Why Are More Nepalis in Their 30s and 40s Facing Heart Disease? The Lifestyle Changes Behind the Rising Risk

Kathmandu, September 30, 2026

Heart Problems Increasing Among Younger Nepalis

Heart disease cases are rising in Nepal, with doctors warning that coronary heart disease is increasingly being detected among younger adults. Cardiologists at Shahid Gangalal National Heart Centre, Kathmandu, say changing lifestyles, unhealthy food habits, lack of exercise, stress, smoking, tobacco use, high blood pressure, diabetes and high cholesterol are major reasons behind the growing risk. The concern comes as more people in their 30s and 40s are being diagnosed with heart-related problems, according to medical experts.

Lifestyle Changes Driving Heart Disease Risk

Doctors say Nepal’s lifestyle has changed significantly in recent years. Increased dependence on vehicles, reduced physical activity and longer hours spent sitting have contributed to a higher risk of heart disease.

Earlier, many Nepalis regularly consumed traditional foods such as vegetables, legumes and locally prepared meals. However, increasing consumption of processed foods, fast food, sugary items and oily foods has created new health challenges.

Why Are Younger People Getting Heart Disease?

Coronary heart disease was traditionally considered more common among older adults, but doctors say younger patients are increasingly appearing with serious heart conditions in Nepal.

Major risk factors include:

• High blood pressure

• Diabetes

• High cholesterol

• Smoking and tobacco use

• Lack of regular exercise

• Excessive stress

• Family history of early heart disease

Doctors also warn that people with a family history of heart attacks at a younger age should be more careful and undergo regular health checks.

Early Warning Signs People Should Not Ignore

Medical experts say early symptoms of coronary heart disease can appear as chest pressure, heaviness or discomfort, especially during physical activity such as climbing stairs, running or doing heavy work.

Other warning signs may include:

• Shortness of breath

• Unusual tiredness during normal activities

• Reduced ability to perform regular tasks

• Discomfort or weakness without a clear reason

Doctors advise people not to ignore sudden changes in their energy levels, as they may indicate underlying heart problems.

Heart Disease Symptoms Can Differ in Women

Doctors say heart disease symptoms may appear differently in women compared to men. Some women, older adults and people with diabetes may not experience severe chest pain during a heart attack.

Instead, symptoms may include unusual fatigue, breathing difficulties or discomfort during normal activities. Medical experts say the belief that women are less likely to develop heart disease is incorrect.

Smoking, Hookah and Vape Increase Heart Risks

Doctors have warned that all forms of nicotine use can harm heart health. The increasing popularity of hookah and vaping, especially among young people in cities, has raised additional concerns.

Experts say nicotine consumption through cigarettes, hookah or vape can increase cardiovascular risks and should be avoided to protect long-term heart health.

Treatment Available, But Prevention Remains Important

Nepal has improved its ability to diagnose and treat heart diseases, with many advanced treatments now available within the country. Shahid Gangalal National Heart Centre and other healthcare facilities provide services that previously required patients to travel abroad.

However, doctors emphasize that heart disease often requires long-term care and medication. Prevention through a healthy lifestyle remains the most effective approach.

Simple Steps to Protect Heart Health

Doctors recommend several lifestyle changes to reduce heart disease risk:

• Exercise or brisk walk for 30–40 minutes at least five days a week

• Control blood pressure, blood sugar and cholesterol

• Avoid smoking and tobacco products

• Reduce salt, sugar and processed foods

• Eat more fruits and vegetables

• Manage stress effectively

• Conduct regular health screenings

Experts recommend that even healthy individuals check their blood pressure, blood sugar and cholesterol at least once a year.

Growing Health Challenge for Nepal

The rise of heart disease among younger adults shows how lifestyle changes are reshaping Nepal’s health challenges. Doctors say awareness, early detection and preventive habits can help reduce the growing burden of cardiovascular diseases across the country.

Source: Dr. Binay Kumar Rauniyar, Shahid Gangalal National Heart Centre/ makalukhabar