Prediction of Cardiovascular Disease in suburban population of 3 municipalities in Nepal

Koju, Rajendra; Gurung, R; Pant, Pankaj; Humagain, S; Yogol, CM; Koju, A; Manandhar, Kedar; Bedi, Trs

doi:10.3126/njh.v8i1.8328

Cited by 4 publications

(6 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a study done among the sedentary workers in an Indian city, the major risk factors for CHD were elevated triglycerides, hypertension, and high levels of serum total cholesterol (45). The probable reason for such results is because of the sedentary lifestyle and higher prevalence of central obesity among them (42). These findings point that although WHO/ISH risk charts are a handy and simple tool for CVD risk prediction, but may underestimate the CVD risk burden.…”

Section: Discussionmentioning

confidence: 97%

“…Various studies have revealed a variable level of prevalence of CVD risk using the similar WHO/ISH risk prediction charts in some of the Asian countries (viz. China 1.1%, Iran 1.7%, Sri Lanka 2.2%, Nepal 9.8%, and Pakistan 10.0%) (41,42). A combination of three criteria of a chart, high blood pressure and high serum cholesterol; 10.2% subject had a moderate or high risk of CVD event.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Estimation of the cardiovascular risk using World Health Organization/International Society of Hypertension (WHO/ISH) risk prediction charts in a rural population of South India

Ghorpade

Shrivastava

Kar

et al. 2015

Int J Health Policy Manag

View full text Add to dashboard Cite

Background: World Health Organization/International Society of Hypertension (WHO/ISH) charts have been employed to predict the risk of cardiovascular outcome in heterogeneous settings. The aim of this research is to assess the prevalence of Cardiovascular Disease (CVD) risk factors and to estimate the cardiovascular risk among adults aged >40 years, utilizing the risk charts alone, and by the addition of other parameters. Methods: A cross-sectional study was performed in two of the villages availing health services of a medical college. Overall 570 subjects completed the assessment. The desired information was obtained using a pretested questionnaire and participants were also subjected to anthropometric measurements and laboratory investigations. The WHO/ISH risk prediction charts for the South-East Asian region was used to assess the cardiovascular risk among the study participants. Results: The study covered 570 adults aged above 40 years. The mean age of the subjects was 54.2 (±11.1) years and 53.3% subjects were women. Seventeen percent of the participants had moderate to high risk for the occurrence of cardiovascular events by using WHO/ISH risk prediction charts. In addition, CVD risk factors like smoking, alcohol, low High-Density Lipoprotein (HDL) cholesterol were found in 32%, 53%, 56.3%, and 61.5% study participants, respectively. Conclusion: Categorizing people as low (<10%)/moderate (10%-20%)/high (>20%) risk is one of the crucial steps to mitigate the magnitude of cardiovascular fatal/non-fatal outcome. This cross-sectional study indicates that there is a high burden of CVD risk in the rural Pondicherry as assessed by WHO/ISH risk prediction charts. Use of WHO/ISH charts is easy and inexpensive screening tool in predicting the cardiovascular event.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Estimation of the cardiovascular risk using World Health Organization/International Society of Hypertension (WHO/ISH) risk prediction charts in a rural population of South India

Ghorpade

Shrivastava

Kar

et al. 2015

Int J Health Policy Manag

View full text Add to dashboard Cite

show abstract

“…Multiple studies across the world have utilized the WHO/ISH cardiovascular risk prediction charts to estimate the risk in heterogeneous settings. [ 14 37 38 ] In contrast, findings of a study reflected that the WHO/ISH charts were incorrect to discriminate the risk in Malaysian population. [ 39 ] The WHO has recommended that in low-resource settings, measures like individual counseling should be made available based on the extent of cardiovascular risk.…”

Section: Discussionmentioning

confidence: 99%

“…However, a variable risk percentage ranging from 1.1% in China to 21.5% in Malaysia has also been observed. [ 15 37 38 ] Realizing the scope and their utility in varied settings, these risk prediction charts are acknowledged as one of the predominant tools to achieve the target 8 (viz. at least 50% of eligible people receive drug therapy and counselling (including glycaemic control) to prevent heart attacks and strokes), under the NCD action plan.…”

Section: Discussionmentioning

confidence: 99%

A community-based cross-sectional study of cardiovascular risk in a rural community of Puducherry

2015

View full text Add to dashboard Cite

Background:The World Health Organization (WHO) / International Society of Hypertension (ISH) risk prediction chart can predict the risk of cardiovascular events in any population.Aim:To assess the prevalence of cardiovascular risk factors and to estimate the cardiovascular risk using the WHO/ISH risk charts.Materials and Methods:A cross-sectional study was done from November 2011 to January 2012 in a rural area of Puducherry. Method of sampling was a single stage cluster random sampling, and subjects were enrolled depending on their suitability with the inclusion and exclusion criteria. The data collection tool was a piloted and semi-structured questionnaire, while WHO/ISH cardiovascular risk prediction charts for the South-East Asian region was used to predict the cardiovascular risk. Institutional Ethics committee permission was obtained before the start of the study. Statistical analysis was done using SPSS version 16 and appropriate statistical tests were applied.Results:The mean age in years was 54.2 (±11.1) years with 46.7% of the participants being male. On application of the WHO/ISH risk prediction charts, almost 17% of the study subjects had moderate or high risk for a cardiovascular event. Additionally, high salt diet, alcohol use and low HDL levels, were identified as the major CVD risk factors.Conclusion:To conclude, stratification of people on the basis of risk prediction chart is a major step to have a clear idea about the magnitude of the problem. The findings of the current study revealed that there is a high burden of CVD risk in the rural Puducherry.

show abstract

“…The sample size was calculated by using the formula for estimation of proportion for one sample situation. To detect prevalence of 9.5% of moderate and high CVD risk population, as determined by a study conducted in sub-urban municipalities of Nepal [ 20 ], the minimum sample size required was 292 with allowable error of 4% and a design effect of 1.5. Taking into consideration a non-response rate of 15%, we decided to select 343 subjects from all male and female population aged 40–80 years (N = 3712).…”

Section: Methodsmentioning

confidence: 99%

Total cardiovascular risk for next 10 years among rural population of Nepal using WHO/ISH risk prediction chart

et al. 2017

View full text Add to dashboard Cite

BackgroundCardiovascular diseases (CVD) are the leading cause of morbidity and mortality globally. Primary prevention of CVD based on total CVD risk approach using WHO/ISH risk prediction chart would be more effective to stratify population under different risk levels, prioritize and utilize the scarce resources of low and middle-income countries. This study estimated total 10-year CVD risk and determined the proportion of population who need immediate drug therapy among the rural population of Nepal.MethodsA community based cross-sectional study conducted among 345 participants aged 40–80 years in rural villages of Lamjung District of Nepal. They were selected randomly from total eighteen wards. Data were collected using WHO STEPS questionnaires. WHO/ISH risk prediction chart for SEAR D was used to estimate total cardiovascular risk. Chi-square and independent t-test were used to test significance at the level of p < 0.05 in SPSS version 16.0.ResultsOf the total participants, 55.4% were female. The mean age (standard deviation) of the participants was 53.5 ± 10.1 years. According to WHO/ISH chart proportions of low, moderate and high CVD risk were 86.4%, 9.3%, and 4.3%, respectively. Eleven percent of participants were in need of immediate pharmacotherapy. Age (p = 0.001), level of education (p = 0.01) and occupation (p = 0.001) were significantly associated with elevated CVD risk.ConclusionA large proportion of Nepalese rural population is at moderate and high CVD risk. Immediate pharmacological interventions are warranted for at least one in every ten individuals along with lifestyle interventions. Both population-wise and high-risk approaches are required to minimize CVD burden in the future.

show abstract

Prediction of Cardiovascular Disease in suburban population of 3 municipalities in Nepal

Abstract: Background

Cited by 4 publications

References 5 publications

Estimation of the cardiovascular risk using World Health Organization/International Society of Hypertension (WHO/ISH) risk prediction charts in a rural population of South India

Estimation of the cardiovascular risk using World Health Organization/International Society of Hypertension (WHO/ISH) risk prediction charts in a rural population of South India

A community-based cross-sectional study of cardiovascular risk in a rural community of Puducherry

Total cardiovascular risk for next 10 years among rural population of Nepal using WHO/ISH risk prediction chart

Contact Info

Product

Resources

About