Per Kallestrup

Low levels of ideal cardiovascular health in a semi-urban population of Western Nepal: A population-based, cross-sectional study

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Low levels of ideal cardiovascular health in a semi-urban population of Western Nepal : A population-based, cross-sectional study. / Gyawali, Bishal; Mishra, Shiva Raj; Virani, Salim S.; Kallestrup, Per.

In: Heart Asia, Vol. 11, No. 1, e011131, 02.2019.

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Gyawali, Bishal ; Mishra, Shiva Raj ; Virani, Salim S. ; Kallestrup, Per. / Low levels of ideal cardiovascular health in a semi-urban population of Western Nepal : A population-based, cross-sectional study. In: Heart Asia. 2019 ; Vol. 11, No. 1.

Bibtex

@article{02d46d85519f4b4aae9144daa182013e,
title = "Low levels of ideal cardiovascular health in a semi-urban population of Western Nepal: A population-based, cross-sectional study",
abstract = "Background The aim of this study was to assess the status of cardiovascular health among a semi-urban population of Nepal, and determine factors associated with ideal cardiovascular health. Methods A population-based, cross-sectional study using a systematic random sample was conducted among 2310 adults aged ≥ 25 years in a semi-urban area of the Pokhara Metropolitan City previously named Lekthnath in Nepal. The ideal, intermediate and poor cardiovascular health were defined as the presence of 6-7, 4-5 or 1-3 health metrics, among a list of 7 health behaviours and healthfactors, namely smoking, body mass index, physical activity, fruits and vegetables intakes, harmful alcohol consumption, blood pressure, and fasting blood glucose. We used univariate and multivariate Poisson regression models adjusting for sex, age groups, ethnicity, educational level and socioeconomic status, and calculated the prevalence ratios with 95{\%} CIs. Results Only 14.3 {\%} of the participants had ideal cardiovascular health, whereas 67.0{\%} and 18.7{\%} of the participants had intermediate and poor cardiovascular health, respectively. Age groups 45-54 years (prevalence ratio 0.88, 95{\%} CI: 0.83 to 0.94, p<0.001) and 55-64 years (prevalence ratio 0.84, 95{\%} CI: 0.79 to 0.90, p<0.001) were significantly associated with low prevalence of ideal cardiovascular health compared with the age group 35-44 years. Ethnic groups, including Janajati (prevalence ratio 0.89, 95{\%} CI: 0.85 to 0.93, p<0.001) and Dalit (prevalence ratio 0.9, 95{\%} CI: 0.84 to 0.95, p=0.001), were significantly associated with low prevalence of ideal cardiovascular health. Conclusions Prevalence of ideal cardiovascular health is low in the semi-urban population in Nepal. Concerted efforts are needed to develop a population-based intervention to improve cardiovascular health in Nepal.",
keywords = "Epidemiology, Hypertension, Metabolic syndrome, Primary care, Public health",
author = "Bishal Gyawali and Mishra, {Shiva Raj} and Virani, {Salim S.} and Per Kallestrup",
year = "2019",
month = "2",
doi = "10.1136/heartasia-2018-011131",
language = "English",
volume = "11",
journal = "Journal of NeuroInterventional Surgery",
issn = "1759-8478",
publisher = "B M J Group",
number = "1",

}

RIS

TY - JOUR

T1 - Low levels of ideal cardiovascular health in a semi-urban population of Western Nepal

T2 - A population-based, cross-sectional study

AU - Gyawali, Bishal

AU - Mishra, Shiva Raj

AU - Virani, Salim S.

AU - Kallestrup, Per

PY - 2019/2

Y1 - 2019/2

N2 - Background The aim of this study was to assess the status of cardiovascular health among a semi-urban population of Nepal, and determine factors associated with ideal cardiovascular health. Methods A population-based, cross-sectional study using a systematic random sample was conducted among 2310 adults aged ≥ 25 years in a semi-urban area of the Pokhara Metropolitan City previously named Lekthnath in Nepal. The ideal, intermediate and poor cardiovascular health were defined as the presence of 6-7, 4-5 or 1-3 health metrics, among a list of 7 health behaviours and healthfactors, namely smoking, body mass index, physical activity, fruits and vegetables intakes, harmful alcohol consumption, blood pressure, and fasting blood glucose. We used univariate and multivariate Poisson regression models adjusting for sex, age groups, ethnicity, educational level and socioeconomic status, and calculated the prevalence ratios with 95% CIs. Results Only 14.3 % of the participants had ideal cardiovascular health, whereas 67.0% and 18.7% of the participants had intermediate and poor cardiovascular health, respectively. Age groups 45-54 years (prevalence ratio 0.88, 95% CI: 0.83 to 0.94, p<0.001) and 55-64 years (prevalence ratio 0.84, 95% CI: 0.79 to 0.90, p<0.001) were significantly associated with low prevalence of ideal cardiovascular health compared with the age group 35-44 years. Ethnic groups, including Janajati (prevalence ratio 0.89, 95% CI: 0.85 to 0.93, p<0.001) and Dalit (prevalence ratio 0.9, 95% CI: 0.84 to 0.95, p=0.001), were significantly associated with low prevalence of ideal cardiovascular health. Conclusions Prevalence of ideal cardiovascular health is low in the semi-urban population in Nepal. Concerted efforts are needed to develop a population-based intervention to improve cardiovascular health in Nepal.

AB - Background The aim of this study was to assess the status of cardiovascular health among a semi-urban population of Nepal, and determine factors associated with ideal cardiovascular health. Methods A population-based, cross-sectional study using a systematic random sample was conducted among 2310 adults aged ≥ 25 years in a semi-urban area of the Pokhara Metropolitan City previously named Lekthnath in Nepal. The ideal, intermediate and poor cardiovascular health were defined as the presence of 6-7, 4-5 or 1-3 health metrics, among a list of 7 health behaviours and healthfactors, namely smoking, body mass index, physical activity, fruits and vegetables intakes, harmful alcohol consumption, blood pressure, and fasting blood glucose. We used univariate and multivariate Poisson regression models adjusting for sex, age groups, ethnicity, educational level and socioeconomic status, and calculated the prevalence ratios with 95% CIs. Results Only 14.3 % of the participants had ideal cardiovascular health, whereas 67.0% and 18.7% of the participants had intermediate and poor cardiovascular health, respectively. Age groups 45-54 years (prevalence ratio 0.88, 95% CI: 0.83 to 0.94, p<0.001) and 55-64 years (prevalence ratio 0.84, 95% CI: 0.79 to 0.90, p<0.001) were significantly associated with low prevalence of ideal cardiovascular health compared with the age group 35-44 years. Ethnic groups, including Janajati (prevalence ratio 0.89, 95% CI: 0.85 to 0.93, p<0.001) and Dalit (prevalence ratio 0.9, 95% CI: 0.84 to 0.95, p=0.001), were significantly associated with low prevalence of ideal cardiovascular health. Conclusions Prevalence of ideal cardiovascular health is low in the semi-urban population in Nepal. Concerted efforts are needed to develop a population-based intervention to improve cardiovascular health in Nepal.

KW - Epidemiology

KW - Hypertension

KW - Metabolic syndrome

KW - Primary care

KW - Public health

UR - http://www.scopus.com/inward/record.url?scp=85059894060&partnerID=8YFLogxK

U2 - 10.1136/heartasia-2018-011131

DO - 10.1136/heartasia-2018-011131

M3 - Journal article

C2 - 30728865

AN - SCOPUS:85059894060

VL - 11

JO - Journal of NeuroInterventional Surgery

JF - Journal of NeuroInterventional Surgery

SN - 1759-8478

IS - 1

M1 - e011131

ER -