Start Submission Become a Reviewer

Reading: Opportunistic Screening for CVD Risk Factors: The Dubai Shopping for Cardiovascular Risk Stu...

Download

A- A+
Alt. Display

Original Research

Opportunistic Screening for CVD Risk Factors: The Dubai Shopping for Cardiovascular Risk Study (DISCOVERY)

Authors:

Afzalhussein Yusufali ,

Dubai Heart Centre, Dubai Hospital, Dubai Health Authority, Dubai, AE
X close

Nooshin Bazargani,

Dubai Heart Centre, Dubai Hospital, Dubai Health Authority, Dubai, AE
X close

Khalifa Muhammed,

Rashid Hospital, Dubai Health Authority, Dubai, AE
X close

Ahmed Gabroun,

Canadian Specialist Hospital, Dubai, AE
X close

Amna AlMazrooei,

PHC, Dubai Health Authority, Dubai, AE
X close

Amrish Agrawal,

Fujairah Hospital, Fujairah, AE
X close

Arif Al-Mulla,

Dubai Heart Centre, Dubai Hospital, Dubai Health Authority, Dubai, AE
X close

Cother Hajat,

United Arab Emirates University, Al Ain, AE
X close

Fahad Baslaib,

Rashid Hospital, Dubai Health Authority, Dubai, AE
X close

Jessy Philip,

Dubai Heart Centre, Dubai Hospital, Dubai Health Authority, Dubai, AE
X close

Pradeep Gupta,

Saif and IBHO Hospital & RAKMSU, Ras al-Khaimah, AE
X close

Sherif Bakir,

Rashid Hospital, Dubai Health Authority, Dubai, AE
X close

Suresh Krishnan,

Dubai Heart Centre, Dubai Hospital, Dubai Health Authority, Dubai, AE
X close

Wael Almahmeed,

Institute of Cardiac Sciences, Sheikh Khalifa Medical City, Abu Dhabi, AE
X close

Alawi Alsheikh-Ali

Institute of Cardiac Sciences, Sheikh Khalifa Medical City, Abu Dhabi, AE
X close

Abstract

Background: Comprehensive cardiovascular disease risk factor (CVDRF) screening programs are limited in the developing world. Simplifying screening can increase its utility.

Objectives: The present study aims to estimate the burden of CVDRF in volunteers and the yield of newly discovered CVDRF comparing different sites and nationalities using this screening method.

Methods: Voluntary point-of-care CVDRF screening was conducted in 4 shopping malls, 9 health care facilities, and 3 labor camps in 5 cities in the United Arab Emirates. Follow-up for newly diagnosed diabetes mellitus, hypertension, and dyslipidemia was made 1 month after screening to inquire about physician consultation, confirmation of diagnosis, and lifestyle changes.

Results: A total of 4,128 subjects were screened (43% at malls, 36% at health care facilities, and 22% at labor camps). Subjects were relatively young (38 ± 11 years), predominantly male (75%), and of diverse nationalities (United Arab Emirates: 7%, other Arabs: 10%, South Asians: 74%, other Asians: 5%, and other nationalities: 5%). CVDRF were frequent (diabetes mellitus: 32%, hypertension: 31%, dyslipidemia: 69%, current smokers: 21%, obesity: 20%, and central obesity: 24%). Most subjects (85%) had ≥1 CVDRF, and many (17%) had ≥3 CVDRF. A new diagnosis of diabetes mellitus, hypertension, or dyslipidemia was uncovered in 61.5%, with the highest yield (74.0%) in labor camps. At follow-up of those with new CVDRF, positive lifestyle changes were reported in 60%, but only 33% had consulted a doctor; of these, diagnosis was confirmed in 63% for diabetes mellitus, 93% for hypertension, and 87% for dyslipidemia.

Conclusions: In this relatively young and ethnically diverse cohort, CVDRF burden and yield of screening was high. Screening in these settings is pertinent and can be simplified.

How to Cite: Yusufali A, Bazargani N, Muhammed K, Gabroun A, AlMazrooei A, Agrawal A, et al.. Opportunistic Screening for CVD Risk Factors: The Dubai Shopping for Cardiovascular Risk Study (DISCOVERY). Global Heart. 2015;10(4):265–72. DOI: http://doi.org/10.1016/j.gheart.2015.04.008
19
Views
26
Downloads
11
Citations
Published on 01 Dec 2015.
Peer Reviewed

Downloads

  • PDF (EN)

    comments powered by Disqus