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Current Trends of Cardiovascular Risk Determinants in Pakistan
1Biochemistry, Shifa College of Medicine, Islamabad, PAK.
Insights
Cardiovascular disease risk factors are more common in Pakistani patients than controls. Females and younger individuals show a higher prevalence, with hypertension and dyslipidemia being key concerns.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Cardiovascular diseases (CVD) pose a significant global health burden.
- Understanding the prevalence of CVD risk factors in specific populations is crucial for targeted interventions.
- Previous studies in Pakistan have indicated a rising trend in CVD, necessitating further investigation into associated risk factors.
Purpose of the Study:
- To determine the prevalence of major cardiovascular risk factors in a Pakistani population.
- To compare the incidence of these risk factors between patients with coronary artery disease (CAD) and control subjects.
- To analyze the influence of age, sex, body mass index (BMI), and smoking on CVD risk factors.
Main Methods:
- A case-control study design was employed, recruiting 835 patients with CAD and 794 healthy controls.
- Data on major risk factors including age, BMI, hypertension, and dyslipidemia were collected using standardized definitions.
- Statistical analysis, including Student's t-test, was used to compare biochemical and clinical parameters between groups.
Main Results:
- Cardiovascular disease risk factors were significantly more prevalent in the patient group compared to controls (P < 0.05).
- Females exhibited higher levels of total cholesterol (TC), triglycerides (TG), and very low-density lipoprotein cholesterol (vLDL-C) than males (P < 0.05).
- Smokers and individuals with elevated BMI showed significantly higher blood pressure and cholesterol levels. Younger individuals (≤45 years) presented with the highest lipid profile levels.
Conclusions:
- The study highlights a higher propensity for CVD risk factors at a younger age, with a notable female predominance.
- Hypertension and dyslipidemia were identified as the most prominent risk factors in the studied Pakistani population.
- These findings underscore the need for early screening and management of cardiovascular risk factors, particularly in younger females.
Abstract:
We carried out a case control study to determine the prevalence of various cardiovascular risk factors in a Pakistani population. A total of 835 patients (555 males and 280 females) and 794 control subjects (486 males and 308 females) were recruited in this study. Patients with documented history of coronary artery disease (CAD) were included. We assessed major risk factors such as age, body mass index (BMI), hypertension and dyslipidemia, using pre-specified definitions. A comparative analysis of the biochemical and clinical parameters was carried out between controls and patients using student's t test. We observed that the cardiovascular disease (CVD) risk factors were more prominent in the patient group as compared to the controls (P < 0.05). In the whole studied population females had increased levels of total cholesterol (TC) (P = 0.01), triglyceride (TG) (P = 0.02), and very low density lipoprotein cholesterol (vLDL-C) (P = 0.02) as compared to males. Among patients group all the risk factors were significantly higher and more prevalent in females when compared with male patients (P < 0.05). The study population was also analyzed according to the smoking status and BMI to study the effect of these risk factors independently. The smokers and study subjects with raised BMI had significantly raised blood pressure and cholesterol levels. The role of age as a risk factor was also investigated in the current study. The persons with age ≤45 years had the highest levels of lipid profile including TC, TG, low density lipoprotein cholesterol (LDL-C), vLDL-C and high density lipoprotein cholesterol (HDL-C) among the three (≤45, 46-55, ≥56 years) groups (P < 0.05). In conclusion, the present study demonstrates an increased propensity of CVD risk factors at a younger age with female preponderance. Moreover, hypertension and dyslipidemia are the most prominent of the risk factors.
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