Cardiovascular disease risk in a semirural community in Malaysia

Background and aim: It has been argued that cardiovascular disease (CVD) is not very prevalent in developing countries, particularly in a rural community. This study examined the prevalence of CVD risk of a semirural community in Malaysia through an epidemiological survey. Methods: Subjects were in...

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Main Authors: Chia, Yook Chin, Srinivas, P.
Format: Article
Language:en
Published: SAGE Publications 2009
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Online Access:http://eprints.um.edu.my/10173/1/Cardiovascular_Disease_Risk_in_a_Semirural_Community_in_Malaysia.pdf
http://eprints.um.edu.my/10173/
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author Chia, Yook Chin
Srinivas, P.
author_facet Chia, Yook Chin
Srinivas, P.
author_sort Chia, Yook Chin
building UM Library
collection Institutional Repository
content_provider Universiti Malaya
content_source UM Research Repository
continent Asia
country Malaysia
description Background and aim: It has been argued that cardiovascular disease (CVD) is not very prevalent in developing countries, particularly in a rural community. This study examined the prevalence of CVD risk of a semirural community in Malaysia through an epidemiological survey. Methods: Subjects were invited to a free health screening service carried out over a period of 6 weeks. Then, a follow-up study of the initial nonresponders was done in the villages that showed a poorer response. The survey was conducted using a standardized questionnaire. Hypertension was defined as blood pressure ≥140/90 mm Hg. The Framingham Coronary Disease Risk Prediction Score (FRS) was used as a measure of CVD risk. Results: A total of 1417 subjects participated in this survey. The response rate was 56%. A follow-up survey of the nonresponders did not show any differences from the initial responders in any systematic way. The prevalence of CVD risk factors was high in both men and women. The mean (±SD) FRS was 9.4 (±2.5) and 11.3 (±4.1) for men and women, respectively. The mean predicted coronary heart disease (CHD) risk was high at 20% to 25% for men and medium at 11% to 13% for women. Overall, 55.8% of the men had >20% risk of having a CHD event in the next 10 years whereas women’s risk was lower, with 15.1% having a risk of ≥20%. Conclusion: The prevalence of CVD risk even in a semirural community of a developing country is high. Every effort should be made to lower these risk factors.
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spelling my.um.eprints-101732019-08-26T07:44:09Z http://eprints.um.edu.my/10173/ Cardiovascular disease risk in a semirural community in Malaysia Chia, Yook Chin Srinivas, P. R Medicine (General) Background and aim: It has been argued that cardiovascular disease (CVD) is not very prevalent in developing countries, particularly in a rural community. This study examined the prevalence of CVD risk of a semirural community in Malaysia through an epidemiological survey. Methods: Subjects were invited to a free health screening service carried out over a period of 6 weeks. Then, a follow-up study of the initial nonresponders was done in the villages that showed a poorer response. The survey was conducted using a standardized questionnaire. Hypertension was defined as blood pressure ≥140/90 mm Hg. The Framingham Coronary Disease Risk Prediction Score (FRS) was used as a measure of CVD risk. Results: A total of 1417 subjects participated in this survey. The response rate was 56%. A follow-up survey of the nonresponders did not show any differences from the initial responders in any systematic way. The prevalence of CVD risk factors was high in both men and women. The mean (±SD) FRS was 9.4 (±2.5) and 11.3 (±4.1) for men and women, respectively. The mean predicted coronary heart disease (CHD) risk was high at 20% to 25% for men and medium at 11% to 13% for women. Overall, 55.8% of the men had >20% risk of having a CHD event in the next 10 years whereas women’s risk was lower, with 15.1% having a risk of ≥20%. Conclusion: The prevalence of CVD risk even in a semirural community of a developing country is high. Every effort should be made to lower these risk factors. SAGE Publications 2009 Article PeerReviewed application/pdf en http://eprints.um.edu.my/10173/1/Cardiovascular_Disease_Risk_in_a_Semirural_Community_in_Malaysia.pdf Chia, Yook Chin and Srinivas, P. (2009) Cardiovascular disease risk in a semirural community in Malaysia. Asia Pacific Journal of Public Health, 21. pp. 410-420. ISSN 1010-5395,
spellingShingle R Medicine (General)
Chia, Yook Chin
Srinivas, P.
Cardiovascular disease risk in a semirural community in Malaysia
title Cardiovascular disease risk in a semirural community in Malaysia
title_full Cardiovascular disease risk in a semirural community in Malaysia
title_fullStr Cardiovascular disease risk in a semirural community in Malaysia
title_full_unstemmed Cardiovascular disease risk in a semirural community in Malaysia
title_short Cardiovascular disease risk in a semirural community in Malaysia
title_sort cardiovascular disease risk in a semirural community in malaysia
topic R Medicine (General)
url http://eprints.um.edu.my/10173/1/Cardiovascular_Disease_Risk_in_a_Semirural_Community_in_Malaysia.pdf
http://eprints.um.edu.my/10173/
url_provider http://eprints.um.edu.my/