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

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

Authors:
Mahesh Kumar Khanal
Mahesh Kumar Khanal
Bangladesh Institute of Health Sciences (BIHS)
Dhaka | Bangladesh
Mohammad Moniruzzaman
Mohammad Moniruzzaman
Graduate School of Agricultural Science
Palash Chandra Banik, MPhil in NCD
Palash Chandra Banik, MPhil in NCD
BANGLADESH UNIVERSITY OF HEALTH SCIENCES
ASSISTANT PROFESSOR
Dhaka | Bangladesh
Raja Ram Dhungana
Raja Ram Dhungana
Nepal Family Development Foundation
Pratiksha Bhandari
Pratiksha Bhandari
Mid-western Regional Hospital
Surya Devkota
Surya Devkota
Institute of Medicine

BMC Res Notes 2017 Mar 7;10(1):120. Epub 2017 Mar 7.

Institute of Medicine (IOM), Tribhuvan University, Kathmandu, Nepal.

Background: Cardiovascular 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.

Methods: A 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.

Results: Of 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.

Conclusion: A 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.

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Source
http://dx.doi.org/10.1186/s13104-017-2436-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5341399PMC
March 2017
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