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Ten-years cardiovascular risk among Bangladeshi population using non-laboratory-based risk chart of the World Health Organization: Findings from a nationally representative survey
The World Health Organization (WHO) has recently developed a non-laboratory based cardiovascular disease (CVD) risk chart considering the parameters age, sex, current smoking status, systolic blood pressure, and body mass index. Using the chart, we estimated the 10-years CVD risk among the Banglades...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8153482/ https://www.ncbi.nlm.nih.gov/pubmed/34038457 http://dx.doi.org/10.1371/journal.pone.0251967 |
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author | Hanif, Abu Abdullah Mohammad Hasan, Mehedi Khan, Md Showkat Ali Hossain, Md. Mokbul Shamim, Abu Ahmed Hossaine, Moyazzam Ullah, Mohammad Aman Sarker, Samir Kanti Rahman, S. M Mustafizur Bulbul, Md Mofijul Islam Mitra, Dipak Kumar Mridha, Malay Kanti |
author_facet | Hanif, Abu Abdullah Mohammad Hasan, Mehedi Khan, Md Showkat Ali Hossain, Md. Mokbul Shamim, Abu Ahmed Hossaine, Moyazzam Ullah, Mohammad Aman Sarker, Samir Kanti Rahman, S. M Mustafizur Bulbul, Md Mofijul Islam Mitra, Dipak Kumar Mridha, Malay Kanti |
author_sort | Hanif, Abu Abdullah Mohammad |
collection | PubMed |
description | The World Health Organization (WHO) has recently developed a non-laboratory based cardiovascular disease (CVD) risk chart considering the parameters age, sex, current smoking status, systolic blood pressure, and body mass index. Using the chart, we estimated the 10-years CVD risk among the Bangladeshi population aged 40–74 years. We analyzed data from a nationally representative survey conducted in 2018–19. The survey enrolled participants from 82 clusters (57 rural, 15 non-slum urban, and 10 slums) selected by multistage cluster sampling. Using the non-laboratory-based CVD risk chart of the World Health Organization (WHO), we categorized the participants into 5 risk groups: very low (<5%), low (5% to <10%), moderate (10% to <20%), high (20% to <30%) and very high (> = 30%) risk. We performed descriptive analyses to report the distribution of CVD risk and carried out univariable and multivariable logistic regression to identify factors associated with elevated CVD risk (> = 10% CVD risk). Of the 7,381 participants, 46.0% were female. The median age (IQR) was 59.0 (48.0–64.7) years. Overall, the prevalence of very low, low, moderate, high, and very high CVD risk was 34.7%, 37.8%, 25.9%, 1.6%, and 0.1%, respectively. Elevated CVD risk (> = 10%) was associated with poor education, currently unmarried, insufficient physical inactivity, smokeless tobacco use, and self-reported diabetes in both sexes, higher household income, and higher sedentary time among males, and slum-dwelling and non-Muslim religions among females. One in every four Bangladeshi adults had elevated levels of CVD risk, and males are at higher risk of occurring CVD events. Non-laboratory-based risk prediction charts can be effectively used in low resource settings. The government of Bangladesh and other developing countries should train the primary health care workers on the use of WHO non-laboratory-based CVD risk charts, especially in settings where laboratory tests are not available. |
format | Online Article Text |
id | pubmed-8153482 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-81534822021-06-09 Ten-years cardiovascular risk among Bangladeshi population using non-laboratory-based risk chart of the World Health Organization: Findings from a nationally representative survey Hanif, Abu Abdullah Mohammad Hasan, Mehedi Khan, Md Showkat Ali Hossain, Md. Mokbul Shamim, Abu Ahmed Hossaine, Moyazzam Ullah, Mohammad Aman Sarker, Samir Kanti Rahman, S. M Mustafizur Bulbul, Md Mofijul Islam Mitra, Dipak Kumar Mridha, Malay Kanti PLoS One Research Article The World Health Organization (WHO) has recently developed a non-laboratory based cardiovascular disease (CVD) risk chart considering the parameters age, sex, current smoking status, systolic blood pressure, and body mass index. Using the chart, we estimated the 10-years CVD risk among the Bangladeshi population aged 40–74 years. We analyzed data from a nationally representative survey conducted in 2018–19. The survey enrolled participants from 82 clusters (57 rural, 15 non-slum urban, and 10 slums) selected by multistage cluster sampling. Using the non-laboratory-based CVD risk chart of the World Health Organization (WHO), we categorized the participants into 5 risk groups: very low (<5%), low (5% to <10%), moderate (10% to <20%), high (20% to <30%) and very high (> = 30%) risk. We performed descriptive analyses to report the distribution of CVD risk and carried out univariable and multivariable logistic regression to identify factors associated with elevated CVD risk (> = 10% CVD risk). Of the 7,381 participants, 46.0% were female. The median age (IQR) was 59.0 (48.0–64.7) years. Overall, the prevalence of very low, low, moderate, high, and very high CVD risk was 34.7%, 37.8%, 25.9%, 1.6%, and 0.1%, respectively. Elevated CVD risk (> = 10%) was associated with poor education, currently unmarried, insufficient physical inactivity, smokeless tobacco use, and self-reported diabetes in both sexes, higher household income, and higher sedentary time among males, and slum-dwelling and non-Muslim religions among females. One in every four Bangladeshi adults had elevated levels of CVD risk, and males are at higher risk of occurring CVD events. Non-laboratory-based risk prediction charts can be effectively used in low resource settings. The government of Bangladesh and other developing countries should train the primary health care workers on the use of WHO non-laboratory-based CVD risk charts, especially in settings where laboratory tests are not available. Public Library of Science 2021-05-26 /pmc/articles/PMC8153482/ /pubmed/34038457 http://dx.doi.org/10.1371/journal.pone.0251967 Text en © 2021 Hanif et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Hanif, Abu Abdullah Mohammad Hasan, Mehedi Khan, Md Showkat Ali Hossain, Md. Mokbul Shamim, Abu Ahmed Hossaine, Moyazzam Ullah, Mohammad Aman Sarker, Samir Kanti Rahman, S. M Mustafizur Bulbul, Md Mofijul Islam Mitra, Dipak Kumar Mridha, Malay Kanti Ten-years cardiovascular risk among Bangladeshi population using non-laboratory-based risk chart of the World Health Organization: Findings from a nationally representative survey |
title | Ten-years cardiovascular risk among Bangladeshi population using non-laboratory-based risk chart of the World Health Organization: Findings from a nationally representative survey |
title_full | Ten-years cardiovascular risk among Bangladeshi population using non-laboratory-based risk chart of the World Health Organization: Findings from a nationally representative survey |
title_fullStr | Ten-years cardiovascular risk among Bangladeshi population using non-laboratory-based risk chart of the World Health Organization: Findings from a nationally representative survey |
title_full_unstemmed | Ten-years cardiovascular risk among Bangladeshi population using non-laboratory-based risk chart of the World Health Organization: Findings from a nationally representative survey |
title_short | Ten-years cardiovascular risk among Bangladeshi population using non-laboratory-based risk chart of the World Health Organization: Findings from a nationally representative survey |
title_sort | ten-years cardiovascular risk among bangladeshi population using non-laboratory-based risk chart of the world health organization: findings from a nationally representative survey |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8153482/ https://www.ncbi.nlm.nih.gov/pubmed/34038457 http://dx.doi.org/10.1371/journal.pone.0251967 |
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