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Factors Associated with Coronary Heart Disease among Elderly People in Different Communities

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Statistics for Data Science and Policy Analysis

Abstract

Coronary Heart Disease (CHD) is one of the major causes of morbidity and mortality in many developing countries, including Bangladesh. A stratified random sampling with proportional allocation technique was used to collect data from elderly people from urban, rural, and ethnic areas of the Sylhet region. A total of 230 (110 women and 120 men) people aged 60 years or above from the above mentioned areas were included in this study. A multiple logistic regression model was used to evaluate major risk factors associated with CHD for this sample group. The prevalence of CHD was higher for males than females, at 47.80% and 52.20% for females and males, respectively. Elderly people in urban areas were significantly (AOR = 4.03; 95% CI: 1.22–3.29) more likely to have CHD as compared to elderly persons living in rural areas. Elderly persons of ethnic origin were found to be less likely to suffer from CHD (AOR = 0.04, 95% CI: 0.01–0.17514.69) in comparison to urban elderly. The risk factors smoking (44.8%) and hypertension (51.3%) were also positively associated with CHD. Elderly persons who reported to exercise regularly were found to have 89% (AOR = 0.11, 95% CI: 0.03–0.50) less risk of suffering from CHD as compared to those who did not exercise regularly. The findings of this study further indicated that factors such as a high BMI (overweight/obese), high sugar intake, high soft drink consumption, diabetes, and mental stress have a significant influence on CHD.

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References

  1. Cassar, A., et al.: Chronic coronary artery disease: diagnosis and management. Mayo Clin. Proc. 84(12), 1130–1146 (2009)

    Article  Google Scholar 

  2. Iyngkaran, P., et al.: Risk stratification for coronary artery disease in multi-ethnic populations: are there broader considerations for cost efficiency? World J. Methodol. 9(1), 1–19 (2019)

    Article  Google Scholar 

  3. Benjamin, E.J., et al.: Heart disease and stroke statistics-2018 update: a report from the American Heart Association. Circulation 137(12), e67–e492 (2018)

    Google Scholar 

  4. WHO (World Health Organization).: Cardiovascular Diseases (CVDs). http://www.whoint/mediacentre/factsheets/fs317/en/index.html. Last accessed 2015/01

  5. Saquib, N., et al.: Cardiovascular diseases and type 2 diabetes in Bangladesh: a systematic review and meta-analysis of studies between 1995 and 2010. BMC Public Health. 12(1), 434 (2012)

    Article  Google Scholar 

  6. Lim, S.S., et al.: A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 380(9859), 2224–2260 (2012)

    Google Scholar 

  7. The, G.B.D.O.C, et al.: Global, regional and national prevalence of overweight and obesity in children and adults 1980-2013: a systematic analysis. Lancet. 384(9945), 766–781 (2014)

    Article  Google Scholar 

  8. WHO (World Health Organization).: Obesity and Overweight (2014)

    Google Scholar 

  9. Castelli, W.P.: Epidemiology of coronary heart disease: the Framingham study. Am. J. Med. 76, 4–12 (1984)

    Article  Google Scholar 

  10. WHO.: The Atlas of Heart Disease and Stroke. WHO, Geneva, (2004)

    Google Scholar 

  11. WHO.: Noncommunicable Diseases (NCD) Country Profiles. Bangladesh, http://apps.who.int/iris/bitstream/10665/128038/1/9789241507509_eng.pdf?ua=1 (2014). Last accessed 14 Dec 2014

  12. Nag, T., Ghosh, A.: Cardiovascular disease risk factors in Asian Indian population: a systematic review. J. Cardiovasc. Dis. Res. 4(4), 222–228 (2013)

    Google Scholar 

  13. Islam, A.K.M.M., Majumder, A.A.S.: Coronary artery disease in Bangladesh: a review. Indian Heart J. 65(4), 424–435 (2013)

    Article  Google Scholar 

  14. Bangladesh Bureau of Statistics (BBS).: http://www.bbs.gov.bd/Home.aspx (2016). Last accessed 16 Nov 2016

  15. Sameh E. S., Zunaid, A.K., Tarcey, Michel. M. E.: Tackling Noncommunicable Diseases in Bangladesh: Now Is the Time. Directions in Development – Human Development. The World Bank 136 (2013)

    Google Scholar 

  16. Bulato, R.A., Stephens, P.W.: Global Estimates and Projections of Mortality by Cause. Population, Health and Nutrition Department, Washington, DC. World Bank 1007 (1992)

    Google Scholar 

  17. Reddy, K.S., Yusuf, S.: Emerging epidemic of cardiovascular disease in developing countries. Circulation. 97, 596–601 (1998)

    Article  Google Scholar 

  18. Joshi, P., et al.: Risk factors for early myocardial infarction in South Asians compared with individuals in other countries. JAMA. 297(3), 286–294 (2007)

    Article  Google Scholar 

  19. Gaziano, T.A., et al.: Laboratory-based versus non-laboratory-based method for assessment of cardiovascular disease risk: the NHANES I follow-up study cohort. Lancet. 371(9616), 923–931 (2008)

    Article  Google Scholar 

  20. Abdullah, J.M., Ahmad, M.M., Saqib, S.E.: Understanding accessibility to healthcare for elderly people in Bangladesh. Dev. Pract. 28(4), 552–561 (2018)

    Article  Google Scholar 

  21. Gu, D., Zhang, Z., Zeng, Y.: Access to healthcare services makes a difference in healthy longevity among older Chinese adults. Soc. Sci. Med. 68(2), 210–219 (2009)

    Article  Google Scholar 

  22. Chowdhury, M.Z.I., et al.: Prevalence of cardiovascular disease among Bangladeshi adult population: a systematic review and meta-analysis of the studies. Vasc. Health Risk Manag. 14, 165–181 (2018)

    Article  Google Scholar 

  23. Singh, R.B., et al.: Prevalence of coronary artery disease and coronary risk factors in rural and urban populations of North India. Eur. Heart J. 18(11), 1728–1735 (1997)

    Article  Google Scholar 

  24. Zaman, M.M.A.C., et al.: Prevalence of stroke in a rural population of Bangladesh. Glob. Heart. 10, 333–334 (2015)

    Article  Google Scholar 

  25. World Health Organization.: Noncommunicable Diseases (NCD) Country Profiles, 2014,Bangladesh. Available from: http://apps.who.int/iris/bitstream/10665/128038/1/9789241507509_eng.pdf?ua=1 (2014)

  26. Krieger, N., Williams, D.R., Moss, N.E.: Measuring social class in US Public Health Research: concepts, methodologies, and guidelines. Annu. Rev. Public Health. 18(1), 341–378 (1997)

    Article  Google Scholar 

  27. Galobardes, B., Morabia, A., Bernstein, M.S.: Diet and socioeconomic position: does the use of different indicators matter? Int. J. Epidemiol. 30(2), 334–340 (2001)

    Article  Google Scholar 

  28. Groth, M.V., Fagt, S., Brøndsted, L.: Social determinants of dietary habits in Denmark. Eur. J. Clin. Nutr. 55, 959–966 (2001)

    Article  Google Scholar 

  29. Psaltopoulou, T., et al.: Socioeconomic status and risk factors for cardiovascular disease: impact of dietary mediators. Hell. J. Cardiol. 58(1), 32–42 (2017)

    Article  Google Scholar 

  30. Fatema, K., et al.: Prevalence of risk factors for cardiovascular Diseases in Bangladesh: a systematic review and meta-analysis. PLoS One. 11(8), e0160180 (2016)

    Article  Google Scholar 

  31. Hamilton, M.T., Hamilton, D.G., Zderic, T.W.: Role of low energy expenditure and sitting in obesity, metabolic syndrome, type 2 diabetes, and cardiovascular disease. Diabetes. 56(11), 2655–2667 (2007)

    Article  Google Scholar 

  32. Rimm, E.B., et al.: Body size and fat distribution as predictors of coronary heart disease among middle-aged and older US men. Am. J. Epidemiol. 141(12), 1117–1127 (1995)

    Article  Google Scholar 

  33. Patterson, R.E., et al.: Is there a consumer backlash against the diet and health message? J. Am. Diet. Assoc. 101(1), 37–41 (2001)

    Article  Google Scholar 

  34. Wardle, J., Parmenter, K., Waller, J.: Nutrition knowledge and food intake. Appetite. 34(3), 269–275 (2000)

    Article  Google Scholar 

  35. Kirkpatrick, S.T.V.: The relationship between low income and household food expenditure patterns in Canada. Public Health Nutr. 6, 589–597 (2003)

    Google Scholar 

  36. van Dam, R.M., et al.: Patterns of food consumption and risk factors for cardiovascular disease in the general Dutch population. Am. J. Clin. Nutr. 77(5), 1156–1163 (2003)

    Article  Google Scholar 

  37. The, D.S.G: Glucose tolerance and mortality: comparison of WHO and American Diabetes Association diagnostic criteria. Diabetes epidemiology: collaborative analysis of diagnostic criteria in Europe. Lancet. 617-621, 354 (1999)

    Google Scholar 

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We would like to thank SUST research center for funding this research.

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Ferdushi, K.F., Kamil, A.A., Hasan, M.N., Islam, T. (2020). Factors Associated with Coronary Heart Disease among Elderly People in Different Communities. In: Rahman, A. (eds) Statistics for Data Science and Policy Analysis. Springer, Singapore. https://doi.org/10.1007/978-981-15-1735-8_16

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