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WHO Non-Lab-Based CVD Risk Assessment: A Reliable Measure in a North Indian Population Cover

WHO Non-Lab-Based CVD Risk Assessment: A Reliable Measure in a North Indian Population

Open Access
|Sep 2022

Figures & Tables

Table 1

Distribution of participants by age & sex and prevalence of CVD risk factors by age groups (N = 1018).

AGE GROUP30–39 n (%)40–49 n (%)50–59 n (%)60–69 n (%)TOTAL n (%)
Gender
Male142 (31.4)168 (37.2)129 (28.5)13 (2.9)452 (44.4)
Female218 (38.5)188 (33.2)143 (25.3)17 (3.0)566 (55.6)
Total360 (35.4)356 (35)272 (26.7)30 (3.0)1018 (100.0)
CVD RISK FACTORS% (95% CI)
Current smoking10.6 (7.8–14.1)24.2 (20.0–28.9)39 (33.3–44.9)33.3 (18.7–52.0)23.6 (21.1–26.3)
Current smokeless tobacco3.3 (1.9–5.8)2.5 (1.3–4.8)5.5 (3.3–9.0)3.3 (0.4–20.8)3.6 (2.6–5.0)
Current alcohol use9 (6.5–12.5)16.4 (12.9–20.7)17.2 (13.1–22.2)0.0 (0.0)13.5 (11.6–15.8)
Hypercholesterolemia13.9 (10.7–17.9)19.4 (15.6–23.8)24.3 (19.5–29.7)16.7 (7.0–34.7)18.7 (16.3–21.1)
Overweight38.6 (33.7–43.8)33.4 (28.7–38.5)29.8 (24.6–35.5)30 (16.2–48.9)34.1 (31.3–37.2)
Obesity11.1 (8.2–14.8)12.4 (9.3–16.2)13.2 (9.7–17.8)13.3 (5.0–31.0)12.2 (10.3–14.3)
Hypertension29.4 (24.9–34.4)41.6 (36.5–46.8)44.5 (38.6–50.5)86.7 (68.0–95.2)39.4 (36.4–42.4)
Diabetes mellitus3.9 (2.3–6.5)8.7 (6.2–12.1)9.2 (6.3–13.3)20 (9.1–38.3)7.5 (6.0–9.2)
Table 2

Distribution of CVD risk factors of study participants by sex (N = 1018).

VARIABLESMALE (n = 452, 44.4%) n (%)FEMALE (n = 566, 55.6%) n (%)TOTAL (n = 1018) n (%)p-VALUE
Current smoking194 (42.9)46 (8.1)240 (23.6)<0.001
Current smokeless tobacco use34 (7.5)3 (0.5)37 (3.6)<0.001
Current alcohol use (30 days)135 (29.9%)1 (0.2)136 (13.5%)<0.001
Overweight161 (35.6)187 (33.0)348 (34.2)0.07
Obesity42 (9.3)82 (14.5)124 (12.2)0.07
High blood pressure173 (38.3)179 (31.6)352 (34.6)0.03
Known case of Hypertension21 (4.6)85 (15.0)106 (10.4)<0.001
Raised blood glucose33 (7.3)36 (6.4)69 (6.8)0.61
Known case of Diabetes mellitus10 (2.2)16 (2.8)26 (2.6)0.54
Hypercholesterolemia75 (16.6)115 (20.3)190 (18.7)0.13
Table 3

Agreement level between WHO Cardiovascular Disease risk prediction charts with laboratory and non-laboratory charts: (N = 1018).

RISK LEVELS OF WHO LABORATORY-BASED CHART
<5% n (%)5–9% n (%)10–19% n (%)20–29% n (%)≥30% n (%)TOTAL n
Risk levels of WHO non-laboratory based chart
<5%645 (63.4)40 (3.9)1 (0.1)0 (0.0)0 (0.0)686 (67.4)
5–9%68 (6.7)175 (17.2)27 (2.6)0 (0.0)0 (0.0)270 (26.5)
10–19%1 (0.1)28 (2.8)28 (2.8)3 (0.3)0 (0.0)60 (5.9)
20–29%0 (0.0)1 (0.1)1 (0.1)0 (0.0)0 (0.0)2 (0.2)
≥30%0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)
Total714 (70.1)244 (24)57 (5.6)3 (0.3)0 (0.0)1018 (100)
CHARACTERISTICS OF CONCORDANCEn (%)
Concordance848 (83.3)
Non-concordance170 (16.7)
Underestimate71 (7)
Overestimate99 (9.7)
K value-Cohen’s Kappa (95% CI)Agreement = 83.3%Expected agreement = 53.9%kappa – value = 0.64 (0.02)
DOI: https://doi.org/10.5334/gh.1148 | Journal eISSN: 2211-8179
Language: English
Submitted on: Apr 29, 2022
Accepted on: Jul 29, 2022
Published on: Sep 1, 2022
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2022 P. Ananda Selva Das, Mahasweta Dubey, Ravneet Kaur, Harshal Ramesh Salve, Cherian Varghese, Baridalyne Nongkynrih, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.