Prevalence of risk factors and estimation of 10-year risk for cardiovascular diseases among male adult population of Tamil Nadu India-an insight from the National Family Health Survey–5
Objective: Cardiovascular diseases (CVD) are one of the most addressed preventable diseases of public health importance. However, the risk estimates and use of these risk scores for CVD prevention are the least explored areas. So, in this study, we explored the different categories of Framingham hea...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-07-01
|
| Series: | Indian Heart Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0019483223001049 |
| _version_ | 1827878438666502144 |
|---|---|
| author | Midhun Sasikumar Sam David Marconi Aravind Dharmaraj Kedar Mehta Milan Das Sonu Goel |
| author_facet | Midhun Sasikumar Sam David Marconi Aravind Dharmaraj Kedar Mehta Milan Das Sonu Goel |
| author_sort | Midhun Sasikumar |
| collection | DOAJ |
| description | Objective: Cardiovascular diseases (CVD) are one of the most addressed preventable diseases of public health importance. However, the risk estimates and use of these risk scores for CVD prevention are the least explored areas. So, in this study, we explored the different categories of Framingham heart study (FHS) 10-year-CVD risk score and their associated factors among the adult male population in Tamil Nadu, India. Methods: We used the risk factor level data for male adults aged 18 years and above from the National Family Health Survey (NFHS-5) of Tamil Nadu state, India. Sociodemographic variables, behavioral factors, and physiological/biochemical factors were considered as the risk factor and were estimated using the world health organization (WHO) STEPS categories. FHS 10-year-CVD risk score was calculated using a body-mass index-based published Cox regression equation. Results: Out of 2289 adult males, only 1.12% of the participants had a 10-year CVD risk score greater than 30% and ∼4% of the total participants require statin treatment (FRS-CVD risk score ≥20). Educational status (aOR:14.21, 95 CI: 4.36–46.22- no formal schooling when compared to 10th and above standard), weekly fruit intake (aOR:0.51, 95 CI: 0.27–0.97 when compared to daily fruit intake) and abdominal obesity (aOR:2.43, 95 CI: 1.58–3.74) were found to be associated with higher FRS scores when adjusted for all other factors not involved in FRS calculation. Conclusion: Widespread use of this score needs to be encouraged in clinical practices and patients with a higher risk of CVD events should be counselled for lifestyle modifications and compliance with treatment for decreasing the burden due to CVDs. |
| first_indexed | 2024-03-12T17:52:36Z |
| format | Article |
| id | doaj.art-76fc81860f4f4d4c82b1913d39a196b2 |
| institution | Directory Open Access Journal |
| issn | 0019-4832 |
| language | English |
| last_indexed | 2024-03-12T17:52:36Z |
| publishDate | 2023-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Heart Journal |
| spelling | doaj.art-76fc81860f4f4d4c82b1913d39a196b22023-08-03T04:22:26ZengElsevierIndian Heart Journal0019-48322023-07-01754251257Prevalence of risk factors and estimation of 10-year risk for cardiovascular diseases among male adult population of Tamil Nadu India-an insight from the National Family Health Survey–5Midhun Sasikumar0Sam David Marconi1Aravind Dharmaraj2Kedar Mehta3Milan Das4Sonu Goel5The Wellcome Trust Research Laboratory, Division of Gastrointestinal Sciences, Christian Medical College Vellore, Tamil Nadu, 632002, IndiaDepartment of Community Health, Christian Medical College Vellore, Tamil Nadu, 632002, IndiaThe Wellcome Trust Research Laboratory, Division of Gastrointestinal Sciences, Christian Medical College Vellore, Tamil Nadu, 632002, IndiaDepartment of Community Medicine, GMERS Gotri Vadodara, Gujarat, IndiaInternational Institute for Population Sciences, IndiaHonorary Professor Faculty of Human and Health Sciences Swansea University, United Kingdom; Public Health Master's Program School of Medicine, University of Limerick, Ireland; Corresponding author. Department of Community Medicine and School of Public Health Post Graduate Institute of Medical Education and Research, Chandigarh, India.Objective: Cardiovascular diseases (CVD) are one of the most addressed preventable diseases of public health importance. However, the risk estimates and use of these risk scores for CVD prevention are the least explored areas. So, in this study, we explored the different categories of Framingham heart study (FHS) 10-year-CVD risk score and their associated factors among the adult male population in Tamil Nadu, India. Methods: We used the risk factor level data for male adults aged 18 years and above from the National Family Health Survey (NFHS-5) of Tamil Nadu state, India. Sociodemographic variables, behavioral factors, and physiological/biochemical factors were considered as the risk factor and were estimated using the world health organization (WHO) STEPS categories. FHS 10-year-CVD risk score was calculated using a body-mass index-based published Cox regression equation. Results: Out of 2289 adult males, only 1.12% of the participants had a 10-year CVD risk score greater than 30% and ∼4% of the total participants require statin treatment (FRS-CVD risk score ≥20). Educational status (aOR:14.21, 95 CI: 4.36–46.22- no formal schooling when compared to 10th and above standard), weekly fruit intake (aOR:0.51, 95 CI: 0.27–0.97 when compared to daily fruit intake) and abdominal obesity (aOR:2.43, 95 CI: 1.58–3.74) were found to be associated with higher FRS scores when adjusted for all other factors not involved in FRS calculation. Conclusion: Widespread use of this score needs to be encouraged in clinical practices and patients with a higher risk of CVD events should be counselled for lifestyle modifications and compliance with treatment for decreasing the burden due to CVDs.http://www.sciencedirect.com/science/article/pii/S0019483223001049Framingham risk scoreCVDTamil Nadu |
| spellingShingle | Midhun Sasikumar Sam David Marconi Aravind Dharmaraj Kedar Mehta Milan Das Sonu Goel Prevalence of risk factors and estimation of 10-year risk for cardiovascular diseases among male adult population of Tamil Nadu India-an insight from the National Family Health Survey–5 Indian Heart Journal Framingham risk score CVD Tamil Nadu |
| title | Prevalence of risk factors and estimation of 10-year risk for cardiovascular diseases among male adult population of Tamil Nadu India-an insight from the National Family Health Survey–5 |
| title_full | Prevalence of risk factors and estimation of 10-year risk for cardiovascular diseases among male adult population of Tamil Nadu India-an insight from the National Family Health Survey–5 |
| title_fullStr | Prevalence of risk factors and estimation of 10-year risk for cardiovascular diseases among male adult population of Tamil Nadu India-an insight from the National Family Health Survey–5 |
| title_full_unstemmed | Prevalence of risk factors and estimation of 10-year risk for cardiovascular diseases among male adult population of Tamil Nadu India-an insight from the National Family Health Survey–5 |
| title_short | Prevalence of risk factors and estimation of 10-year risk for cardiovascular diseases among male adult population of Tamil Nadu India-an insight from the National Family Health Survey–5 |
| title_sort | prevalence of risk factors and estimation of 10 year risk for cardiovascular diseases among male adult population of tamil nadu india an insight from the national family health survey 5 |
| topic | Framingham risk score CVD Tamil Nadu |
| url | http://www.sciencedirect.com/science/article/pii/S0019483223001049 |
| work_keys_str_mv | AT midhunsasikumar prevalenceofriskfactorsandestimationof10yearriskforcardiovasculardiseasesamongmaleadultpopulationoftamilnaduindiaaninsightfromthenationalfamilyhealthsurvey5 AT samdavidmarconi prevalenceofriskfactorsandestimationof10yearriskforcardiovasculardiseasesamongmaleadultpopulationoftamilnaduindiaaninsightfromthenationalfamilyhealthsurvey5 AT aravinddharmaraj prevalenceofriskfactorsandestimationof10yearriskforcardiovasculardiseasesamongmaleadultpopulationoftamilnaduindiaaninsightfromthenationalfamilyhealthsurvey5 AT kedarmehta prevalenceofriskfactorsandestimationof10yearriskforcardiovasculardiseasesamongmaleadultpopulationoftamilnaduindiaaninsightfromthenationalfamilyhealthsurvey5 AT milandas prevalenceofriskfactorsandestimationof10yearriskforcardiovasculardiseasesamongmaleadultpopulationoftamilnaduindiaaninsightfromthenationalfamilyhealthsurvey5 AT sonugoel prevalenceofriskfactorsandestimationof10yearriskforcardiovasculardiseasesamongmaleadultpopulationoftamilnaduindiaaninsightfromthenationalfamilyhealthsurvey5 |