• Cardiovascular diseases are the leading cause of mortality in the developed world. Although they mostly affect people aged 65 years and older, scientific evidence has shown that they are strongly associated with prolonged exposure to risk factors such as high levels of blood pressure and total cholesterol, diabetes and smoking). That is why it is vital to deliver messages about cardiovascular disease prevention to asymptomatic and relatively young populations, encouraging the development of healthy lifestyles and the control of risk factors. However, it is precisely this population that identifies least with disease prevention, most likely because a healthy population does not see disease prevention as a high priority. On the other hand, when the health care system is excessively disease-centered, the healthy population does not visit the primary care center unless a specific health problem arises. The solution to these barriers to effective cardiovascular disease prevention may be a new framework for disease prevention actions that empowers individuals and enables them to make decisions about their own health.
  • We propose a system for collecting, integrating, and processing individual health data (risk factors and lifestyles) with the main objective of facilitating the delivery of preventive messages to the general population through personalized recommendations.The system is based on the principles of empowerment, interaction, and versatility. The procedure for obtaining personalized recommendations is user-centered, requiring little or no help from a health professional. The system is also interactive, as the personalized diet and physical activity recommendations generated are adapted to individual lifestyle characteristics. Finally, as the benefits of developing physical activity habits and eating a healthy diet extend beyond cardiovascular diseases, this system can be extended to the prevention of other conditions such as cancer or Alzheimer disease.
  • The system extracts and integrates information from a series of validated devices and questionnaires (blood pressure monitor, scale, and a portable point-of-care system for measuring lipid profile). It then processes the data to produce a series of preventive recommendations tailored to the characteristics of the user. The objective of the ACRISC study is to clinically validate the operation of this self-screening device. A randomized clinical trial, currently implemented in primary care settings in the city of Girona and its metropolitan area, will involve 1000 participants aged 35 to 74 years in self-managing their risk of developing a cardiovascular disease. The study results will shed light on two fundamental aspects of the proposed system: its effectiveness, compared to standard cardiovascular risk screening routinely performed in primary care centers, and the impact on the control of cardiovascular risk factors achieved by its personalized recommendations on Mediterranean diet and physical activity.
  • The study is a collaboration between the Hospital del Mar medical research institute (IMIM: Institut Hospital del Mar d'Investigacions Mèdiques), the Girona-based research support unit of the Jordi Gol Institute for Research in Primary Care (IDIAP: Institut d’Investigació en Atenció Primària Jordi Gol) and the Girona Institute for Biomedical Research (IDIBGI: Institut d'Investigació Biomèdica de Girona).
  • Related publication: Barroso M, Pérez S, Zomeño D, Martí R, Cordon F, Ramos R, Elosua R, Degano IR, Fitó M, Cabezas C, Salvador G, Castell C, Grau M. Validity of a method for the self-screening of cardiovascular risk. Clin Epidemiol 2018; 10: 549-560.

Barroso M, Perez-Fernandez S, Vila MM, Zomeño MD, Martí-Lluch R, Cordón F, Ramos R, Elosua R, Dégano IR, Fitó M, Cabezas C, Salvador G, Castell C, Grau M

Validity of a method for the self-screening of cardiovascular risk.

Clin Epidemiol 2018 10 549-560, PMID: 29785141

Abstract