Determinants of urban–rural differences in cardiovascular risk factors in middle-aged women in India: a cross-sectional study
Publication Type:Journal Article
Source:International journal of cardiology, Elsevier, Volume 163, Number 2, p.157–162 (2013)
Cardiovascular diseases (CVD) are the most important cause of death amongst middle-aged Indian women. To determine prevalence of CVD risk factors and their determinants we performed a nationwide study.
Population based studies amongst women 35–70 years were performed in four urban and five rural locations in India. Location based stratified sampling was performed and we enrolled 4624 (rural 2616, urban 2008) of eligible 8000 women (58%). Demographic details, medical history, diet, physical activity and anthropometry were recorded using standardised techniques. Blood haemoglobin, glucose and total cholesterol were determined. Risk factors were diagnosed using current guidelines. Descriptive statistics are reported. Stepwise multivariate logistic regression was performed to identify determinants of urban–rural differences.
In urban women mean body mass index (BMI), waist circumference, waist–hip ratio (WHR), systolic BP, haemoglobin, fasting glucose and cholesterol were significantly greater (p < 0.01). Age-adjusted prevalence of risk factors (%) in urban vs rural was of obesity BMI ≥ 25 kg/m2 (45.6 vs 22.5), truncal obesity WHR > 0.9 (44.3 vs 13.0), hypertension (37.5 vs 29.3), hypercholesterolemia ≥ 200 mg/dl (27.7 vs 13.5), and diabetes (15.1 vs 4.3) greater whilst any tobacco use (19.6 vs 41.6) or smoking lower. Significant determinants of urban–rural differences were greater income and literacy, dietary fats, low physical activity, obesity and truncal obesity (p < 0.01).
Cite this Research Publication
Related Research Publications
- High prevalence and low awareness, treatment and control of hypertension in Asian Indian women
- Body mass index trend and its association with blood pressure distribution in children
- Prevalence of coronary artery disease and coronary risk factors in Kerala, South India: A population survey- Design and methods
- Comparison of vitamin D levels in obese and nonobese patients with polycystic ovarian syndrome in a South Indian population
- Role of Cytokines in the Pathogenesis of Non-Alcoholic Fatty Liver Disease