Evidence map›Paper›PMID 31693104›Full record

ArticleInternational health2020

Prevalence of American Heart Association defined ideal cardiovascular health metrics in Nepal: findings from a nationally representative cross-sectional study.

Umesh Ghimire, Nipun Shrestha, Bishal Gyawali, Pranil Man Singh Pradhan, Shiva Raj Mishra

Abstract read
In one paragraph

Article in International health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Coronary heart disease and mortality following a breast cancer diagnosis.BMC medical informatics and decision making · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Umesh GhimireNew ERA, Rudramati Marga, Kalopul, Kathmandu 44600, Nepal.
Nipun ShresthaInstitute for Health and Sport, Victoria University, Melbourne, VC, Australia.
Bishal GyawaliDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Pranil Man Singh PradhanDepartment of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Shiva Raj MishraNepal Development Society, Chitwan, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe ever-increasing burden of non-communicable diseases (NCDs) is posing a serious health challenge for Nepal. This study examines the status of ideal cardiovascular health (ICH) and its associated determinants in Nepal using the American Heart Association (AHA) definition of ICH metrics.

methodsThe AHA has defined ICH as having five to seven of the ideal health metrics. A representative sample from the NCD risk factors STEPS survey 2013 were drawn to analyse the prevalence and sociodemographic determinants of ideal, intermediate and poor cardiovascular health in Nepal. Multivariable logistic regression was used to measure the determinants of ICH.

resultsMore than half of the participants had ICH metrics (51.6%), with the 45-69 y age group having the lowest prevalence of ICH (28%) and females having better cardiovascular health compared with their male counterparts (60.6% vs 41.7%). The prevalence of low intake of fruit and vegetables, tobacco smoking and elevated blood pressure were quite high (99%, 18.8% and 31.4%, respectively). The status of ICH declined with age: individuals 15-29 y of age had 6 times (95% confidence interval [CI] 4.80-8.60) higher odds of having ICH compared with those who were 45-69 y, and it was low among urban residents (referent: rural; adjusted odds ratio 0.77 [95% CI 0.58-1.01]).

conclusionsNearly half of the participants had ICH, which declined with ageing. Further, urban residents had poor cardiovascular health. This highlights the need for a comprehensive population-based intervention targeting elderly and urban residents to improve overall cardiovascular health.

Indexed as

Health Status IndicatorsAdultAgedAmerican Heart AssociationCardiovascular DiseasesCross-Sectional StudiesFemaleHumansHypertensionLogistic ModelsMaleMiddle AgedNepalOdds RatioPrevalenceQuality Indicators, Health CareCardiovascular healthICH health metricsNepalNon-communicable diseases

Identifiers

PMID31693104
PMCPMC7322193

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.