Abstract
Background: Coronary artery disease (CAD) is a leading cause of morbidity and mortality, with metabolic risk factors contributing substantially to its development. Ethnic variations may influence risk patterns. Aim of the study: To evaluate the metabolic risk profile of CAD among ethnic communities in the Chittagong Hill Tracts of Bangladesh. Methods & Materials: A cross-sectional analytical study enrolled 781 participants (≥20 years) from three hill districts. Sociodemographic, clinical, and biochemical data were collected. Cardiometabolic risk scores were calculated based on obesity, hypertension, dyslipidemia, diabetes, and smoking. Results: Overweight/obesity was observed in 52.62%, pre-hypertension/hypertension in 36.1%, dysglycemia in 24.71%, atherogenic dyslipidemia in 10.75%, and metabolic syndrome in 17.92%. Moderate-risk cardiometabolic scores predominated (45.8%). Conclusion: Metabolic risk factors are prevalent in ethnic communities, necessitating culturally tailored screening and preventive interventions to reduce CAD burden.

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