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Article

Misperception of the Cardiovascular Risk in Patients with Rheumatoid Arthritis

1
Departamento de Medicina Preventiva y Salud Pública, Universidad de Cantabria—IDIVAL, ES-39008 Santander, Spain
2
CIBER Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
3
Epidemiology, Genetics and Atherosclerosis Research Group on Systemic Inflammatory Diseases, Rheumatology Division, Hospital Universitario Marqués de Valdecilla, IDIVAL, ES-39011 Santander, Spain
4
Instituto Mexicano del Seguro Social, Unidad de Investigación Biomédica 02, Universidad de Colima, 28040 Guadalajara, Mexico
5
Cardiovascular Pathophysiology and Genomics Research Unit, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2193, South Africa
6
Facultad de Medicina, Avda., Cardenal Herrera Oria s/n., ES-39008 Santander, Spain
*
Authors to whom correspondence should be addressed.
These authors contributed equally.
Miguel Á. González-Gay and Javier Llorca shared senior authorship.
Int. J. Environ. Res. Public Health 2020, 17(16), 5954; https://doi.org/10.3390/ijerph17165954
Received: 6 June 2020 / Revised: 5 August 2020 / Accepted: 13 August 2020 / Published: 17 August 2020
(This article belongs to the Special Issue Inflammatory Diseases and Its Impact on Quality of Life)
The risk of cardiovascular (CV) disease and mortality is increased by rheumatoid arthritis (RA). However, data on how RA patients perceive their own CV risk and their adherence to CV prevention factors are scarce. We conducted an observational study on 266 patients with RA to determine whether the perceived CV risk correlates to the objective CV risk, and if it influences their compliance with a Mediterranean diet and physical exercise. The objective CV risk was calculated according to the modified European League Against Rheumatism (EULAR) Systematic Coronary Risk Evaluation (SCORE). The perceived CV risk did not correlate to the objective CV risk. The correlation was even lower when carotid ultrasound was used. Notably, 64.62% of patients miscalculated their CV risk, with 43.08% underestimating it. Classic CV risk factors, carotid ultrasound markers and ESR and CRP showed significant correlation with the objective CV risk. However, only hypertension and RA disease features showed association with the perceived CV risk. Neither the objective CV risk nor the perceived CV risk were associated with the accomplishment of a Mediterranean diet or physical activity. In conclusion, RA patients tend to underestimate their actual CV risk, giving more importance to RA features than to classic CV risk factors. They are not concerned enough about the beneficial effects of physical activity or diet. View Full-Text
Keywords: rheumatoid arthritis; cardiovascular; EULAR-SCORE; Mediterranean diet; physical activity rheumatoid arthritis; cardiovascular; EULAR-SCORE; Mediterranean diet; physical activity
MDPI and ACS Style

Alonso-Molero, J.; Prieto-Peña, D.; Mendoza, G.; Atienza-Mateo, B.; Corrales, A.; González-Gay, M.Á.; Llorca, J. Misperception of the Cardiovascular Risk in Patients with Rheumatoid Arthritis. Int. J. Environ. Res. Public Health 2020, 17, 5954. https://doi.org/10.3390/ijerph17165954

AMA Style

Alonso-Molero J, Prieto-Peña D, Mendoza G, Atienza-Mateo B, Corrales A, González-Gay MÁ, Llorca J. Misperception of the Cardiovascular Risk in Patients with Rheumatoid Arthritis. International Journal of Environmental Research and Public Health. 2020; 17(16):5954. https://doi.org/10.3390/ijerph17165954

Chicago/Turabian Style

Alonso-Molero, Jéssica, Diana Prieto-Peña, Guadalupe Mendoza, Belén Atienza-Mateo, Alfonso Corrales, Miguel Á. González-Gay, and Javier Llorca. 2020. "Misperception of the Cardiovascular Risk in Patients with Rheumatoid Arthritis" International Journal of Environmental Research and Public Health 17, no. 16: 5954. https://doi.org/10.3390/ijerph17165954

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