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Estimation of 10‐year cardiovascular risk among adult population in western Nepal using nonlaboratory‐based WHO/ISH chart, 2023: A cross‐sectional study

BACKGROUND AND AIMS: Noncommunicable diseases have emerged as a major cause of morbidity and mortality worldwide among which the majority of the deaths are caused by cardiovascular diseases. Estimating the risk of cardiovascular diseases helps eliminate the risk factors and prevent developing cardio...

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Autores principales: Sitaula, Deekshanta, Dhakal, Aarati, Mandal, Sujit K., Bhattarai, Nisha, Silwal, Amisha, Adhikari, Pradeep, Gupta, Shikha R., Khatri, Dhan, Lageju, Nimesh, Guragain, Bhimsagar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10560824/
https://www.ncbi.nlm.nih.gov/pubmed/37818312
http://dx.doi.org/10.1002/hsr2.1614
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author Sitaula, Deekshanta
Dhakal, Aarati
Mandal, Sujit K.
Bhattarai, Nisha
Silwal, Amisha
Adhikari, Pradeep
Gupta, Shikha R.
Khatri, Dhan
Lageju, Nimesh
Guragain, Bhimsagar
author_facet Sitaula, Deekshanta
Dhakal, Aarati
Mandal, Sujit K.
Bhattarai, Nisha
Silwal, Amisha
Adhikari, Pradeep
Gupta, Shikha R.
Khatri, Dhan
Lageju, Nimesh
Guragain, Bhimsagar
author_sort Sitaula, Deekshanta
collection PubMed
description BACKGROUND AND AIMS: Noncommunicable diseases have emerged as a major cause of morbidity and mortality worldwide among which the majority of the deaths are caused by cardiovascular diseases. Estimating the risk of cardiovascular diseases helps eliminate the risk factors and prevent developing cardiovascular diseases in the future. The World Health Organization in association with the International Society of Hypertension has developed risk charts for the estimation of 10‐year risk for cardiovascular diseases. This study aimed to estimate 10‐year cardiovascular risk in the Nepalese population using nonlaboratory‐based charts. METHODS: A hospital‐based cross‐sectional study was conducted among 314 adults aged 40–74 years visiting the outpatient departments of Shishuwa Hospital in western Nepal. Systematic random sampling was used to select the participants. Questionnaire‐guided short interviews, physical examination, and anthropometric measurements were done. The χ (2) test was used to test the significance and a p < 0.05 was considered statistically significant. RESULTS: As per the risk estimation charts, high cardiovascular risk (20%–30%) was seen in 6.1% of total participants and moderate cardiovascular risk (10%–20%) was found in 29% of participants. The moderate–high risk was significantly higher among male participants compared to females (p < 0.01). Of all the participants, 22.0% were current smokers, 17.2% were alcohol users, 61.1% were hypertensive, and 35.7% were diabetics. Smoking tobacco, alcohol use, and hypertension were significantly more prevalent among the male participants. (p < 0.01) Adults in the 50–59 years age group had a significantly high prevalence of hypertension (p < 0.01), diabetes (p = 0.02), and alcohol abuse (p = 0.01). CONCLUSION: This study shows high cardiovascular risk among adult population in western Nepal. The 10‐year cardiovascular risk score and risk factors were significantly higher among males than females. There seems to be a prompt necessity of health promotion interventions to reduce cardiovascular risk factors and prevent the burden of cardiovascular diseases in Nepal.
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spelling pubmed-105608242023-10-10 Estimation of 10‐year cardiovascular risk among adult population in western Nepal using nonlaboratory‐based WHO/ISH chart, 2023: A cross‐sectional study Sitaula, Deekshanta Dhakal, Aarati Mandal, Sujit K. Bhattarai, Nisha Silwal, Amisha Adhikari, Pradeep Gupta, Shikha R. Khatri, Dhan Lageju, Nimesh Guragain, Bhimsagar Health Sci Rep Original Research BACKGROUND AND AIMS: Noncommunicable diseases have emerged as a major cause of morbidity and mortality worldwide among which the majority of the deaths are caused by cardiovascular diseases. Estimating the risk of cardiovascular diseases helps eliminate the risk factors and prevent developing cardiovascular diseases in the future. The World Health Organization in association with the International Society of Hypertension has developed risk charts for the estimation of 10‐year risk for cardiovascular diseases. This study aimed to estimate 10‐year cardiovascular risk in the Nepalese population using nonlaboratory‐based charts. METHODS: A hospital‐based cross‐sectional study was conducted among 314 adults aged 40–74 years visiting the outpatient departments of Shishuwa Hospital in western Nepal. Systematic random sampling was used to select the participants. Questionnaire‐guided short interviews, physical examination, and anthropometric measurements were done. The χ (2) test was used to test the significance and a p < 0.05 was considered statistically significant. RESULTS: As per the risk estimation charts, high cardiovascular risk (20%–30%) was seen in 6.1% of total participants and moderate cardiovascular risk (10%–20%) was found in 29% of participants. The moderate–high risk was significantly higher among male participants compared to females (p < 0.01). Of all the participants, 22.0% were current smokers, 17.2% were alcohol users, 61.1% were hypertensive, and 35.7% were diabetics. Smoking tobacco, alcohol use, and hypertension were significantly more prevalent among the male participants. (p < 0.01) Adults in the 50–59 years age group had a significantly high prevalence of hypertension (p < 0.01), diabetes (p = 0.02), and alcohol abuse (p = 0.01). CONCLUSION: This study shows high cardiovascular risk among adult population in western Nepal. The 10‐year cardiovascular risk score and risk factors were significantly higher among males than females. There seems to be a prompt necessity of health promotion interventions to reduce cardiovascular risk factors and prevent the burden of cardiovascular diseases in Nepal. John Wiley and Sons Inc. 2023-10-08 /pmc/articles/PMC10560824/ /pubmed/37818312 http://dx.doi.org/10.1002/hsr2.1614 Text en © 2023 The Authors. Health Science Reports published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research
Sitaula, Deekshanta
Dhakal, Aarati
Mandal, Sujit K.
Bhattarai, Nisha
Silwal, Amisha
Adhikari, Pradeep
Gupta, Shikha R.
Khatri, Dhan
Lageju, Nimesh
Guragain, Bhimsagar
Estimation of 10‐year cardiovascular risk among adult population in western Nepal using nonlaboratory‐based WHO/ISH chart, 2023: A cross‐sectional study
title Estimation of 10‐year cardiovascular risk among adult population in western Nepal using nonlaboratory‐based WHO/ISH chart, 2023: A cross‐sectional study
title_full Estimation of 10‐year cardiovascular risk among adult population in western Nepal using nonlaboratory‐based WHO/ISH chart, 2023: A cross‐sectional study
title_fullStr Estimation of 10‐year cardiovascular risk among adult population in western Nepal using nonlaboratory‐based WHO/ISH chart, 2023: A cross‐sectional study
title_full_unstemmed Estimation of 10‐year cardiovascular risk among adult population in western Nepal using nonlaboratory‐based WHO/ISH chart, 2023: A cross‐sectional study
title_short Estimation of 10‐year cardiovascular risk among adult population in western Nepal using nonlaboratory‐based WHO/ISH chart, 2023: A cross‐sectional study
title_sort estimation of 10‐year cardiovascular risk among adult population in western nepal using nonlaboratory‐based who/ish chart, 2023: a cross‐sectional study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10560824/
https://www.ncbi.nlm.nih.gov/pubmed/37818312
http://dx.doi.org/10.1002/hsr2.1614
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