Key result
Non-laboratory WHO risk charts estimate ~25% of older Indian adults face high cardiovascular risk.
Why the study?
CVD risk stratification is recommended by WHO for effective management in primary healthcare settings, motivating estimation of 10-year fatal and non-fatal CVD risk in India using 2019 updated WHO risk charts.
Cross-Sectional (n=54,843)
Yes
About a quarter of older adults in India have a ≥10% 10-year risk for fatal or non-fatal cardiovascular events based on non-laboratory WHO risk charts.
Signals substantial CVD risk burden in older Indians; leaves open need for outcome validation before guiding prevention.
Background Cardiovascular disease (CVD) risk stratification is recommended by the World Health Organization (WHO) for effective CVD management in primary healthcare settings. Using the 2019 updated WHO CVD risk charts, we estimated the 10-year risk for developing fatal and non-fatal CVD among participants of the Longitudinal Aging Study in India (LASI). Methods We conducted secondary data analysis using the Wave-1 dataset of LASI. Analysis was performed in Stata software (version 14.1; StataCorp LLC, College Station, Texas) after applying sample weights. Ten-year CVD risk was estimated using a non-laboratory-based CVD risk chart. Logistic regression analysis was performed to determine the association between socio-demographic characteristics and 10% or more 10-year CVD risk. Results The weighted prevalence of 10% or more 10-year CVD risk was 24.70% (95% CI: 23.94%-25.47%). Participants who were currently working, living alone, and widowed had 3.63, 1.42, and 1.59 times increased odds of having a high 10-year CVD risk, respectively, after adjusting for other variables. Conclusion About a quarter of older adults and the elderly population in India have a 10-year risk for a fatal or non-fatal cardiovascular event of 10% or more, as estimated using a non-laboratory based chart.
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Loganathan et al. (2023) conducted a cross-sectional in Cardiovascular disease risk (n=54,843). Using a non-laboratory-based WHO risk chart, 24.7% of older adults in India were estimated to have a ≥10% 10-year risk for a fatal or non-fatal cardiovascular event.
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