11 Silent Health Risks Common in South Asian Genetics

2. Premature Cardiovascular Disease — What You Need to Know

South Asians commonly develop heart disease earlier than other groups, often a decade sooner in some studies. That early timing means younger adults with no obvious risk factors can still face major cardiac events. Genetics, metabolic dysfunction, and patterns of fat distribution combine to raise risk. Because of this, many cardiologists recommend starting cholesterol and blood-pressure screening at younger ages for people with South Asian ancestry. A full lipid panel—total cholesterol, LDL, HDL, and triglycerides—along with blood pressure checks and family history, helps doctors estimate risk. Lifestyle changes that work in Dadi’s kitchen include replacing ghee-heavy cooking with moderate-use methods, increasing vegetables and whole grains, and making sweets occasional treats. If risk is high, doctors may discuss statins or blood-pressure medicines even when a person seems young and fit. Early conversation with your clinician about family cardiac history is a high-value step for prevention.