Clinical and biochemical characterization of high risk and not high risk for XXXX adults in a population from peripheral region of Bangladesh.

@entity1 @entity286 @entity101 @entity28 @entity6 @entity13309 @entity65 @entity3918 @entity413
BACKGROUND: A group of 63708 Bangladeshi adults from a rural area were screened in 2011-12 for @entity65 ( @entity65 ) risk using a questionnaire based tool developed as part of the 'WHO @entity65 -RISK Management Package for low-and medium resource setting'. In the current study @entity1 who were found to be high risk and a sample of the not high risk @entity1 from the screening were further characterized clinically and biochemically to explore the burden and determinants of @entity65 risk factors in a remote rural Bangladeshi population. METHODS: The high risk @entity1 comprised all 1170 subjects who screened positive in 2011-12 and the not high risk group comprised 563 randomly sampled @entity1 from the 62538 who screened negative. Socio-demographic, behavioral, anthropometric, clinical and biochemical data ( @entity413 and lipids) were collected by standardized procedures. Body Mass Index (BMI) was classified following Asian BMI criteria. Data was analyzed using univariable and multivariable methods. RESULTS: On univariable analysis in high risk and not high risk @entity1 respectively, age in years ( @entity13309 ) was 50        11 for both groups, ratio of male: female was 40:60 and 66:44, current smoking 28.5  % and 50.6  %; smokeless @entity286 use 37.1  % and 34.8  %; overweight and @entity28 measured by body mass index (BMI) was 39.1  % and 20.5  %; high waist circumference (WC) 36.1  % and 11.9  %; high waist to hip ratio (WHR) 53.8  % and 26.3  %; and with high waist to height ratio (WHtR) 56.4  % and 28.4  %, existence of @entity101 ( @entity101 ) was 15.8  % and 3.6  %, pre- @entity101 43.8  % and 12.1  %, @entity6 ( @entity3918 ) 14.0  % and 10.5  %, pre- @entity3918 16.9  % and 12.1  % and dyslipidaemia 85.8  % and 89.5  %. In multivariable logistic regression analysis female sex, BMI, WC, WHR and WHtR, @entity101 and dyslipidaemia remain significantly more common among high risk @entity1 (p   <   0.05 and p   <   0.001). CONCLUSIONS: The prevalence of clinical and biochemical risk factors of CVDs are quite high even in this rural population and this may be related to the socioeconomic and cultural transition in Bangladeshi society. Surprisingly more of the high risk group was female and there were fewer smokers. @entity28 and @entity101 were more frequent in high risk @entity1 .
