Background: According to WHO data, India is estimated to be having one of the highest burdens of CVDs than any country in the world. The identification of risk level by health care providers is therefore a useful means of detecting those with high CVD risk and managing them.
Objectives: 1. To predict the 10-year CVD risk among adults aged 40 - 74 years rural population of Nicobar Islands; 2. To achieve community risk reduction by using WHO HEARTS Risk - based CVD management tools through Primary Health Care system.
Materials and Methods: A longitudinal 12 month follow up study with Baseline–Follow up–Endline components was conducted among Nicobarese tribes using WHO HEARTS risk based CVD management tools. 365 individuals aged 40-74 years of age who do not have any established coronary heart disease and strokes participated in the study.
Results: There was a reduction of CVD risk score among 34.35% participants. CVD risk reduction was observed among 41% of non-alcoholics while compared with 30.8% among alcoholic users [PR: 0.64 (95% CI: 0.41 to 1.00)] (P=0.047). Higher proportion (50.8%) among those who are in Lower Socioeconomic Class (IV-V) experienced an increase in their CVD risk scores while compared with 40.7% among participants who are from Upper/Middle Class (I-III) (P=0.035). 39.8% of those aged ?55 years have experienced reduction in their CVD risk scores while compared with 30.9% among those aged <55 P=0.007),>
Conclusions: A 12 month follow-up was helpful in CVD risk reduction among approximately 1/3rd of the study group; Poverty, Alcohol use, and lower age (< 55>
Keywords: CVD risk, Reduction, Nicobarese, Islands, Management
