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Published on: September 26, 2018

Cardiovascular Risk Assessment and Its Determinants Among Older Adults in India: Evidence From a Nationally

Vansh Maheshwari1, Shyamashree Das2, Saurav Basu2

  • 1Population Health Sciences Institute Newcastle University Newcastle upon Tyne UK.

Chronic Diseases and Translational Medicine
|July 24, 2026
PubMed

Insights

Over 3% of Indian adults aged 40+ with diabetes or hypertension face high cardiovascular disease (CVD) risk. Early identification and targeted interventions are crucial for prevention.

Area of Science:

  • Public Health
  • Epidemiology
  • Cardiology

Background:

  • Cardiovascular disease (CVD) is a leading cause of mortality, particularly in aging populations.
  • Early identification of high-risk individuals is critical for effective preventative strategies.
  • Limited population-level CVD risk estimates exist for older Indian adults.

Purpose of the Study:

  • To determine the prevalence of high 10-year cardiovascular event risk among older Indian adults.
  • To identify key determinants associated with high cardiovascular risk in this demographic.

Main Methods:

  • Analysis of data from the Longitudinal Aging Study in India Wave-1 (2017-2018).
  • Inclusion of 64,266 participants aged 40-74 years.
  • Utilized the WHO CVD Risk Chart 2019 (non-laboratory based) for risk stratification based on age, sex, smoking, systolic blood pressure, and BMI.

Main Results:

  • Weighted prevalence of high CVD risk (≥20%) was 2.67%; intermediate risk (10% to <20%) was 28.41%.
  • Overall, 31.08% had ≥10% 10-year CVD risk.
  • High risk was elevated in diabetes (3.53%) and hypertension (4.36%) subgroups. Alcohol use, prior hypertension, and widowed/separated status increased odds; college education and employment decreased odds.

Conclusions:

  • Over 3% of Indian adults aged 40+ with diabetes or hypertension have a ≥20% 10-year CVD risk.
  • Urgent need for targeted primary care interventions, including alcohol cessation and management of blood pressure and glycemic control.
Abstract

Keywords:
IndiaWHOcardiovascular riskolder adults

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