CC BY-NC-ND 4.0 · Ann Natl Acad Med Sci 2017; 53(02): 079-089
DOI: 10.1055/s-0040-1712749
Original Article

Burden of Cardiometabolic Disorders among Subjects Undergoing Preventive Health Check-up: A Follow-up Study

Jitendra Nath Pande
Department of Medicine, Sitaram Bhartia Institute of Science and Research, Qutub Institutional Area, New Delhi
,
Manpreet Kaur
Institute of Home Economics, University of Delhi, Hauz Khas Enclave, New Delhi
,
Harshpal Singh Sachdev
Department of Pediatrics and Clinical Epidemiology, Sitaram Bhartia Institute of Science and Research, Qutub Institutional Area, New Delhi
› Author Affiliations
Funding Source This study was funded by Indian Council of Medical Research (5/4/1-16/08-NCD-II).

ABSTRACT

Objective: To study the incidence of hypertension (HTN), diabetes mellitus and coronary artery disease (CAD) in a cohort of adult subjects.

Methods: A total 2159 participants (mean age: 48.6±11.6 years; 1342 males and 817 females) who attended the hospital for a comprehensive health check up were recruited and followed-up as a cohort for a mean period of 3.5 years. Their baseline and follow-up evaluation included clinical examination, biochemical investigations and cardiac check-up.

Results: At baseline, 64% participants were overweight or obese, 44.3% had HTN (grade I or above), 16.7% had diabetes mellitus with additional 29.3% having impaired fasting glucose or glucose intolerance, and 46.6% had metabolic syndrome. The prevalence of CAD at baseline was 6% in males and 3% in females. The incidence (per 1000 person-years of follow-up) of HTN, diabetes mellitus and CAD was 72.2, 26.3 and 12.2, respectively.

Conclusion: The burden of cardiometabolic disorders and their risk factors is high in India. Urgent remedial public health preventive measures are required to curtail the emerging epidemic of cardiometabolic disorders.



Publication History

Article published online:
09 May 2020

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Sharma M, Ganguly NK (2005). Premature coronary artery disease in Indians and its associated risk factors. Vas Health Risk Management 1: 217–225.
  • 2 Gupta A, Gupta R, Sharma KK, et al (2014). Prevalence of diabetes and cardiovascular risk factors in middleclass urban participants in India. BMJ Open Diabetes Research and Care 2:e000048.
  • 3 Sekhri T, Kanwar RS, Wilfred R, et al (2014). Prevalence of risk factors for coronary artery disease in an urban Indian population. BMJ Open 4:e005346.
  • 4 WHO Technical Report Series (2000). Obesity: Preventing and Managing the Global Epidemic. Report of a WHO Consultation, Geneva; WHO, 894.
  • 5 WHO Expert Consultation (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363: 157–163.
  • 6 Anonymous (2004). The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure 42: 1206.
  • 7 Prasad DS, Zubair Kabir, Dash AK, Das BC (2013). Effect of obesity on cardiometabolic risk factors in Asian Indians. J Cardiovasc Disease Res 4: 116
  • 8 Misra A, Chowbey P, Makkar BM, et al (2009). Consensus statement for diagnosis of obesity, abdominal obesity and the metabolic syndrome for Asian Indians and recommendations for physical activity, medical and surgical management. J Assoc Physicians India 57:163-170.
  • 9 Wang Y, Chen HJ, Shaikh S, et al (2009). Is obesity becoming a public health problem in India? Examine the shift from under -to overnutrition problems over time. Obes Rev 10: 456-474.
  • 10 Chen Y, Copeland WK, Vedanthan R, et al (2013). Association between body mass index and cardiovascular disease mortality in east Asians and south Asians: pooled analysis of prospective data from the Asia Cohort Consortium. Br Med J 347: 5446.
  • 11 Zheng W, Zhang X, Inoue M, et al (2011). Association between body mass index and risk of death in more than 1 million Asians. N Engl J Med 364:719-729.
  • 12 Pednekar MS, Hakama M, Hebert JR, Gupta PC (2008). Association of body mass index with all-cause and cause-specific mortality: findings from a prospective cohort study in Mumbai (Bombay), India. Int J Epidemiol 37: 524–535.
  • 13 McGorrian C, Yusuf S, Islam S, et al (2011). Estimating modifiable coronary heart disease risk in multiple regions of the world: the INTERHEART Modifiable Risk Score. European Heart J 32: 581–590.
  • 14 Hata J, Kiyohara Y (2013). Epidemiology of stroke and coronary artery disease in Asia. Circ J 77: 1923–1932.
  • 15 Anchala R, Kannurib NK, Pant H, et al (2014). Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension. J Hypertens 32:1170–1177.
  • 16 Huffman MD, Prabhakaran D, Osmond C, et al (2011). Incidence of cardiovascular risk factors in an Indian urban cohort: results from the New Delhi birth cohort. J Am Coll Cardiol 57:1765-1774.
  • 17 Anjana RM, Shanthi Rani CS, Deepa M, et al (2015). Incidence of diabetes and prediabetes and predictors of progression among Asian Indians: 10-Year follow-up of the Chennai Urban Rural Epidemiology Study (CURES). Diabetes Care 38: 1441-1448.
  • 18 Krishnan MN, Zachariah G, Venugopal K, et al (2016). Prevalence of coronary artery disease and its risk factors in Kerala, South India: a community-based cross-sectional study. BMC Cardiovasc Disord 16: 1-12.
  • 19 Chadha SL, Radhakrishnan S, Ramachandran K, et al (1990). Epidemiological study of coronary heart disease in urban population of Delhi. Indian J Med Res 92:424-430.
  • 20 Gupta R, Prakash H, Majumdar S, et al (1995). Prevalence of coronary heart disease and coronary risk factors in an urban population of Rajasthan. Indian Heart J 47:331-338.
  • 21 Gupta R, Gupta VP, Sarna M, et al (2002). Prevalence of coronary heart disease and risk factors in an urban Indian population: Jaipur Heart Watch-2. Indian Heart J 54:59-66.
  • 22 Latheef SA, Subramanyam G (2007). Prevalence of coronary artery disease and coronary risk factors in an urban population of Tirupati. Indian Heart J 59:157-164.
  • 23 Patel DJ, Winterbotham M, Sutherland SE, et al (1997). Comparison of methods to assess coronary heart disease prevalence in South Asians. Natl Med J India 10:210-213.
  • 24 Papakonstantinou NA, Stamou MI, Baikoussis NG, et al (2013). Sex differentiation with regard to coronary artery disease. J Cardiol 62: 4-11.
  • 25 Umamahesh K, Vigneswari A, Surya Thejaswi G, et al (2014). Incidence of cardiovascular diseases and associated risk factors among subjects with type 2 diabetes -an 11-year follow-up study. Indian Heart J 66:5-10.
  • 26 Cameron AJ, Shaw JE, Zimmet PZ (2004). The metabolic syndrome: prevalence in worldwide populations. Endocrinol Metabol Clinics America 33: 351–375.
  • 27 Park YW, Zhu S, Palaniappan L, et al (2003). The metabolic syndrome: prevalence and associated risk factor findings in the US population from the Third National Health and Nutrition Examination Survey, 1988–1994. Archives Int Med 163: 427–436.