Cardiovascular risk assessment in population from urban and sub urban areas of Eastern part of Odisha, India

Authors

  • Shubhransu Patro Department of General Medicine, Kalinga Institute of Medical Sciences, K.I.I.T University, Bhubaneswar, Odisha, India
  • Surendra N. Behera Department of General Medicine, Kalinga Institute of Medical Sciences, K.I.I.T University, Bhubaneswar, Odisha, India
  • Basanta K. Behera Department of Community Medicine, Kalinga Institute of Medical Sciences, K.I.I.T University, Bhubaneswar, Odisha, India
  • Gagan C. Misra Department of General Medicine, Kalinga Institute of Medical Sciences, K.I.I.T University, Bhubaneswar, Odisha, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20162508

Keywords:

CVD, Diet, Life style, Risk factors, Score

Abstract

Background: Cardiovascular disease (CVD) is a leading cause of death in the world. The aim of the study was to assess cardiovascular risk factors in population from urban and sub urban areas of eastern part of Odisha, India.

Methods: We conducted an observational study; total 67 individuals (21 women, 46 men) were recruited from the population, aged 30 to 59 years, to evaluate their cardiovascular risk factors by pre-designed structured questionnaire and clinical and laboratory data were collected over a period of 6 months.

Results: The prevalence of major CVD risk factors was: hypertension 28.3%, diabetes 38.8%, elevated total cholesterol/HDL ratio 38.8 %, obesity 62.6 % and current smoking 28.3%.The score of ≥4 was obtained more among the 40–49 year old age group than the 30-39 and 50-59 year old age groups (≥2) and the risk factor score of ≥3 was significantly more in the higher income group as compared with the lower income group (74% vs. 26%). A high-risk dietary pattern was found to be significantly more in the literate group as compared with the illiterate group (32.2% vs. 25%).

Conclusions: This study concludes that the high prevalence of CVD and its risk factors is due to lack of awareness and special attention should be given to changing life style and  dietary control among a comparatively young male population  from  urban and sub urban areas of eastern part of Odisha.

References

Cardiovascular Disease and Risk Management Diabetes Care. 2015;38(Suppl. 1):S49-57.

Cardiovascular diseases (CVDs). January 2015, WHO, Available at: http://www.who.int/ mediacentre/ factsheets/ fs317/ en/.

Sasayama S. Heart disease in Asia. Circulation. 2008;118:2669-71.

Martiniuk AL, Lee CM, Lawes CM, Ueshima H, Suh I, Lam TH, et al. Asia-Pacific Cohort Studies Collaboration. Hypertension: its prevalence and population attributable fraction for mortality from cardiovascular disease in the Asia-Pacific region. J Hypertens. 2007;25:73-9.

Ueshima H, Sekikawa A, Miura K, Turin TC, Takashima N, Kita Y, et al. Cardiovascular disease and risk factors in Asia: a selected review. Circulation. 2008;118:2702-9.

Eckel RH. Obesity and heart disease: a statement for healthcare professionals from the Nutrition Committee, American Heart Association. Circulation. 1997;96:3248-50.

Fletcher GF, Balady G, Blair SN, Blumenthal J, Caspersen C, Chaitman B, et al. Statement on exercise: benefits and recommendations for physical activity programs for all Americans: a statement for health professionals by the Committee on Exercise and Cardiac Rehabilitation of the Council on Clinical Cardiology, American Heart Association. Circulation. 1996;94:857-62.

Grundy SM, Pasternak R, Greenland P, Smith S Jr, Fuster V. Assessment of cardiovascular risk by use of multiple-risk-factor assessment equations: a statement for healthcare professionals from the American Heart Association and the American College of Cardiology. Circulation. 1999;100(13):1481-92.

Jha AK, Varosy PD, Kanaya AM, Hunninghake DB, Hlatky MA, Waters DD, et al. Circulation. 2003;108(9):1089-94.

Williams PT, Franklin BA. Incident diabetes mellitus, hypertension, and cardiovascular disease risk in exercising hypercholesterolemic patients. Differences in medical care and disease outcomes among black and white women with heart disease. Am J Cardiol. 2015;15;116(10):1516-20.

Mariana D, Elena S, Peter D, Plamen D, Svetla T. Cardiovascular Risk Assessment of Bulgarian Urban Population: Crosssectional Study. Croat Med J. 2008;49:783-91.

Horikawa C, Yoshimura Y, Kamada C, Tanaka S, Tanaka S, Hanyu O, et al. Japan Diabetes Complications study Group. Dietary sodium intake and incidence of diabetes complications in Japanese patients with type 2 diabetes: analysis of the Japan Diabetes Complications Study. JDCS. J. Clin. Endocrinol. Metab. 2014;99(10):3635-43.

Dehghan M, Mente A, Teo KK, Gao P, Sleight P, Dagenais G, et al. Relationship Between Healthy Diet and Risk of Cardiovascular Disease Among Patients on Drug Therapies for Secondary Prevention A Prospective Cohort Study of 31 546 High-Risk Individuals From 40 Countries, Circulation. 2012;126(23):2705-12.

Davey R, Cochrane T, Iqbal Z, Rajaratnam G, Chambers R, Mawby Y, et al. Randomised controlled trial of additional lifestyle support for the reduction of cardiovascular disease risk through primary care in Stoke-on-Trent, UK. Contemp. Clin Trials. 2010;31(4):345-54.

Deb S, Dasgupta A. A Study on Risk Factors of Cardiovascular Diseases in an Urban Health Centre of Kolkata. Indian J Community Med. 2008;33(4):271-5.

Risk factor assessment and screening procedure. Available at: http://www.wpro.who.int/ philippines/ publications/ module2.pdf

Health Council of the Netherlands. Guidelines for a healthy diet 2006. The Hague: Health Council of the Netherlands. 2006.

McKeigue PM, Ferrie JE, Pierpont T, Marmot MG. Association of early-onset coronary heart disease in South Asian men with glucose intolerance and hyperinsulinemia. Circulation. 1993;87:152-61.

Kouwenhoven-Pasmooij TA, Djikanovic B, Robroek SJ, Helmhout P, Burdorf A, Hunink MG. Design and baseline characteristics of the Perfect Fit study: a multicenter cluster- randomized trial of a lifestyle intervention in employees with increased cardiovascular risk. BMC Public Health. 2015;15:715.

Prabhakaran D, Shah P, Chaturvedi V, Ramakrishnan L, Manhapra A, Reddy KS. Cardiovascular risk factor prevalence among men in a large industry of northern India. Natl Med J India. 2005;18:59-65.

Reddy NK, Kumar DN, Rayudu NV, Sastry BK, Raju BS. Prevalence of risk factors for coronary atherosclerosis in a cross-sectional population of Andhra Pradesh. Indian Heart J. 2002;54:697-701.

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Published

2016-12-29

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Original Research Articles