Evidence map›Paper›PMID 29469907›Full record

ArticleHeart Asia2017

Trend in prevalence of coronary artery disease and risk factors over two decades in rural Punjab.

Abhishek Goyal, Praneet Kahlon, Dinesh Jain, R K Soni, Rohit Gulati, Shibba Takkar Chhabra, Naved Aslam, Bishav Mohan, Inder S Anand, Vikram Patel and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Heart Asia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
5.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 40 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 3 countries.

Abhishek GoyalDepartment of Cardiology, Hero DMC Heart Institute, Dayanand Medical College & Hospital, Ludhiana, Punjab, India.
Praneet KahlonDepartment of Medicine, Punjab Civil Medical Services, Civil Hospital, Barnala, Punjab, India.
Dinesh JainDepartment of Medicine, Dayanand Medical College & Hospital, Ludhiana, Punjab, India.
R K SoniDepartment of Community Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Rohit GulatiWVU Medicine, University Healthcare, Martinsburg, West Virginia, USA.
Shibba Takkar ChhabraDepartment of Cardiology, Hero DMC Heart Institute, Dayanand Medical College & Hospital, Ludhiana, Punjab, India.
Naved AslamDepartment of Cardiology, Hero DMC Heart Institute, Dayanand Medical College & Hospital, Ludhiana, Punjab, India.
Bishav MohanDepartment of Cardiology, Hero DMC Heart Institute, Dayanand Medical College & Hospital, Ludhiana, Punjab, India.
Inder S AnandUniversity of Minnesota Medical School, VA Medical Center, Minneapolis, Minnesota, USA.
Vikram PatelCentre for Global Mental Health, London School of Hygiene & Tropical Medicine, London, UK.
Gurpreet Singh WanderDepartment of Cardiology, Hero DMC Heart Institute, Dayanand Medical College & Hospital, Ludhiana, Punjab, India.ORCID 0000-0002-4596-4247
Dayanand Medical College & Hospital · INLondon School of Hygiene & Tropical Medicine · GBUniversity of Minnesota · USWest Virginia University Hospitals · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe burden of coronary artery disease (CAD) has increased in the last three decades in low-income and middle-income countries including India. CAD is responsible for 20% deaths in India. The burden of CAD has increased due to a higher prevalence of risk factors related to the changing lifestyle. We studied the change in prevalence of CAD and risk factors over 20 years in a rural area.

methodsA rural population of adults over the age of 30 years from three villages of Punjab was surveyed for the prevalence of CAD and its risk factors in 1994 and 2014 using similar research methodology. CAD was diagnosed by Epstein and clinical criteria. Blood pressure, anthropometry, ECG and biochemical analysis were carried out. The findings of two surveys were compared with a look at the change in the prevalence of CAD and its risk factors over 20 years.

resultsThe overall age standardised prevalence of CAD increased from 2.79% in 1994 to 4.06% (p<0.05) in 2014. There was a significant increase in the prevalence of several risk factors including sedentary lifestyle (8.2% vs 41.3%, p<0.001), hypertension (14.5% vs 26.5%, p<0.001), diabetes (4.7% vs 9.7%, p<0.001), obesity (16.6% vs 35.4, p<0.001) and hypercholesterolaemia (7% vs 9.6%, p 0.011). In contrast, cigarette smoking (8.9% vs 3%, p<0.001) and use of desi ghee (51.4% vs 28.5%, p<0.001) decreased.

conclusionsIn a rural population of Punjab, the prevalence of several CAD risk factors like sedentary lifestyle, hypertension, diabetes, obesity and hypercholesterolaemia increased over 20 years. These changes in risk factors were associated with a modest increase in prevalence of CAD.

Identifiers

PMID29469907
PMCPMC5818047
OpenAlexW2754739097

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.