Abstract
Ever rising prevalence of Cardiovascular Diseases (CVD) is a major challenge for the health sector in Bangladesh. This study aimed to explore the prevalence of CVD and sociodemographic and lifestyle factors associated with it in Bangladesh. The data were collected through a cross-sectional survey following a two-stage cluster random sampling procedure. The present analysis was performed among 12,338 respondents aged ≥35 years, selected from rural areas and urban slums. Information was gathered using a structured questionnaire, whereas measurements were taken using standardized procedures. Logistic regression with exchangeable correlation structure among clusters was executed to explore the association. About 30% of participants had hypertension, 5% diabetes, 20% obesity; 77% were either smokers or consumed smokeless tobacco, and 28% were physically inactive. The prevalence of CVD was 4.5% (stroke: 1.8% and heart diseases: 3.2%). After adjusting for potential confounders, hypertension, diabetes, body mass index, extra salt intake, daily sleep, tiredness, age, gender, occupation, administrative division, and wealth quintile were found to be significantly associated with CVD. The study highlighted that the prevalence of CVD is high in Bangladesh, and its associated risk factors such as hypertension and diabetes are on the rise, especially in the older population, women, and high-income groups. Therefore, immediate public health intervention is warranted to address the issue.
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References
Reddy KS. Cardiovascular diseases in the developing countries: dimensions, determinants, dynamics and directions for public health action. Public Health Nutr 2002;5;231–7.
Celermajer DS, Chow CK, Marijon E, Anstey NM, Woo KS. Cardiovascular disease in the developing world: prevalences, patterns, and the potential of early disease detection. J Am Coll Cardiol 2012;60;1207–16.
WHO. Cardiovascular Diseases (CVDs): Fact Sheet N 317; 2017. http://www.who.int/mediacentre/factsheets/fs317/en/ (accessed February 25, 2019).
Hussain SM, Oldenburg B, Wang Y, Zoungas S, Tonkin AM. Assessment of cardiovascular disease risk in South Asian populations. Int J Vasc Med 2013;2013;1–10.
Turin TC, Shahana N, Wangchuk LZ, Specogna AV, Al Mamun M, Khan MA, et al. Burden of cardio- and cerebro-vascular diseases and the conventional risk factors in South Asian population. Glob Heart 2013;8;121–30.
Karar ZA, Alam N, Streatfield PK. Epidemiological transition in rural Bangladesh, 1986–2006. Glob Health Action 2009;2;1–9.
DGHS. Bangladesh Health Bulletin 2013. Dhaka, Bangladesh: Government of the People’s Republic of Bangladesh Ministry of Health and Family Welfare; 2014.
Koene RJ, Prizment AE, Blaes A, Konety SH. Shared risk factors in cardiovascular disease and cancer. Circulation 2016;133;1104–14.
O’Donnell CJ, Elosua R. Cardiovascular risk factors. Insights from Framingham Heart Study. Rev Esp Cardiol 2008;61; 299–310 (in Spanish).
Foley RN, Parfrey PS, Sarnak MJ. Epidemiology of cardiovascular disease in chronic renal disease. J Am Soc Nephrol 1998;9;S16–S23.
Hubert HB, Feinleib M, McNamara PM, Castelli WP. Obesity as an independent risk factor for cardiovascular disease: a 26-year follow-up of participants in the Framingham Heart Study. Circulation 1983;67;968–77.
Joshi P, Islam S, Pais P, Reddy S, Dorairaj P, Kazmi K, et al. Risk factors for early myocardial infarction in South Asians compared with individuals in other countries. JAMA 2007;297;286–94.
Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet 2004;364;937–52.
National Institute of Population Research and Training (NIPORT), Mitra and Associates, and ICF International. Bangladesh Demographic and Health Survey 2011. Dhaka/ Bangladesh/Calverton, MD, USA: NIPORT/Mitra and Associates/ ICF International; 2013.
Fatema K, Zwar NA, Milton AH, Ali L, Rahman B. Prevalence of risk factors for cardiovascular diseases in Bangladesh: a systematic review and meta-analysis. PLoS One 2016;11;e0160180.
Al Mamun M, Rumana N, Pervin K, Azad MC, Shahana N, Choudhury SR, et al. Emerging burden of cardiovascular diseases in Bangladesh. J Atheroscler Thromb 2016;23;365–75.
BBS. Household Income and Expenditure Survey 2016. Dhaka, Bangladesh: Bangladesh Bureau of Statistics; 2017.
Sulaiman M, Misha F. Comparative cost-benefit analysis of programs for the ultra-poor in Bangladesh. Dhaka, Bangladesh: Copenhagen Consensus Center and BRAC Research and Evaluation Department; 2016.
BBS. Census of Slum Areas and Floating Population 2014. Dhaka, Bangladesh: Bangladesh Bureau of Statistics; 2015.
BBS. National Population and Housing Census 2011. Dhaka, Bangladesh: Bangladesh Bureau of Statistics; 2012.
Mistry SK, Jhohura FT, Khanam F, Akter F, Khan S, Yunus FM, et al. An outline of anemia among adolescent girls in Bangladesh: findings from a cross-sectional study. BMC Hematol 2017;17;13.
Johnson RA, Wichern D. Multivariate analysis. 6th ed., Hoboken: Wiley Online Library; 2014.
Rutstein SO. Steps to constructing the new DHS wealth index. Maryland: ICF International; 2015.
Rutstein SO. The DHS wealth index: approaches for rural and urban areas. Calverton, MD: ICF International; 2008.
WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 2004;363;157–63.
Lee KA, Hicks G, Nino-Murcia G. Validity and reliability of a scale to assess fatigue. Psychiatry Res 1991;36;291–8.
World Health Organization. The Global Burden of Disease: 2004 update. Geneva: World Health Organization; 2008.
Agresti A. Categorical data analysis. 2nd ed., vol. 482. New York: John Wiley & Sons; 2003.
Van Minh H, Ng N, Juvekar S, Razzaque A, Ashraf A, Hadi A, et al. Self-reported prevalence of chronic diseases and their relation to selected sociodemographic variables: a study in INDEPTH Asian sites, 2005. Prev Chronic Dis 2008;5;A86.
Fatema K, Natasha K, Ali L. Cardiovascular risk factors among Bangladeshi ready-made garment workers. J Public Health Africa 2014;5;104–9.
Khanam MA, Lindeboom W, Razzaque A, Niessen L, Milton AH. Prevalence and determinants of pre-hypertension and hypertension among the adults in rural Bangladesh: findings from a community- based study. BMC Public Health 2015;15;203.
Ng N, Hakimi M, Van Minh H, Juvekar S, Razzaque A, Ashraf A, et al. Prevalence of physical inactivity in nine rural INDEPTH Health and Demographic Surveillance Systems in five Asian countries. Glob Health Action 2009;2;44–53.
Chowdhury MAB, Uddin MJ, Khan HMR, Haque MR. Type 2 diabetes and its correlates among adults in Bangladesh: a population based study. BMC Public Health 2015;15;1070.
Towfighi A, Zheng L, Ovbiagele B. Sex-specific trends in mid-life coronary heart disease risk and prevalence. Arch Intern Med 2009;169;1762–6.
Daly C, Clemens F, Lopez Sendon JL, Tavazzi L, Boersma E, Danchin N, et al. Gender differences in the management and clinical outcome of stable angina. Circulation 2006;113;490–8.
Clark AM, DesMeules M, Luo W, Duncan AS, Wielgosz A. Socioeconomic status and cardiovascular disease: risks and implications for care. Nat Rev Cardiol 2009;6;712–22.
Erem C, Hacihasanoglu A, Kocak M, Deger O, Topbas M. Prevalence of prehypertension and hypertension and associated risk factors among Turkish adults: Trabzon Hypertension Study. J Public Health (Oxf) 2009;31;47–58.
Nagai M, Hoshide S, Kario K. Sleep duration as a risk factor for cardiovascular disease- a review of the recent literature. Curr Cardiol Rev 2010;6;54–61.
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Khanam, F., Hossain, M.B., Mistry, S.K. et al. Prevalence and Risk Factors of Cardiovascular Diseases among Bangladeshi Adults: Findings from a Cross-sectional Study. J Epidemiol Glob Health 9, 176–184 (2019). https://doi.org/10.2991/jegh.k.190531.001
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DOI: https://doi.org/10.2991/jegh.k.190531.001