.

It was seen and naturally so that the incidence of high cholesterol levels increased with the number of CHD risk factors. Of them over 65% of those with CHD/CHD risk had elevated LDL-cholesterol levels when compared to the 6.7% of those who had no risk factors at all. However it should be noted that the screening rate was less than 50% regardless of risk status.

The authors therefore concluded that there was a desperate need for fundamental improvements in youth getting risk assessments done and subsequent management for CVD in young adults through “evidence-based clinical and public health interventions”

Source:

http://www.medscape.com/viewarticle/725626?sssdmh=dm1.628547&src=nldne&uac=130222EN

Vijayalakshmi Iyengar
Sr Dietitian: NutritionVista.com

NutritionVista

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User Comments

31 May, 2012 | Mohamad | Reply

This is a great book for people who are sgintglrug with what they can eat after being diagnosed with type 2 diabetes. People are typically very confused about what they can eat and think they need to give up all of their favorite foods. The authors provide sound nutrition information in a clear and concise manner and relate it to everyday eating with helpful tips. They also offer nutrition facts plus resources for obtaining additional information if the reader is interested. What I especially liked is how they incorporated practical information along with the facts. They point out cost and time saving measures when shopping and preparing foods. At the same time that the importance of eating good food to manage type 2 diabetes is emphasized the reader can benefit from their tips about the important role food plays in our lives and the comfort it provides. Reading food labels is broken down into components that are understandable. They encourage the reader to set their own goals and provide reinforcement and encouragement throughout the book. This helps the reader recognize the types of small changes they can make in their food selections to improve their overall health. I highly recommend this well written book and give kudos to the authors for coming up with the facts, practical tips and great recipes that use readily available ingredients. Nadine Uplinger, MS, RD, CDE, BC-ADM

01 February, 2012 | Varsha Pandya | Reply

New research by Dr Christopher E Clark and his team ( University of Exeter, UK) now shows that large differences in systolic blood pressure (SBP) between the right and left arm of 15 mm Hg or more indicate an increased risk of peripheral vascular disease, cerebrovascular disease, and death.

Published in Lancet (Jan 30) - Dr Richard J McManus (University of Oxford, UK) and Dr Jonathan Mant (University of Cambridge, UK) feel that the new findings reinforce existing guidance stating that blood pressure should be measured in both arms and that this "should become part of routine care, as opposed to a guideline recommendation that is mostly ignored.

They strongly feel that the findings from their study should be incorporated into future guidelines for hypertension and blood-pressure measurement to justify bilateral brachial measurement to promote targeted screening for peripheral vascular disease and aggressive risk-factor management in subjects with a demonstrable . . . difference."

13 December, 2011 | Vijayalakshmi Iyengar | Reply

There is new evidence that says that stimulants and other medications used to treat attention-deficit hyperactivity disorder (ADHD) confer no increased risk for serious cardiovascular events, according to a study published online December 12 in the Journal of the American Medical Association.Such a relief!!

08 March, 2011 | Health Insurance | Reply

That is an incredibly splendid editorial you have posted.

26 September, 2010 | Pulkit Singh | Reply

Apart from mandatory medical check -ups, many companies have made their work places smoke free zones and provide facilities like in built gym which employees can use in or after their office hours.

27 September, 2010 | Sangeetha Narayana Swamy | Reply

Though we dietitians counsel the person regarding the diet and exercise regimen during the preventive screening and advise them to control the weight and lipids from a very young age, the onus of following the same is solely on the individual. Some think that because they are young, no exercise and haywire diet cannot wreck a havoc on their health which is not true. We should make them understand that they are responsible for their own health and practice healthy eating and physical activity.

26 September, 2010 | Shraddha | Reply

-Exercise regularly. Take stairs instead of lifts wherever possible. Park your vehicle farther so that you can walk down to you office.
-Eat healthy diet. One can even try out a new healthy recipe every week e.g. some low fat or high fiber recipe. It would not only be fun but also keep you motivated to eat healthy
-Keep tab on sugar, caffeine, alcohol and salt and fat intake
-Use cooking methods like fermentation, steaming, poaching, braising, roasting, stir frying more often
-Get regular check- ups like lipid profile, blood glucose, blood pressure especially if you have sedentary lifestyle and\or family history of chronic lifestyle diseases.
-Avoid smoking.

23 September, 2010 | Harsha Verma | Reply

Dear Shweta,
You are absolutely right. I am working as dietitian in a hospital in Delhi for past 4 years and this is very common phenomena. Even if a person has family history of diseases like diabetes or CHD then also awareness of preventive screening not very high. Most of the times patients visit doctor for any other related complication and then they get to know the underlying problem.

23 September, 2010 | Mohit Garg | Reply

Awareness needs to be created about preventive screening especially amongst those who have family history of chronic lifestyle diseases or lead a sedentary lifestyle.

20 September, 2010 | Kanika Jain | Reply

With the statistics showing that even people in late 20s and 30s are suffering from cardiovascular diseases, spreading the message of taking care of heart has become even more important.
World heart day (26th September) is round the corner. Lets pledge to take care of our hearts in best possible way we can...be it increasing physical activity or eating more sensibly or even getting screened regularly.
Every small step towards healthy heart matters.

15 September, 2010 | Shweta Verma | Reply

I think many people are not yet open to idea of preventive screening. Until and unless they feel that there is something wrong with their body they don’t turn up for screening. So awareness needs to be created especially for screening of lifestyle related diseases. Timely detection is of utmost importance.

18 September, 2010 | Sangeetha Narayana Swamy | Reply

Very true Shweta, people have to know the advantages of preventive screening. It helps in early detection of any disorder. When detected early controlling and preventing becomes a easier task. Men and women above the age of 40 should definitely undergo a annual medical check. Even if the company is not getting it done, personally we should be responsible and get it done. Prevention is always better than Cure!

15 September, 2010 | Kanika Jain | Reply

Many corporate houses have compulsory annual medical checkups for their employees. It is a good move which should be followed by other companies too. Prevention is always better than cure. Regular screening would facilitate early detection of various diseases (or even risk e.g. borderline cholesterol etc.).
Thanks and regards,
Kanika Jain
Dietitian
NutritionVista

09 September, 2010 | Ramki | Reply

I am 32 yrs old and I do have a stressful job (who does not, I mean) I do not smoke or eat red meat..I am a social drinker and eat dense carbs and low fat foods. I exercise to keep fit.Is screening absolutely required for me and if yes, what screening should I get done?

13 September, 2010 | Sangeetha Narayana Swamy | Reply

Dear Ramki,

You can undergo a complete health check up for people under 40, which will have all the relevant tests like complete blood check including lipid profile, Treadmill test, chest x-ray, ultrasound scan etc which will give a picture of your health.

You should get a health check done once a year if you have family history for any cardiac disease or lifestyle disorders. Otherwise you can start these health checks by the age of 40.

If your reports are normal, then maintaining a healthy weight, consuming a healthy diet with good exercise regimen should be good.

11 September, 2010 | Vijayalakshmi | Reply

Hello Ramki, since we do not not know your BMI, family and personal history of CVD it is difficult to assertively say, Yes or NO with regard to lipid profile and stress test. We suggest you talk to your family physician and take the call. However it probably would be a good idea for getting a lipid profile done once every 3 yrs till you touch 40 yrs and/or show no symptoms or feel queasy.

07 September, 2010 | Vijayalakshmi | Reply

Its a mindset with most youngsters that only after 50 plus years there is a need for screening. They do not realise that with change in both diet and life style they are more prone to health problems at a much younger age than earlier, and the friend who landed up with a health problem is not just a case study but a part of the statistics.

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Tags: Cardiovascular Disease, Chronic Lifestyle Diseases, Eat Healthy, Fitness, Health Hazards, Healthy Lifestyle, Heart Health, Screening, Sedentary Lifestyle, Smoking

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