Related Experiment Video
Updated: Jan 8, 2026
Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
Published on: September 26, 2018
Cardiovascular Disease Risk Assessment of Adults in Mid to Late Life Attending Outpatient Clinics in West Bengal: A
Biswadip Chattopadhyay1, Trina Sengupta1, Susmita Chaudhuri1
1Department of Community Medicine, ESI-PGIMSR and ESIC Medical College, Kolkata, West Bengal, India.
Insights
Over a quarter of Indian adults aged 40-74 face moderate 10-year cardiovascular disease (CVD) risk, linked to obesity and psychological distress. Promoting physical activity and mental health support can mitigate this risk.
Area of Science:
- Public Health
- Cardiology
- Epidemiology
Background:
- Cardiovascular diseases (CVDs) are a leading cause of global mortality, disproportionately affecting low- and middle-income countries like India.
- Mid-to-late life adults are particularly vulnerable to CVD due to cumulative risk factors.
- Early identification of individuals at risk is crucial for implementing timely preventive strategies.
Purpose of the Study:
- To estimate the 10-year CVD risk in adults aged 40-74 years.
- To identify factors associated with CVD risk in this population attending a tertiary care hospital in Kolkata, West Bengal.
Main Methods:
- A cross-sectional study involving 221 adults aged 40-74 was conducted.
- Data on sociodemographic, clinical, and lifestyle factors were collected via interviews.
- The WHO/ISH non-laboratory-based risk chart assessed 10-year CVD risk; logistic regression identified predictors.
Main Results:
- Nearly half (47.9%) of participants were overweight or obese; 38.9% had prehypertension and 19.5% had Stage II hypertension.
- 25.7% had moderate 10-year CVD risk (10-20%), and 0.7% had high risk (≥30%).
- Psychological distress increased the odds of moderate-to-high CVD risk (AOR 2.01), while physical activity was protective (AOR 0.39).
Conclusions:
- Obesity, hypertension, and psychological distress are prevalent among mid-to-late life adults, contributing to significant 10-year CVD risk.
- Integrating mental health services and promoting physical activity in midlife health programs can help reduce the future CVD burden.
Background:
Cardiovascular diseases (CVDs) account for 32% of global deaths, with a significant share occurring prematurely in low- and middle-income countries such as India. Adults in mid-to late life face increased vulnerability due to cumulative exposure to behavioral and metabolic risk factors. Early identification of at-risk individuals can enable timely preventive interventions.
Objective:
To estimate the 10-year CVD risk and identify associated factors among adults aged 40-74 years attending a tertiary care hospital in Kolkata, West Bengal.
Materials And Methods:
An institution-based cross-sectional study was conducted from August to December 2024 among 221 adults aged 40-74 years, excluding those with preexisting CVD or severe comorbidities. Data on sociodemographic, clinical, and lifestyle factors were collected through face-to-face interviews using a pretested schedule. The World Health Organization/ISH nonlaboratory-based risk prediction chart was used to estimate 10-year CVD risk. Logistic regression analyses identified predictors of moderate-to-high CVD risk.
Results:
The median age was 53 years; 46.1% were aged 40-50 years. Overweight or obesity affected 47.9% of participants, 38.9% had prehypertension, and 19.5% had Stage II hypertension. Moderate (10-<20%) CVD risk was present in 25.7%, while 0.7% had high risk (≥30%). Psychological distress increased the odds of moderate-to-high CVD risk (adjusted odds ratio [AOR] 2.01, 95% confidence interval [CI]: 1.08-3.71), while moderate-to-high intensity physical activity was protective (AOR 0.39, 95% CI: 0.19-0.82).
Conclusion:
Among mid-to late-life adults, obesity, elevated blood pressure, and psychological distress were common, with over one-quarter at moderate 10-year CVD risk. Integrating mental health support and promoting physical activity into midlife health programs could reduce future CVD burden.
Related Concept Videos
01:23Assessment of the Cardiovascular System I: Subjective Data
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
01:11Assessing Blood pressure in the Leg
Preparation:
01:15Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
01:26Coronary Artery Disease IV: Preventive Measures
01:29Assessment of the Cardiovascular System II: Inspection
Head and Neck
01:30Hypertension III: Clinical Manifestations and Diagnostic Studies