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A Study of Cardiovascular Risk Assessment Using the World Health Organization-International Society of Hypertension

Jyoti Pradhan1, Anjali Pal2, Arvind Kumar Shukla3

  • 1Senior Resident, Department of Community and Family Medicine, All India Institute of Medical Sciences, Bibinagar, Telangana, India.

Indian Journal of Public Health
|May 5, 2026
PubMed

Insights

This study assessed cardiovascular disease (CVD) risk in a community using a nonlaboratory chart. While most participants had low risk, factors like alcohol and sedentary behavior increased CVD risk.

Area of Science:

  • Public Health
  • Epidemiology
  • Cardiology

Background:

  • Cardiovascular diseases (CVDs) represent a significant global health burden, contributing to high morbidity and mortality.
  • Assessing cardiovascular risk is crucial for implementing preventive strategies, especially in resource-limited settings.
  • Nonlaboratory risk assessment tools are valuable for widespread screening in diverse populations.

Purpose of the Study:

  • To evaluate cardiovascular disease risk among community participants using the WHO-International Society of Hypertension nonlaboratory risk chart.
  • To identify demographic and lifestyle factors associated with increased cardiovascular risk in a low-resource setting.

Main Methods:

  • A community-based cross-sectional study involving 408 participants.
  • Utilized the World Health Organization-International Society of Hypertension nonlaboratory risk chart for cardiovascular risk assessment.
  • Ordinal logistic regression analysis was employed to determine predictors of cardiovascular risk.

Main Results:

  • Nearly half (49.5%) of the participants were in the low-risk category (Green Zone).
  • Significant proportions exhibited mild (28.9%) and moderate (19.9%) cardiovascular risk.
  • Factors such as extended family living, alcohol consumption, sedentary hours, and increased waist-hip ratio were associated with higher CVD risk.
  • Being married demonstrated a protective effect against cardiovascular risk.

Conclusions:

  • The WHO-International Society of Hypertension nonlaboratory chart is effective for assessing cardiovascular risk in community settings, even with limited resources.
  • Lifestyle factors and certain social determinants significantly influence cardiovascular risk.
  • Targeted interventions addressing alcohol consumption, sedentary behavior, and promoting healthy lifestyles are warranted to mitigate CVD risk in the population.
Abstract

Keywords:
Cardiovascular diseasesWorld Health Organization–International Society of Hypertension Risk Chartcardiovascular riskrisk prediction

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