Key result
Moderate to high 10-year cardiovascular risk (≥10%) was present in 35.4% of participants and was significantly higher in males (49.3%) compared to females (20.1%, p<0.01).
Why the study?
Estimating cardiovascular disease risk helps eliminate risk factors and prevent future disease, motivating the estimation of 10-year cardiovascular risk in the Nepalese population using nonlaboratory-based WHO/ISH charts.
Does male gender increase 10-year cardiovascular risk compared to female gender in adults in western Nepal?
Cross-Sectional (n=314)
No
Does male gender increase 10-year cardiovascular risk compared to female gender in adults in western Nepal?
Absolute Event Rate: 49.3% vs 20.1%
p-value: p=<0.01
A high proportion of adults in western Nepal have elevated 10-year cardiovascular risk, highlighting the need for targeted health promotion interventions.
Moderate-high 10-year CV risk is common and male-predominant in western Nepal; leaves open whether gender-targeted screening improves outcomes.
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.
No takes yet. Share an insight, caveat, or question.
Sitaula et al. (2023) conducted a cross-sectional in Cardiovascular risk (n=314). Male gender vs. Female gender was evaluated on Moderate to high 10-year cardiovascular risk (≥10%) (p=<0.01). Moderate to high 10-year cardiovascular risk (≥10%) was present in 35.4% of participants and was significantly higher in males (49.3%) compared to females (20.1%, p<0.01).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: