Risk-Factors Associated with Cardiovascular Health Status among in School Adolescents of Nepalgunj, Nepal

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DOI: 10.21522/TIJPH.2013.08.02.Art015

Authors : Manita Pyakurel, Nnodimele O. Atulomah, Archana Shrestha


Background: Social transitions involving economics and education that has witnessed the global transformation of rural to urban, not sparing Nepal, has resulted in altered population food habits and physical activities. Chronic illnesses are now emerging among adolescents. Risk factors for cardiovascular (CV) diseases can be effectively addressed in early adolescence to prevent por health outcomes. This study assessed the level of risk-factors associated with cardiovascular health status among in-school adolescents of Nepalgunj, Nepal and from the findings develop an intervention to improve CV-health related parameters to improve cardiovascular health outcomes.

Methods: This was a cross-sectional study conducted in Midwestern part of Nepal. Four institutions were selected consisting 2 privates and 2 public secondary schools using simple random sampling from total 7 schools in Nepalgunj municipality. Consenting students (178) from eight and ninth grades were enrolled. Data about demographic information, risk-factors for cardiovascular disease, and CV-health related parameters were collected using anthropometry and validated questionnaire. Data collected were analyzed as frequency distributions means and standard deviations with test of associations between variables at 5% level of significance.

Results: Prevalence of overweight was 10.67%, and alcoholism was 1.12%. Vegetarians were 4.49%. Active smokers were none. Passive smoking was 31% and no active smokers. Extremely sedentary lifestyle was found among 7.8%. Family history for hypertension and CVD present among 8.4% and 2.8% respectively.

Conclusion: Risk factors for CV illnesses were prevalent among the in-school adolescents who participated. Study suggests behavioural intervention to reduce risk factors and prevent poor CV health in adulthood.


[1].  Akther, M., Tabrez, M., Ali, M., Dey, P., Hoque, M., & Alam, S. (2019). Prevalence and Common Risk Factors of Hypertension among School Children Aged 12-16 Years in Sylhet Metropolitan City, Bangladesh. Mymensingh medical journal: MMJ, 28(4), 819-825.

[2].  Armstrong, K. R., Cote, A. T., Devlin, A. M., & Harris, K. C. (2014). Childhood obesity, arterial stiffness, and prevalence and treatment of hypertension. Current treatment options in cardiovascular medicine, 16(11), 339.

[3].  Dhungana, R. R., Bista, B., Pandey, A. R., & de Courten, M. (2019). Prevalence, clustering and sociodemographic distributions of non-communicable disease risk factors in Nepalese adolescents: secondary analysis of a nationwide school survey. BMJ Open, 9(5), e028263. doi:10.1136/bmjopen-2018-028263.

[4].  Furer, A., Afek, A., Sommer, A., Keinan-Boker, L., Derazne, E., Levi, Z., . . . Twig, G. (2020). Adolescent obesity and midlife cancer risk: a population-based cohort study of 2.3 million adolescents in Israel. Lancet Diabetes Endocrinol. doi:10.1016/s2213-8587(20)30019-x.

[5].  Ip, P., Ho, F. K. W., So, H.-K., Chan, D. F.-y., Ho, M., Tso, W., & Nelson, E. A. S. (2016). Socioeconomic gradient in childhood obesity and hypertension: a multilevel population-based study in a Chinese community. PloS one, 11(6).

[6].  Karki, A., Shrestha, A., & Subedi, N. (2019). Prevalence and associated factors of childhood overweight/obesity among primary school children in urban Nepal. BMC public health, 19(1), 1055. doi:10.1186/s12889-019-7406-9.

[7].  Lloyd-Jones, D. M., Hong, Y., Labarthe, D., Mozaffarian, D., Appel, L. J., Van Horn, L., . . . Tomaselli, G. F. (2010). Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association’s strategic Impact Goal through 2020 and beyond. Circulation, 121(4), 586-613.

[8].  Mohan, B., Verma, A., Singh, K., Singh, K., Sharma, S., Bansal, R., . . . Prabhakaran, D. (2019). Prevalence of sustained hypertension and obesity among urban and rural adolescents: a school-based, cross-sectional study in North India. BMJ Open, 9(9), e027134. doi:10.1136/bmjopen-2018-027134.

[9].  Omisore, A. G., Omisore, B., Abioye-Kuteyi, E. A., Bello, I. S., & Olowookere, S. A. (2018). In-school adolescents' weight status and blood pressure profile in South-western Nigeria: urban-rural comparison. BMC Obes, 5, 2. doi:10.1186/s40608-018-0179-3.

[10]. Organization, W. H. The top 10 causes of death: World Health Organization; 2017 [updated January 2017; cited 2017 February 9, 2017]. World Health Organization Fact Sheets]. Available from:


[11]. Pastucha, D., Talafa, V., Malincikova, J., Cihalik, C., Hyjanek, J., Horakova, D., & Janout, V. (2010). Obesity, hypertension and insulin resistance in childhood–a pilot study. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub, 154(1), 77-82.

[12]. Paudel, S., Subedi, N., Bhandari, R., Bastola, R., Niroula, R., & Poudyal, A. K. (2014). Estimation of leisure time physical activity and sedentary behaviour among school adolescents in Nepal. BMC public health, 14(1), 637.

[13]. Sigmund, E., Sigmundova, D., Badura, P., Voracova, J., Vladimir, H., Jr., Hollein, T., . . . Kalman, M. (2020). Time-trends and correlates of obesity in Czech adolescents in relation to family socioeconomic status over a 16-year study period (2002-2018). BMC public health, 20(1), 229. doi:10.1186/s12889-020-8336-2.

[14]. Washington, R. L. (1999). Interventions to reduce cardiovascular risk factors in children and adolescents. American family physician, 59(8), 2211.

[15]. Wickrama, K. A., O'Neal, C. W., & Lott, R. E. (2012). Early community contexts, race/ethnicity and young adult CVD risk factors: the protective role of education. J Community Health, 37(4), 781-790. doi:10.1007/s10900-011-9511-2.

[16]. Witzel, N., Isensee, B., Suchert, V., Weisser, B., & Hanewinkel, R. (2016). [Sedentary Behavior and the health of adolescents]. Dtsch Med Wochenschr, 141(15), e143-149. doi:10.1055/s-0042-110246.