European Journal of Molecular & Clinical Medicine

Abstract

Comprehensive cardiovascular disease risk factor (CVDRF) screening programs are limited in the developing world. Simplifying screening can increase its utility.
Objectives: The present study aims to estimate the burden of CVDRF in volunteers and the yield of newly discovered CVDRF comparing different sites and nationalities using this screening method.
Methods: Voluntary point-of-care CVDRF screening was conducted in Index Medical Hospital and College Follow-up for newly diagnosed diabetes mellitus, hypertension, and dyslipidemia was made 1 month after screening to inquire about physician consultation confirmation of diagnosis and lifestyle changes
Results: A total of 4.128 subjects were screened (43% at Office, 36% at health care facilities, and 22% at Health camps). Subjects were relatively young (38±11 years), predominantly male (75%), and of diverse regions North India : 7%, South India 10%, Central India: 74%, East Indians: 5%, and other Indians 3%). CVDRF were frequent (diabetes mellitus: 32%, hypertension: 31%, dyslipidemia: 69%, current smokers: 21%, obesity: 20%, and central obesity: 24%). Most subjects (85%) had 21 CVDRF, and many (17%) had ≥3 CVDRF. A new diagnosis of diabetes mellitus, hypertension, or dyslipidemia was uncovered in 61.5%, with the highest yield (74.0%) in labor camps. At follow-up of hose with new CVDRF, posave lifestyle changes were reponed in 60%, but only 33% had consulted a doctor of these, diagnosis was confirmed in 63% for diabetes mellitus, 93% for hypertension, and 87% for dyslipidemia.
Conclusions: In these relatively young and different regions of India, diverse cohort. CVDRF burden and yield of screening was high. Screening in these settings is pertinent and can be simplified.