PDF(Pubmed)
Abstract：
UNASSIGNED: Noncommunicable diseases have emerged as a major cause of morbidity and mortality worldwide among which the majority of the deaths are caused by cardiovascular diseases. Estimating the risk of cardiovascular diseases helps eliminate the risk factors and prevent developing cardiovascular diseases in the future. The World Health Organization in association with the International Society of Hypertension has developed risk charts for the estimation of 10-year risk for cardiovascular diseases. This study aimed to estimate 10-year cardiovascular risk in the Nepalese population using nonlaboratory-based charts.
UNASSIGNED: A hospital-based cross-sectional study was conducted among 314 adults aged 40-74 years visiting the outpatient departments of Shishuwa Hospital in western Nepal. Systematic random sampling was used to select the participants. Questionnaire-guided short interviews, physical examination, and anthropometric measurements were done. The χ 2 test was used to test the significance and a p < 0.05 was considered statistically significant.
UNASSIGNED: As per the risk estimation charts, high cardiovascular risk (20%-30%) was seen in 6.1% of total participants and moderate cardiovascular risk (10%-20%) was found in 29% of participants. The moderate-high risk was significantly higher among male participants compared to females (p < 0.01). Of all the participants, 22.0% were current smokers, 17.2% were alcohol users, 61.1% were hypertensive, and 35.7% were diabetics. Smoking tobacco, alcohol use, and hypertension were significantly more prevalent among the male participants. (p < 0.01) Adults in the 50-59 years age group had a significantly high prevalence of hypertension (p < 0.01), diabetes (p = 0.02), and alcohol abuse (p = 0.01).
UNASSIGNED: This study shows high cardiovascular risk among adult population in western Nepal. The 10-year cardiovascular risk score and risk factors were significantly higher among males than females. There seems to be a prompt necessity of health promotion interventions to reduce cardiovascular risk factors and prevent the burden of cardiovascular diseases in Nepal.
UNASSIGNED: A hospital-based cross-sectional study was conducted among 314 adults aged 40-74 years visiting the outpatient departments of Shishuwa Hospital in western Nepal. Systematic random sampling was used to select the participants. Questionnaire-guided short interviews, physical examination, and anthropometric measurements were done. The χ 2 test was used to test the significance and a p < 0.05 was considered statistically significant.
UNASSIGNED: As per the risk estimation charts, high cardiovascular risk (20%-30%) was seen in 6.1% of total participants and moderate cardiovascular risk (10%-20%) was found in 29% of participants. The moderate-high risk was significantly higher among male participants compared to females (p < 0.01). Of all the participants, 22.0% were current smokers, 17.2% were alcohol users, 61.1% were hypertensive, and 35.7% were diabetics. Smoking tobacco, alcohol use, and hypertension were significantly more prevalent among the male participants. (p < 0.01) Adults in the 50-59 years age group had a significantly high prevalence of hypertension (p < 0.01), diabetes (p = 0.02), and alcohol abuse (p = 0.01).
UNASSIGNED: This study shows high cardiovascular risk among adult population in western Nepal. The 10-year cardiovascular risk score and risk factors were significantly higher among males than females. There seems to be a prompt necessity of health promotion interventions to reduce cardiovascular risk factors and prevent the burden of cardiovascular diseases in Nepal.
摘要：
非传染性疾病已成为全球发病率和死亡率的主要原因，其中大多数死亡是由心血管疾病引起的。估计心血管疾病的风险有助于消除危险因素并防止将来发生心血管疾病。世界卫生组织与国际高血压协会联合制定了用于估计心血管疾病10年风险的风险图表。这项研究旨在使用非实验室图表评估尼泊尔人群的10年心血管风险。
■对尼泊尔西部Shishuwa医院门诊部的314名40-74岁成年人进行了一项基于医院的横断面研究。采用系统随机抽样的方法选择参与者。问卷调查指导的简短访谈，体检,并进行人体测量。χ2检验用于检验显著性,并且p<0.05被认为是统计学上显著的。
■根据风险估计图表，6.1%的参与者出现高心血管风险(20%-30%),29%的参与者出现中等心血管风险(10%-20%).男性参与者的中高风险明显高于女性（p<0.01）。在所有参与者中，22.0%是目前的吸烟者，17.2%是酒精使用者，61.1%为高血压，糖尿病患者占35.7%。吸烟，酒精使用,高血压在男性参与者中明显更为普遍.（p<0.01）50-59岁年龄组的成年人高血压患病率明显较高（p<0.01），糖尿病（p=0.02），和酗酒（p=0.01）。
■这项研究表明，尼泊尔西部成年人群中心血管风险很高。男性的10年心血管风险评分和危险因素明显高于女性。尼泊尔似乎迫切需要采取健康促进干预措施，以减少心血管危险因素并预防心血管疾病的负担。
■对尼泊尔西部Shishuwa医院门诊部的314名40-74岁成年人进行了一项基于医院的横断面研究。采用系统随机抽样的方法选择参与者。问卷调查指导的简短访谈，体检,并进行人体测量。χ2检验用于检验显著性,并且p<0.05被认为是统计学上显著的。
■根据风险估计图表，6.1%的参与者出现高心血管风险(20%-30%),29%的参与者出现中等心血管风险(10%-20%).男性参与者的中高风险明显高于女性（p<0.01）。在所有参与者中，22.0%是目前的吸烟者，17.2%是酒精使用者，61.1%为高血压，糖尿病患者占35.7%。吸烟，酒精使用,高血压在男性参与者中明显更为普遍.（p<0.01）50-59岁年龄组的成年人高血压患病率明显较高（p<0.01），糖尿病（p=0.02），和酗酒（p=0.01）。
■这项研究表明，尼泊尔西部成年人群中心血管风险很高。男性的10年心血管风险评分和危险因素明显高于女性。尼泊尔似乎迫切需要采取健康促进干预措施，以减少心血管危险因素并预防心血管疾病的负担。
