1 month ago
Study Urges Earlier NHS Checks for South Asian Women
A new study found that women and young people of South Asian heritage in the UK have a higher chance of developing multiple long-term health conditions, like heart disease and mental health issues, at a younger age.
The study suggests that the NHS should start health checks earlier, in their 20s and 30s, to catch these problems early.
The researchers found that South Asian women are more likely to develop mental health conditions first, while men face a higher risk of serious heart or kidney events.
The study also found that people living in poorer areas and those with a higher genetic risk are more likely to develop these combined illnesses.
The researchers suggest that lifestyle factors, like diet and stress, should be included in health checks to help prevent these conditions.
South Asian women in the UK face a higher risk of developing multimorbidity at a younger age.
The study found that a 30-year-old Bangladeshi woman has a 50% chance of developing a mental health or cardiometabolic condition by 40.
Researchers recommend earlier NHS health checks for high-risk groups, starting in their 20s and 30s.
The order of illness onset affects long-term risk, with physical illness first leading to higher risk of cardiovascular or kidney events.
Lifestyle factors, such as diet, stress, and social connection, should be included in health checks.
- Who
- British Bangladeshi and Pakistani women, particularly those living in poorer areas
- What
- Higher risk of developing multimorbidity at a younger age
- Where
- UK, particularly in east London
- When
- By the age of 40, often in their 20s or 30s
- Why
- Genetic predisposition, lifestyle factors, and social determinants of health
Earlier NHS Checks
Current NHS Screening Age
Timing of Health Checks
Earlier NHS Checks
Earlier health checks in 20s and 30s for high-risk groups
Current NHS Screening Age
Current NHS Health Check starts at age 40
Screening for Mental Health
Earlier NHS Checks
Screen for mental health alongside cardiometabolic markers
Current NHS Screening Age
Standard pathway may not prioritize mental health screening
Lifestyle Factors
Earlier NHS Checks
Include lifestyle factors in screening
Current NHS Screening Age
Lifestyle factors often considered after diagnosis
Key facts
- Study Participants
- 23,554 British Bangladeshi and Pakistani volunteers
- Study Duration
- Median of 10.2 years (April 1997 to November 2024)
- Internalising Conditions
- Depression, anxiety, somatoform disorders
- Cardiometabolic Conditions
- Hypertension, type 2 diabetes, obesity, chronic kidney disease, dyslipidaemia
- Combined Illness Rate
- 13.4% of the group
- Major Cardiovascular or Kidney Complications
- 6.5% of the group
- Death Rate from Unrelated Causes
- 0.4% of the group
- Healthy BMI for Asians
- 18.5–22.9 kg/m²
Quotes
Dr Sunil Kumar
Co‑chair of the BAPIO Institute of Health and Wellbeing
“"If a cardiometabolic condition shows up first, the risk of a serious cardiovascular or renal event later is higher, than if depression or anxiety appears first. That has direct implications for how we triage follow‑up care. A 32‑year‑old British Bangladeshi woman with new‑onset hypertension needs a different level of mental health vigilance than the standard pathway currently gives her."”
easterneye.biz
“"This finding matches what many of us in clinical practice have suspected for years. The Genes and Health cohort gives real numbers to a pattern I see regularly in British Bangladeshi and Pakistani patients: mental health and cardiometabolic conditions arriving close together, often in a person’s 20s or 30s, well before the age most screening programmes kick in."”
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