title: [Coronary risk in the population of the Canary Islands, Spain, using the Framingham function].
abstract: OBJECTIVE
  Although ischemic cardiopathy mortality in the Canary Islands is among the highest in Spain, the specific coronary risk for its population has not been estimated. This study presents the first cardiovascular risk charts for the Canarian adult population and compares them with those previously published on Gerona, Spain.
  
  
  METHODS
  A cross-sectional study of 4915 subjects, aged 25-74, that had been enrolled in the cohort study CDC of the Canary Islands. The standardized prevalence of obesity, overweight, smoking, hypertension and diabetes were estimated with the information obtained from personnel interviews, physical exams and blood samples. Those prevalences were used to calibrate the Framingham coronary function and to elaborate coronary risk charts.
  
  
  RESULTS
  The crude prevalence of obesity was 30% (95% confidence interval [CI], 28.7-31.3), overweight 39% (95% CI, 37.6-40.4), smoking 26% (95% CI, 24.8-27.2), hypertension 40% (95% CI, 38.6-41.4) and diabetes 12% (95% CI, 11.1-12.9). In most of the factors, these prevalences were higher than Gerona's population in every age group and gender. On average, the estimated coronary risk of the islanders was 89% higher than Gerona's risk (94% higher in males and 87% in females), which is concordant with the distance between both populations in the national mortality statistics.
  
  
  CONCLUSIONS
  The high prevalence of obesity and other factors in the Canarian population implies important coronary risks and it explains the position of the Canary Islands in the Spanish statistics of ischemic cardiopathy mortality. The use of these calibrated risk charts would be helpful to intensify the prevention of cardiovascular diseases.
authors.affiliation: Unidad de Investigación, Hospital de la Candelaria, Santa Cruz de Tenerife, España. acableo@gobiernodecanarias.org
authors.forename: Antonio
authors.initials: A
authors.lastname: Cabrera de León
authors.forename: María del Cristo
authors.initials: Mdel C
authors.lastname: Rodríguez-Pérez
authors.forename: José Carlos
authors.initials: JC
authors.lastname: del Castillo-Rodríguez
authors.forename: Buenaventura
authors.initials: B
authors.lastname: Brito-Díaz
authors.forename: Lina I
authors.initials: LI
authors.lastname: Pérez-Méndez
authors.forename: Mercedes
authors.initials: M
authors.lastname: Muros de Fuentes
authors.forename: Delia
authors.initials: D
authors.lastname: Almeida-González
authors.forename: Marta
authors.initials: M
authors.lastname: Batista-Medina
authors.forename: Armando
authors.initials: A
authors.lastname: Aguirre-Jaime
mesh_terms: D000328:Adult; D000368:Aged; D001266:Atlantic Islands / Q000453:epidemiology; D003324:Coronary Artery Disease / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D013030:Spain / Q000453:epidemiology