Cardiovascular risk profile of subjects with known diabetes from the middle- and high-income group population of Delhi: the DEDICOM survey

Aims To determine the cardiovascular risk profile of known diabetic patients from the middle‐ and high‐income group populace of Delhi. Methods A cross‐sectional survey was conducted using a probability proportionate to size (systematic) two‐stage cluster design. Thirty areas were selected for a ho...

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Vydané v:	Diabetic medicine Ročník 25; číslo 1; s. 27 - 36
Hlavní autori:	Nagpal, J., Bhartia, A.
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	Oxford, UK Blackwell Publishing Ltd 01.01.2008 Blackwell
Predmet:	Adult Biological and medical sciences Body Mass Index cardiovascular risk community survey Diabetes Mellitus, Type 2 - epidemiology Diabetes. Impaired glucose tolerance Diabetic Angiopathies - epidemiology Endocrine pancreas. Apud cells (diseases) Endocrinopathies Epidemiologic Methods Etiopathogenesis. Screening. Investigations. Target tissue resistance Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology Humans Income Male Medical sciences Middle Aged Obesity - epidemiology Socioeconomic Factors Stroke - epidemiology Stroke - prevention & control Type 2 diabetes Vertebrates: anatomy and physiology, studies on body, several organs or systems Vertebrates: endocrinology Delhi Asia India Endocrinopathy Type 2 diabetes Human Obesity Nutrition community survey Nutrition disorder Income Metabolic diseases Cardiovascular disease Statistical study Survey Population survey Risk factor Cardiovascular risk Population Community Endocrinology Nutritional status Public health
ISSN:	0742-3071, 1464-5491, 1464-5491
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Abstract	Aims To determine the cardiovascular risk profile of known diabetic patients from the middle‐ and high‐income group populace of Delhi. Methods A cross‐sectional survey was conducted using a probability proportionate to size (systematic) two‐stage cluster design. Thirty areas were selected for a house‐to‐house survey to recruit a minimum of 25 subjects (known diabetes ≥ 1 year; 35–65 years of age) per area. Data were collected by interview, blood sampling and from medical records. Scores from the Framingham, Joint British Society, United Kingdom Prospective Diabetes Study, Systematic Coronary Risk Evaluation, and Diabetes Epidemiology: Collaborative Analysis Of Diagnostic Criteria in Europe studies were used to calculate summary estimates of risk for coronary heart disease (CHD) and stroke. Results Eight hundred and nineteen subjects (25–30 per cluster) were enrolled. The mean age of the subjects was 53.6 years, the mean duration since diagnosis was 8.1 years, the mean body mass index was 28.1 kg/m2, with 50.7% women; 74.3% had hypertension, 75.1% dyslipidaemia and 41.8% had poor glycaemic control (HbA1c > 8.0%); 8.4% had already had a myocardial infarction, whereas 2.3% had suffered a stroke. Only 17.6% were taking aspirin, 3.4% were on lipid‐lowering drugs and 11.6% were taking antihypertensive agents. The risk engines estimated a 10‐year CHD risk of 12.6–13.9% and a stroke risk of 5.1–5.7%. Conclusion The study documents that the cardiovascular profile of known diabetes patients from the middle and higher income groups of Delhi is poor, strengthening the case for targeting interventions at patients, providers and other stakeholders for improvement.
AbstractList	Aims To determine the cardiovascular risk profile of known diabetic patients from the middle‐ and high‐income group populace of Delhi. Methods A cross‐sectional survey was conducted using a probability proportionate to size (systematic) two‐stage cluster design. Thirty areas were selected for a house‐to‐house survey to recruit a minimum of 25 subjects (known diabetes ≥ 1 year; 35–65 years of age) per area. Data were collected by interview, blood sampling and from medical records. Scores from the Framingham, Joint British Society, United Kingdom Prospective Diabetes Study, Systematic Coronary Risk Evaluation, and Diabetes Epidemiology: Collaborative Analysis Of Diagnostic Criteria in Europe studies were used to calculate summary estimates of risk for coronary heart disease (CHD) and stroke. Results Eight hundred and nineteen subjects (25–30 per cluster) were enrolled. The mean age of the subjects was 53.6 years, the mean duration since diagnosis was 8.1 years, the mean body mass index was 28.1 kg/m 2 , with 50.7% women; 74.3% had hypertension, 75.1% dyslipidaemia and 41.8% had poor glycaemic control (HbA 1c > 8.0%); 8.4% had already had a myocardial infarction, whereas 2.3% had suffered a stroke. Only 17.6% were taking aspirin, 3.4% were on lipid‐lowering drugs and 11.6% were taking antihypertensive agents. The risk engines estimated a 10‐year CHD risk of 12.6–13.9% and a stroke risk of 5.1–5.7%. Conclusion The study documents that the cardiovascular profile of known diabetes patients from the middle and higher income groups of Delhi is poor, strengthening the case for targeting interventions at patients, providers and other stakeholders for improvement. To determine the cardiovascular risk profile of known diabetic patients from the middle- and high-income group populace of Delhi. A cross-sectional survey was conducted using a probability proportionate to size (systematic) two-stage cluster design. Thirty areas were selected for a house-to-house survey to recruit a minimum of 25 subjects (known diabetes > or = 1 year; 35-65 years of age) per area. Data were collected by interview, blood sampling and from medical records. Scores from the Framingham, Joint British Society, United Kingdom Prospective Diabetes Study, Systematic Coronary Risk Evaluation, and Diabetes Epidemiology: Collaborative Analysis Of Diagnostic Criteria in Europe studies were used to calculate summary estimates of risk for coronary heart disease (CHD) and stroke. Eight hundred and nineteen subjects (25-30 per cluster) were enrolled. The mean age of the subjects was 53.6 years, the mean duration since diagnosis was 8.1 years, the mean body mass index was 28.1 kg/m(2), with 50.7% women; 74.3% had hypertension, 75.1% dyslipidaemia and 41.8% had poor glycaemic control (HbA(1c) > 8.0%); 8.4% had already had a myocardial infarction, whereas 2.3% had suffered a stroke. Only 17.6% were taking aspirin, 3.4% were on lipid-lowering drugs and 11.6% were taking antihypertensive agents. The risk engines estimated a 10-year CHD risk of 12.6-13.9% and a stroke risk of 5.1-5.7%. The study documents that the cardiovascular profile of known diabetes patients from the middle and higher income groups of Delhi is poor, strengthening the case for targeting interventions at patients, providers and other stakeholders for improvement. Aims To determine the cardiovascular risk profile of known diabetic patients from the middle‐ and high‐income group populace of Delhi. Methods A cross‐sectional survey was conducted using a probability proportionate to size (systematic) two‐stage cluster design. Thirty areas were selected for a house‐to‐house survey to recruit a minimum of 25 subjects (known diabetes ≥ 1 year; 35–65 years of age) per area. Data were collected by interview, blood sampling and from medical records. Scores from the Framingham, Joint British Society, United Kingdom Prospective Diabetes Study, Systematic Coronary Risk Evaluation, and Diabetes Epidemiology: Collaborative Analysis Of Diagnostic Criteria in Europe studies were used to calculate summary estimates of risk for coronary heart disease (CHD) and stroke. Results Eight hundred and nineteen subjects (25–30 per cluster) were enrolled. The mean age of the subjects was 53.6 years, the mean duration since diagnosis was 8.1 years, the mean body mass index was 28.1 kg/m2, with 50.7% women; 74.3% had hypertension, 75.1% dyslipidaemia and 41.8% had poor glycaemic control (HbA1c > 8.0%); 8.4% had already had a myocardial infarction, whereas 2.3% had suffered a stroke. Only 17.6% were taking aspirin, 3.4% were on lipid‐lowering drugs and 11.6% were taking antihypertensive agents. The risk engines estimated a 10‐year CHD risk of 12.6–13.9% and a stroke risk of 5.1–5.7%. Conclusion The study documents that the cardiovascular profile of known diabetes patients from the middle and higher income groups of Delhi is poor, strengthening the case for targeting interventions at patients, providers and other stakeholders for improvement. To determine the cardiovascular risk profile of known diabetic patients from the middle- and high-income group populace of Delhi.AIMSTo determine the cardiovascular risk profile of known diabetic patients from the middle- and high-income group populace of Delhi.A cross-sectional survey was conducted using a probability proportionate to size (systematic) two-stage cluster design. Thirty areas were selected for a house-to-house survey to recruit a minimum of 25 subjects (known diabetes > or = 1 year; 35-65 years of age) per area. Data were collected by interview, blood sampling and from medical records. Scores from the Framingham, Joint British Society, United Kingdom Prospective Diabetes Study, Systematic Coronary Risk Evaluation, and Diabetes Epidemiology: Collaborative Analysis Of Diagnostic Criteria in Europe studies were used to calculate summary estimates of risk for coronary heart disease (CHD) and stroke.METHODSA cross-sectional survey was conducted using a probability proportionate to size (systematic) two-stage cluster design. Thirty areas were selected for a house-to-house survey to recruit a minimum of 25 subjects (known diabetes > or = 1 year; 35-65 years of age) per area. Data were collected by interview, blood sampling and from medical records. Scores from the Framingham, Joint British Society, United Kingdom Prospective Diabetes Study, Systematic Coronary Risk Evaluation, and Diabetes Epidemiology: Collaborative Analysis Of Diagnostic Criteria in Europe studies were used to calculate summary estimates of risk for coronary heart disease (CHD) and stroke.Eight hundred and nineteen subjects (25-30 per cluster) were enrolled. The mean age of the subjects was 53.6 years, the mean duration since diagnosis was 8.1 years, the mean body mass index was 28.1 kg/m(2), with 50.7% women; 74.3% had hypertension, 75.1% dyslipidaemia and 41.8% had poor glycaemic control (HbA(1c) > 8.0%); 8.4% had already had a myocardial infarction, whereas 2.3% had suffered a stroke. Only 17.6% were taking aspirin, 3.4% were on lipid-lowering drugs and 11.6% were taking antihypertensive agents. The risk engines estimated a 10-year CHD risk of 12.6-13.9% and a stroke risk of 5.1-5.7%.RESULTSEight hundred and nineteen subjects (25-30 per cluster) were enrolled. The mean age of the subjects was 53.6 years, the mean duration since diagnosis was 8.1 years, the mean body mass index was 28.1 kg/m(2), with 50.7% women; 74.3% had hypertension, 75.1% dyslipidaemia and 41.8% had poor glycaemic control (HbA(1c) > 8.0%); 8.4% had already had a myocardial infarction, whereas 2.3% had suffered a stroke. Only 17.6% were taking aspirin, 3.4% were on lipid-lowering drugs and 11.6% were taking antihypertensive agents. The risk engines estimated a 10-year CHD risk of 12.6-13.9% and a stroke risk of 5.1-5.7%.The study documents that the cardiovascular profile of known diabetes patients from the middle and higher income groups of Delhi is poor, strengthening the case for targeting interventions at patients, providers and other stakeholders for improvement.CONCLUSIONThe study documents that the cardiovascular profile of known diabetes patients from the middle and higher income groups of Delhi is poor, strengthening the case for targeting interventions at patients, providers and other stakeholders for improvement.
Author	Nagpal, J. Bhartia, A.
Author_xml	– sequence: 1 givenname: J. surname: Nagpal fullname: Nagpal, J. organization: Sitaram Bhartia Institute of Science and Research, Qutab Institutional Area, New Delhi, India – sequence: 2 givenname: A. surname: Bhartia fullname: Bhartia, A. organization: Sitaram Bhartia Institute of Science and Research, Qutab Institutional Area, New Delhi, India
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Keywords	Endocrinopathy Type 2 diabetes Human Obesity Nutrition community survey Nutrition disorder Income Metabolic diseases Cardiovascular disease Statistical study Survey Population survey Risk factor Cardiovascular risk Population Community Endocrinology Nutritional status Public health
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Snippet	Aims To determine the cardiovascular risk profile of known diabetic patients from the middle‐ and high‐income group populace of Delhi. Methods A... Aims To determine the cardiovascular risk profile of known diabetic patients from the middle‐ and high‐income group populace of Delhi. Methods A... To determine the cardiovascular risk profile of known diabetic patients from the middle- and high-income group populace of Delhi. A cross-sectional survey was... To determine the cardiovascular risk profile of known diabetic patients from the middle- and high-income group populace of Delhi.AIMSTo determine the...
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SubjectTerms	Adult Biological and medical sciences Body Mass Index cardiovascular risk community survey Diabetes Mellitus, Type 2 - epidemiology Diabetes. Impaired glucose tolerance Diabetic Angiopathies - epidemiology Endocrine pancreas. Apud cells (diseases) Endocrinopathies Epidemiologic Methods Etiopathogenesis. Screening. Investigations. Target tissue resistance Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology Humans Income Male Medical sciences Middle Aged Obesity - epidemiology Socioeconomic Factors Stroke - epidemiology Stroke - prevention & control Type 2 diabetes Vertebrates: anatomy and physiology, studies on body, several organs or systems Vertebrates: endocrinology
Title	Cardiovascular risk profile of subjects with known diabetes from the middle- and high-income group population of Delhi: the DEDICOM survey
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