“Assessment of 10 year and lifelong cardiovascular risk using ASCVD risk calculator in health care workers of rural field practice area – A cross sectional study”

Abstract

Background: In the current century, India is facing a triple burden of disease. Though certain deadly and threatening communicable diseases are on decline, there is equal and greater share of NCD on the rise. In view of this increasing health hazard globally, WHO has included a separate goal (3.4) for Non-communicable diseases in Sustainable Development Goals.

Objectives: To assess the short time (10 years) and lifelong (30 years) Cardio-vascular risk among rural healthcare workers.

Methodology: We conducted a Cross-sectional study among grassroot healthcare workers. A total 77 workers found eligible and 71 participated in the study. WHO STEPS questionnaire was used to collect socio-demographic, behavioral and biochemical data. Blood sugar was estimated using Random blood sugar analysis, Plasma lipid profile using Cobas analyzer.

Results: Majority of the participants were female (93%) and were in the age group of 20-59 (98.6%). Around 67% were either overweight or obese, 13%; 12% had history of hypertension and diabetes respectively. Nearly 60% have their Blood pressure elevated. History of cervical cancer screening had been done at-least once in only 13% of participants. Though 10-year risk was low in 90% of participants in 40-59 age group, lifelong risk was high in 58% of the participants. In addition, we used Framingham score to quantify risk for the participants.

Conclusion: Lifetime cardiovascular risk increases significantly with increase in age and rise in blood pressure.