Abstract
Background: Coronary heart disease (CHD) is an acute public health problem both in developed and in developing countries, like India. Assessing the prevalence of CHD in the community is equivalent to assessing the tip of the iceberg. Hypertension is a major risk factor for CHD and hypertension disease prevalence tip of the iceberg in the community is much more obscure. Objective: The objective of the study was to carry out a cross-sectional study among serving Army personnel, comprising healthy non-commissioned officers and other rank personnel to successfully assess the risk factors for CHD and their association with prehypertension. Materials and Methods: Screening of risk factors for CHD among 200 randomly selected participants was carried out. Blood pressure, height, weight, serum total cholesterol, serum triglycerides, serum high-density lipoprotein (HDL), random blood sugar levels, and smoking status were the major risk factors screened. Results: Nearly 63% of Army personnel were found to be having blood pressure commensurate to the range of prehypertension. About 15% were detected to be overweight, 22% had hypercholesterolemia, 5.4% had impaired glucose tolerance (IGT), and 19.2% were current smokers. Higher age, body mass index, high serum triglycerides, low serum HDL, and IGT were found to be independently associated with increased prevalence of prehypertension in multiple logistic regression analysis. Conclusion: Our findings recommend the constant monitoring of CHD risk factors and the formulation of effective preventive strategies for adequate control of alarming incidence.
Highlights
Coronary heart disease (CHD) is an acute public health problem both in developed and in developing countries, like India
Statistical analysis with the help of multiple logistic regression analysis showed the association of prehypertension with body mass index (BMI) > 23 kg/m2, serum high-density lipoprotein (HDL) cholesterol < 40 mg/dl, serum triglyceride > 150 mg/dl, for age group 30–40; (OR = 2.67, 95% CI: 1.54–4.22, P < 0.001) and for age group 40–50; (OR = 4.12, 95% CI: 2.89–5.43, P < 0.001), and Random Blood Sugar (RBS) 126–180 mg/dl (OR = 2.59; CI = 1.87–6.32, P = 0.03) [Table 3]
In our research study independent association between higher age, BMI, high serum triglycerides, low HDL, and impaired glucose tolerance (IGT) with increased prevalence of prehypertension was adequately revealed with the conduct of required statistical analysis using multiple logistic regression analysis
Summary
Coronary heart disease (CHD) is an acute public health problem both in developed and in developing countries, like India. For about 80% of CHD and cerebrovascular disease, behavioral risk factors are mainly the culprit for causation.[2]. Assessing the prevalence of CHD in the community is equivalent to assessing the tip of the iceberg. Hypertension is a major risk factor for CHD and hypertension disease prevalence tip of the iceberg in the community is much more obscure. Objective: The objective of the study was to carry out a cross-sectional study among serving Army personnel, comprising healthy non-commissioned officers and other rank personnel to successfully assess the risk factors for CHD and their association with prehypertension. Body mass index, high serum triglycerides, low serum HDL, and IGT were found to be independently associated with increased prevalence of prehypertension in multiple logistic regression analysis. Conclusion: Our findings recommend the constant monitoring of CHD risk factors and the formulation of effective preventive strategies for adequate control of alarming incidence
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