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Challenge to research on heart disease patterns in India sparks controversy

BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f3155 (Published 15 May 2013) Cite this as: BMJ 2013;346:f3155
  1. Ganapati Mudur
  1. 1Delhi

A research review has sought a fresh assessment of cardiovascular disease patterns in India, claiming that doctors have argued that coronary heart disease and its risk factors disproportionately affect poor people in India without sufficient evidence.

The review has claimed that many studies looking at the distribution of cardiovascular disease and its risk factors across different socioeconomic sections of the population have drawn inferences that are “often discordant with their own results.”1

The evidence suggests that deaths from coronary heart disease occur disproportionately among economically advantaged groups, according to the review, which examined 53 studies, including 49 conducted since 1989. The review said that except for high rates of smoking and poor intake of fruits, the other risk factors such as obesity, elevated lipids, and hypertension are …

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