Assessment of 10-year cardiovascular disease risk in Bangladesh: a comparative analysis of laboratory and non-laboratory-based WHO risk prediction models.
| Title: | Assessment of 10-year cardiovascular disease risk in Bangladesh: a comparative analysis of laboratory and non-laboratory-based WHO risk prediction models. |
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| Authors: | Monower MM; Department of Epidemiology & Research, National Heart Foundation Hospital and Research Institute, Dhaka, Bangladesh.; Abid SUA; Department of Epidemiology & Research, National Heart Foundation Hospital and Research Institute, Dhaka, Bangladesh.; Bhuiyan MR; Department of Epidemiology & Research, National Heart Foundation Hospital and Research Institute, Dhaka, Bangladesh.; Al Mamun MA; Department of Epidemiology & Research, National Heart Foundation Hospital and Research Institute, Dhaka, Bangladesh.; Choudhury SR; Department of Epidemiology & Research, National Heart Foundation Hospital and Research Institute, Dhaka, Bangladesh. |
| Source: | BMJ public health [BMJ Public Health] 2026 Apr 27; Vol. 4 (2), pp. e003673. Date of Electronic Publication: 2026 Apr 27 (Print Publication: 2026). |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 9918697578906676 Publication Model: eCollection Cited Medium: Internet ISSN: 2753-4294 (Electronic) Linking ISSN: 27534294 NLM ISO Abbreviation: BMJ Public Health Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: [London] : BMJ Publishing Group, [2023]- |
| Abstract: | Introduction: Cardiovascular diseases (CVDs) are a leading cause of death in low-income and middle-income countries. This study aimed to estimate the 10-year CVD risk in Bangladeshi adults using the updated 2019 WHO laboratory-based and non-laboratory-based models, identify key CVD risk determinants and assess agreement between the models.; Methods: We conducted a cross-sectional analysis of nationally representative the WHO STEPwise approach to NCD risk factor surveillance (STEPS) 2018 Bangladesh survey data, involving 2782 adults aged 40-69 years without prior CVDs, using both versions of the updated 2019 WHO 10-year CVD risk prediction models. Logistic regression identified determinants of elevated predicted 10-year CVD risk (≥10%) and model agreement was assessed using Bland-Altman plots, Lin's Concordance Correlation Coefficient (LCCC) and kappa statistics.; Results: In the laboratory-based model, 10.3% (95% CI 8.7% to 12.0%) of the population was at elevated risk (≥10%), compared with 9.2% (95% CI 7.7% to 11.0%) in the non-laboratory-based model. Risk was higher in males (p |
| Competing Interests: | None declared. |
| Contributed Indexing: | Keywords: Cardiovascular Diseases; Cross-Sectional Studies; Epidemiology; Public Health; Risk Assessment |
| Entry Date(s): | Date Created: 20260511 Date Completed: 20260511 Latest Revision: 20260511 |
| Update Code: | 20260511 |
| PubMed Central ID: | PMC13150903 |
| DOI: | 10.1136/bmjph-2025-003673 |
| PMID: | 42111257 |
| Database: | MEDLINE |
Journal Article