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To determine status of awareness, treatment and control of hypercholesterolemia in population-based high risk groups in India.
We performed a study in eleven cities using cluster sampling. 6198 subjects (men 3426, women 2772, response 62%, mean age 48+10 years) were evaluated for risk factors. Prevalence, awareness, treatment and control of high total cholesterol (>200 mg/dl) and high LDL cholesterol (>100 mg/dl) was determined. Descriptive statistics are reported.
There is high prevalence of cardiometabolic risk factors. In men/women, respectively, age adjusted prevalence (%) of overweight was 41.1/45.2, obesity 8.3/15.8, high waist hip ratio 69.0/83.8, smoking 12.0/0.5, hypertension 32.5/30.4, diabetes 16.7/14.4, metabolic syndrome 32.2/40.4 and hypercholesterolemia in 24.8/25.3. Awareness, treatment and control (%), respectively, of high total cholesterol was 18.8, 8.9 and 5.0 and high LDL cholesterol 11.6, 5.5 and 2.8. Awareness, treatment and control status in various high-risk groups was low (Table). Subjects with physician diagnosed diabetes and hypertension had relatively better awareness, treatment and control rates (p<0.05).
Status of hypercholesterolemia awareness, treatment and control among high cardiovascular risk subjects in India is poor. Low treatment and control status among those with physician-diagnosed hypertension and diabetes suggests physician inertia and shows a need for nationwide guidelines and education.
|High total cholesterol||High LDL cholesterol|
|Metabolic syndrome (n=2702)||16.9||8.0||5.2||10.0||4.8||2.2|
|Smoking or tobacco (n=1209)||11.1||5.4||2.6||6.3||3.2||1.4|
|Documented hypertension (n=1501)||32.3||14.4||14.1||24.0||11.3||5.7|
|Documented diabetes (n=1109)||41.2||12.9||10.2||27.2||10.2||4.5c|
Poster Sessions, Expo North
Sunday, March 10, 2013, 9:45 a.m.-10:30 a.m.
Session Title: Prevention: Cardiovascular Risk around the Globe
Abstract Category: 24. Prevention: Clinical
Presentation Number: 1187-14
- 2013 American College of Cardiology Foundation