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Prevalence of coronary artery disease and its risk factors in Kerala, South India: a community-based cross-sectional study

Overview of attention for article published in BMC Cardiovascular Disorders, January 2016
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Title
Prevalence of coronary artery disease and its risk factors in Kerala, South India: a community-based cross-sectional study
Published in
BMC Cardiovascular Disorders, January 2016
DOI 10.1186/s12872-016-0189-3
Pubmed ID
Authors

M. N. Krishnan, G. Zachariah, K. Venugopal, P. P. Mohanan, S. Harikrishnan, G. Sanjay, L. Jeyaseelan, K. R. Thankappan

Abstract

There are no recent data on prevalence of coronary artery disease (CAD) in Indians. The last community based study from Kerala, the most advanced Indian state in epidemiological transition, was in 1993 that reported 1.4 % definite CAD prevalence. We studied the prevalence of CAD and its risk factors among adults in Kerala. In a community-based cross sectional study, we selected 5167 adults (mean age 51 years, men 40.1 %) using a multistage cluster sampling method. Information on socio-demographics, smoking, alcohol use, physical activity, dietary habits and personal history of hypertension, diabetes, and CAD was collected using a structured interview schedule. Anthropometry, blood pressure, electrocardiogram, and biochemical investigations were done using standard protocols. CAD and its risk factors were defined using standard criteria. Comparisons of age adjusted prevalence were done using two tailed proportion tests. The overall age-adjusted prevalence of definite CAD was 3.5 %: men 4.8 %, women 2.6 % (p < 0.001). Prevalence of any CAD was 12.5 %: men 9.8 %, women 14.3 % (p < 0.001). There was no difference in definite CAD between urban and rural population. Physical inactivity was reported by 17.5 and 18 % reported family history of CAD. Other CAD risk factors detected in the study were: overweight or obese 59 %, abdominal obesity 57 %, hypertension 28 %, diabetes 15 %, high total cholesterol 52 % and low level of high density lipoprotein cholesterol 39 %. Current smoking was reported only be men (28 %). The prevalence of definite CAD in Kerala increased nearly three times since 1993 without any difference in urban and rural areas. Most risk factors of CAD were highly prevalent in the state. Both population and individual level approaches are warranted to address the high level of CAD risk factors to reduce the increasing prevalence of CAD in this population.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 223 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
India 3 1%
Unknown 220 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 27 12%
Student > Postgraduate 25 11%
Student > Bachelor 17 8%
Student > Ph. D. Student 16 7%
Researcher 15 7%
Other 43 19%
Unknown 80 36%
Readers by discipline Count As %
Medicine and Dentistry 62 28%
Nursing and Health Professions 23 10%
Social Sciences 12 5%
Biochemistry, Genetics and Molecular Biology 11 5%
Unspecified 5 2%
Other 18 8%
Unknown 92 41%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 December 2017.
All research outputs
#17,818,042
of 22,890,496 outputs
Outputs from BMC Cardiovascular Disorders
#1,060
of 1,621 outputs
Outputs of similar age
#269,148
of 395,846 outputs
Outputs of similar age from BMC Cardiovascular Disorders
#20
of 36 outputs
Altmetric has tracked 22,890,496 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,621 research outputs from this source. They receive a mean Attention Score of 3.9. This one is in the 31st percentile – i.e., 31% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 395,846 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 36 others from the same source and published within six weeks on either side of this one. This one is in the 41st percentile – i.e., 41% of its contemporaries scored the same or lower than it.