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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

On-line version ISSN 2312-3893


AYALA LEON, Silvia Josefina; SANCHEZ MARTINEZ, Celia  and  AYALA LEON, Miguel. Correlation of cardiovascular risk factors with the SCORE scale and the subjective global assessment test in patients with breast cancer. Rev. virtual Soc. Parag. Med. Int. [online]. 2021, vol.8, n.1, pp.106-116. ISSN 2312-3893.


The association between the nutritional-metabolic state with cardiovascular risk factors and cancer has been demonstrated, especially with breast cancer patients, the majority of whom have an associated metabolic syndrome. Initial stratification is essential. There are several tools that allow assessing nutritional status such as the subjective global assessment.


To determine the correlation of cardiovascular risk factors in patients with breast cancer assessed through the cardiological scale called SCORE and nutritional assessment with the subjective global assessment scale in patients with breast cancer.


A prospective, observational study of patients with the diagnosis of anatomopathological breast cancer was carried out from 2015 to 2018 at the Oncological Day Hospital of the city of Encarnación, Paraguay. The variables of cardiovascular risk factors were measured through the SCORE scale and the nutritional assessment through the subjective global assessment. The bioethical norms were respected.


A sample of 138 women was included, whose mean age was 54±12 years. The BMI was 28 kg / m2 and obesity/overweight was found in 56.2%. The largest waist diameter was 88 cm. Dyslipidemia was found in 60%, arterial hypertension in 78%, diabetes mellitus in 43%, and smoking in 2.7%. According to the SCORE cardiovascular scale, 55% of the patients were part of the high risk. Waist diameter >88 cm was significantly correlated with the subjective global assessment (r-0.22). There was no statistically significant correlation between the SCORE scale and the subjective global assessment nutritional scale.


The studied sample has a high frequency of cardiovascular risk factors. Half have a high risk of cardiotoxicity according to SCORE. However, this did not correlate with the subjective global assessment.

Keywords : nutritional status; cardiovascular risk; breast neoplasms..

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