Clinical and biochemical characterization of high risk and not high risk for cardiovascular disease adults in a population from peripheral region of Bangladesh Chronic Disease epidemiology

Kaniz Fatema, Nicholas Arnold Zwar, Zebunnesa Zeba, Abul Hasnat Milton, Bayzidur Rahman, Liaquat Ali

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Abstract

Background: A group of 63708 Bangladeshi adults from a rural area were screened in 2011-12 for cardiovascular diseases (CVD) risk using a questionnaire based tool developed as part of the 'WHO CVD-RISK Management Package for low-and medium resource setting'. In the current study participants who were found to be high risk and a sample of the not high risk participants from the screening were further characterized clinically and biochemically to explore the burden and determinants of CVD risk factors in a remote rural Bangladeshi population. Methods: The high risk participants comprised all 1170 subjects who screened positive in 2011-12 and the not high risk group comprised 563 randomly sampled participants from the 62538 who screened negative. Socio-demographic, behavioral, anthropometric, clinical and biochemical data (glucose and lipids) were collected by standardized procedures. Body Mass Index (BMI) was classified following Asian BMI criteria. Data was analyzed using univariable and multivariable methods. Results: On univariable analysis in high risk and not high risk participants respectively, age in years (M∈±∈SD) was 50∈±∈11 for both groups, ratio of male: female was 40:60 and 66:44, current smoking 28.5 % and 50.6 %; smokeless tobacco use 37.1 % and 34.8 %; overweight and obesity measured by body mass index (BMI) was 39.1 % and 20.5 %; high waist circumference (WC) 36.1 % and 11.9 %; high waist to hip ratio (WHR) 53.8 % and 26.3 %; and with high waist to height ratio (WHtR) 56.4 % and 28.4 %, existence of hypertension (HTN) was 15.8 % and 3.6 %, pre-HTN 43.8 % and 12.1 %, diabetes (DM) 14.0 % and 10.5 %, pre-DM 16.9 % and 12.1 % and dyslipidaemia 85.8 % and 89.5 %. In multivariable logistic regression analysis female sex, BMI, WC, WHR and WHtR, HTN and dyslipidaemia remain significantly more common among high risk participants (p∈<∈0.05 and p∈<∈0.001). Conclusions: The prevalence of clinical and biochemical risk factors of CVDs are quite high even in this rural population and this may be related to the socioeconomic and cultural transition in Bangladeshi society. Surprisingly more of the high risk group was female and there were fewer smokers. Obesity and hypertension were more frequent in high risk participants.

Original languageEnglish
Article number559
JournalBMC Public Health
Volume15
Issue number1
DOIs
Publication statusPublished - 18 Jun 2015
Externally publishedYes

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Bangladesh
Epidemiology
Chronic Disease
Cardiovascular Diseases
Population
Body Mass Index
Waist-Hip Ratio
Waist Circumference
Rural Population
Dyslipidemias
Hypertension
Obesity
Prehypertension
Smokeless Tobacco
Tobacco Use
Disease Management
Logistic Models
Smoking
Regression Analysis
Demography

Cite this

@article{a0719e80fca84222ac41afc8201e0270,
title = "Clinical and biochemical characterization of high risk and not high risk for cardiovascular disease adults in a population from peripheral region of Bangladesh Chronic Disease epidemiology",
abstract = "Background: A group of 63708 Bangladeshi adults from a rural area were screened in 2011-12 for cardiovascular diseases (CVD) risk using a questionnaire based tool developed as part of the 'WHO CVD-RISK Management Package for low-and medium resource setting'. In the current study participants who were found to be high risk and a sample of the not high risk participants from the screening were further characterized clinically and biochemically to explore the burden and determinants of CVD risk factors in a remote rural Bangladeshi population. Methods: The high risk participants comprised all 1170 subjects who screened positive in 2011-12 and the not high risk group comprised 563 randomly sampled participants from the 62538 who screened negative. Socio-demographic, behavioral, anthropometric, clinical and biochemical data (glucose and lipids) were collected by standardized procedures. Body Mass Index (BMI) was classified following Asian BMI criteria. Data was analyzed using univariable and multivariable methods. Results: On univariable analysis in high risk and not high risk participants respectively, age in years (M∈±∈SD) was 50∈±∈11 for both groups, ratio of male: female was 40:60 and 66:44, current smoking 28.5 {\%} and 50.6 {\%}; smokeless tobacco use 37.1 {\%} and 34.8 {\%}; overweight and obesity measured by body mass index (BMI) was 39.1 {\%} and 20.5 {\%}; high waist circumference (WC) 36.1 {\%} and 11.9 {\%}; high waist to hip ratio (WHR) 53.8 {\%} and 26.3 {\%}; and with high waist to height ratio (WHtR) 56.4 {\%} and 28.4 {\%}, existence of hypertension (HTN) was 15.8 {\%} and 3.6 {\%}, pre-HTN 43.8 {\%} and 12.1 {\%}, diabetes (DM) 14.0 {\%} and 10.5 {\%}, pre-DM 16.9 {\%} and 12.1 {\%} and dyslipidaemia 85.8 {\%} and 89.5 {\%}. In multivariable logistic regression analysis female sex, BMI, WC, WHR and WHtR, HTN and dyslipidaemia remain significantly more common among high risk participants (p∈<∈0.05 and p∈<∈0.001). Conclusions: The prevalence of clinical and biochemical risk factors of CVDs are quite high even in this rural population and this may be related to the socioeconomic and cultural transition in Bangladeshi society. Surprisingly more of the high risk group was female and there were fewer smokers. Obesity and hypertension were more frequent in high risk participants.",
author = "Kaniz Fatema and Zwar, {Nicholas Arnold} and Zebunnesa Zeba and Milton, {Abul Hasnat} and Bayzidur Rahman and Liaquat Ali",
year = "2015",
month = "6",
day = "18",
doi = "10.1186/s12889-015-1919-7",
language = "English",
volume = "15",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central",
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Clinical and biochemical characterization of high risk and not high risk for cardiovascular disease adults in a population from peripheral region of Bangladesh Chronic Disease epidemiology. / Fatema, Kaniz; Zwar, Nicholas Arnold; Zeba, Zebunnesa; Milton, Abul Hasnat; Rahman, Bayzidur; Ali, Liaquat.

In: BMC Public Health, Vol. 15, No. 1, 559, 18.06.2015.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Clinical and biochemical characterization of high risk and not high risk for cardiovascular disease adults in a population from peripheral region of Bangladesh Chronic Disease epidemiology

AU - Fatema, Kaniz

AU - Zwar, Nicholas Arnold

AU - Zeba, Zebunnesa

AU - Milton, Abul Hasnat

AU - Rahman, Bayzidur

AU - Ali, Liaquat

PY - 2015/6/18

Y1 - 2015/6/18

N2 - Background: A group of 63708 Bangladeshi adults from a rural area were screened in 2011-12 for cardiovascular diseases (CVD) risk using a questionnaire based tool developed as part of the 'WHO CVD-RISK Management Package for low-and medium resource setting'. In the current study participants who were found to be high risk and a sample of the not high risk participants from the screening were further characterized clinically and biochemically to explore the burden and determinants of CVD risk factors in a remote rural Bangladeshi population. Methods: The high risk participants comprised all 1170 subjects who screened positive in 2011-12 and the not high risk group comprised 563 randomly sampled participants from the 62538 who screened negative. Socio-demographic, behavioral, anthropometric, clinical and biochemical data (glucose and lipids) were collected by standardized procedures. Body Mass Index (BMI) was classified following Asian BMI criteria. Data was analyzed using univariable and multivariable methods. Results: On univariable analysis in high risk and not high risk participants respectively, age in years (M∈±∈SD) was 50∈±∈11 for both groups, ratio of male: female was 40:60 and 66:44, current smoking 28.5 % and 50.6 %; smokeless tobacco use 37.1 % and 34.8 %; overweight and obesity measured by body mass index (BMI) was 39.1 % and 20.5 %; high waist circumference (WC) 36.1 % and 11.9 %; high waist to hip ratio (WHR) 53.8 % and 26.3 %; and with high waist to height ratio (WHtR) 56.4 % and 28.4 %, existence of hypertension (HTN) was 15.8 % and 3.6 %, pre-HTN 43.8 % and 12.1 %, diabetes (DM) 14.0 % and 10.5 %, pre-DM 16.9 % and 12.1 % and dyslipidaemia 85.8 % and 89.5 %. In multivariable logistic regression analysis female sex, BMI, WC, WHR and WHtR, HTN and dyslipidaemia remain significantly more common among high risk participants (p∈<∈0.05 and p∈<∈0.001). Conclusions: The prevalence of clinical and biochemical risk factors of CVDs are quite high even in this rural population and this may be related to the socioeconomic and cultural transition in Bangladeshi society. Surprisingly more of the high risk group was female and there were fewer smokers. Obesity and hypertension were more frequent in high risk participants.

AB - Background: A group of 63708 Bangladeshi adults from a rural area were screened in 2011-12 for cardiovascular diseases (CVD) risk using a questionnaire based tool developed as part of the 'WHO CVD-RISK Management Package for low-and medium resource setting'. In the current study participants who were found to be high risk and a sample of the not high risk participants from the screening were further characterized clinically and biochemically to explore the burden and determinants of CVD risk factors in a remote rural Bangladeshi population. Methods: The high risk participants comprised all 1170 subjects who screened positive in 2011-12 and the not high risk group comprised 563 randomly sampled participants from the 62538 who screened negative. Socio-demographic, behavioral, anthropometric, clinical and biochemical data (glucose and lipids) were collected by standardized procedures. Body Mass Index (BMI) was classified following Asian BMI criteria. Data was analyzed using univariable and multivariable methods. Results: On univariable analysis in high risk and not high risk participants respectively, age in years (M∈±∈SD) was 50∈±∈11 for both groups, ratio of male: female was 40:60 and 66:44, current smoking 28.5 % and 50.6 %; smokeless tobacco use 37.1 % and 34.8 %; overweight and obesity measured by body mass index (BMI) was 39.1 % and 20.5 %; high waist circumference (WC) 36.1 % and 11.9 %; high waist to hip ratio (WHR) 53.8 % and 26.3 %; and with high waist to height ratio (WHtR) 56.4 % and 28.4 %, existence of hypertension (HTN) was 15.8 % and 3.6 %, pre-HTN 43.8 % and 12.1 %, diabetes (DM) 14.0 % and 10.5 %, pre-DM 16.9 % and 12.1 % and dyslipidaemia 85.8 % and 89.5 %. In multivariable logistic regression analysis female sex, BMI, WC, WHR and WHtR, HTN and dyslipidaemia remain significantly more common among high risk participants (p∈<∈0.05 and p∈<∈0.001). Conclusions: The prevalence of clinical and biochemical risk factors of CVDs are quite high even in this rural population and this may be related to the socioeconomic and cultural transition in Bangladeshi society. Surprisingly more of the high risk group was female and there were fewer smokers. Obesity and hypertension were more frequent in high risk participants.

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U2 - 10.1186/s12889-015-1919-7

DO - 10.1186/s12889-015-1919-7

M3 - Article

VL - 15

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

IS - 1

M1 - 559

ER -