Author + information
India has seen a rising burden of cardiovascular disease (CVD) in the last few decades with CVD becoming the leading cause of mortality and morbidity. The reasons for the epidemiological transition have been speculative since limited data are available on the trends of population wide CVD risk factors within a community. In this study, we did a repeat cross-sectional survey of CVD risk factors in urban Delhi to evaluate the trends of CVD risk factors in Delhi.
A randomized cluster sampling was used to select a representative population, more than 35 years of age, from urban Delhi. A detailed questionnaire, physical examination and blood sampling was performed to assess the CVD risk profile of the community between 2009 and 2012. This was then compared to data from a similar survey done earlier between 1990 and 1994.
The repeat survey revealed a significant rise of body mass index, systolic blood pressure (SBP), diastolic blood pressure (DBP) and fasting plasma glucose (FPG) levels in urban Delhi, while total cholesterol (TC) and TC/HDL cholesterol ratio decreased (Table 1and Fig 1). There was no significant change in smoking prevelance.
This repeat survey reveals worsening in all the major cardiovascular risk factors except lipids in urban Delhi. It provides insights into the reasons for the rapidly rising burden of CVD in India, which potentially could be explained by the unfavorable shift in the conventional risk factors (except lipids) at the population level.
Poster Sessions, Expo North
Saturday, March 09, 2013, 10:00 a.m.-10:45 a.m.
Session Title: Special Populations and Hypertension: Race/Ethnicity, the Young, and Underserved
Abstract Category: 24. Prevention: Clinical
Presentation Number: 1103-23
- 2013 American College of Cardiology Foundation