scholarly journals Behavioral risk factors and clinical course of cardiovascular diseases and other noncommunicable diseases during quarantine in various regions of Russia

2021 ◽  
Vol 26 (9) ◽  
pp. 4670
Author(s):  
M. N. Mamedov ◽  
I. V. Druk ◽  
E. A. Turusheva ◽  
E. Yu. Eremina ◽  
T. E. Morozova ◽  
...  

Aim. To assess the behavioral risk factors and the clinical course of cardiovascular diseases (CVDs) and other noncommunicable diseases (NCDs) during quarantine in various regions of Russia.Material and methods. This multicenter cohort cross-sectional study included 205 men and women from 6 Russian cities. Further, 4 of them (Saransk, Nizhny Novgorod, Penza, Ulyanovsk) were combined into one group — the Volga region. The study included men and women aged 30-69 years with one or more NCDs (hypertension, coronary artery disease with or without myocardial infarction, type 2 diabetes, chronic obstructive pulmonary disease/asthma and cancer in patients receiving chemotherapy and/or radiation therapy) who were self-isolated during coronavirus disease 2019 (COVID-19) pandemic. For all patients, a questionnaire was used, which included socio-demographic parameters, behavioral risk factors, status of the underlying disease, incidence of COVID-19 and its complications. Self-assessment of the state of health was carried out using the European Quality of Life Questionnaire.Results. In every third Muscovite, the intensity of physical activity decreased, and in the groups of patients from Omsk and the Volga region, it was 45% and 43%, respectively. An increase in meal frequency and an impairment of eating habits in Moscow and Omsk was noted in 18,2% and 18,7% of participants, while in Volga region subjects, these parameters were 2 times higher (42,4%). At the same time, no significant changes of alcohol consumption and smoking was revealed in the cohorts. Hypertensive crises during a pandemic were noted in all three subgroups, but more of them were recorded in the Volga region — in every third patient (p< 0,05 compared to Moscow), in the Omsk group — in every fourth patient, and among Muscovites — no more than 5%. Clinical deterioration in patients with angina was noted in 15% of cases, while the smallest number was noted in Omsk subjects (5,3%), three times less than in other subgroups. Changes in intensity and regimen of hypoglycemic therapy were noted in patients from Omsk, while 30% of them (p< 0,05 compared with the Volga region) increased the doses of medications taken. Chronic obstructive pulmonary disease was registered in the group with the largest number of Volga region patients — 14,1% (p< 0,05 compared to Omsk), while 17% of patients in this group increased the dose of drugs. Any cancer was recorded in 13,6% of Muscovites, while in the other two groups — about 5%. The largest number of patients from the Volga region noted a health decline over the past year (30,8%), while every fifth patient from Omsk (19,6%) and 13,6% of Muscovites reported health changes.Conclusion. During quarantine and self-isolation, changes in dietary habits and physical activity decline were noted among patients with NCDs, while alcohol consumption and smoking remained practically unchanged. The change in clinical status was characterized by an increase in hypertensive crisis incidence, an increase in doses of antihypertensive and hypoglycemic medication. Depending on the region, the health decline was noted by 13-31% of patients with NCDs.

2013 ◽  
Vol 12 (1) ◽  
pp. 118-121
Author(s):  
T. N. Vasilkova ◽  
Yu. A. Rybina

The material for the study included patients with chronic obstructive pulmonary disease (COPD) in association with arterial hypertension (AH) II stage – 50 people. A comprehensive clinical and functional study of the assessment of emotional status. Found that with the increase of the severity of COPD and hypertension increases the frequency and severity of cognitive impairment up to dementia.


2018 ◽  
Vol 5 (4) ◽  
pp. 119-122
Author(s):  
Rajib Mondal ◽  
Rajib Chandra Sarker ◽  
Palash Chandra Banik

Background and aims: Behavioral risk factors of noncommunicable diseases (NCDs) are established during early age and continued into adulthood. In Bangladesh, the scenario of NCD risk factors among students was inadequately studied. The aim of this study was to assess and compare the prevalence of behavioral risk factors of NCDs between undergraduate medical and nonmedical students. Methods: This cross-sectional study was conducted among 280 undergraduate students (equal number of students from medical and nonmedical backgrounds). Respondents were selected purposively from 5 purposively-selected institutions. Modified WHO STEPS instrument was used for data collection. Respondents were asked about their behavioral risk factors (tobacco use, insufficient fruit and vegetable intake, inadequate physical activity, and alcohol consumption) by face-to-face interviews. Results: Men students were more in both groups. The mean age of the medical and nonmedical students was 22.1±2.0 and 21.8±1.9 years, respectively. Tobacco use was more among nonmedical students than that among the counterpart (22.1% vs. 15.7%). Medical students were more used to take insufficient fruits and vegetables compared to nonmedical students (97.9% vs. 93.6%). Equal proportions (71.4%) of students in both groups were used to perform inadequate physical activity. Alcohol consumption was observed more among nonmedical students (12.9% vs. 8.6%). Conclusion: Behavioral risk factors of NCDs were remarkable among students of both groups, mainly among nonmedical students.


Author(s):  
Haniel Fernandes

Chronic noncommunicable diseases (CNCDs) have been a major public health concern worldwide, especially diabetes, cardiovascular disease, chronic obstructive pulmonary disease, hypertension, in addition to obesity, which is even more worrying when the subject involves the covid-19 pandemic, because such incidences correlate with the need for intensive care units, including the possibility of death of the patient. Therefore, for countries with the highest numbers of critical cases, it is important to assess the incidence of these diseases to guide the public that most needs guidance on public policies for social isolation.


2020 ◽  
Vol 21 (3) ◽  
pp. 21-24
Author(s):  
S. A. Ushakova ◽  
◽  
A. D. Petrushina ◽  
S. M. Klyashev ◽  
O. Yu. Khalidullina ◽  
...  

Aim. To study the gender characteristics of such behavioral risk factors for non-communicable diseases as low physical activity and sedentary behavior in adolescent children. Materials and methods. A single-stage clinical study of a specially organized sample of older adolescent children aged 15-17 years (a decreed group for preventive medical examinations) living in urban and rural areas of the Tyumen region was performed in order to study the frequency of risk factors for non-communicable diseases (NCDS). Results. Gender differences were found in the frequency of occurrence of behavioral NCDS in older adolescent children: Smoking for boys, low physical activity among girls. Low physical activity and Smoking were more common among urban girls compared to rural girls of the same age. Conclusion. The established gender characteristics of the frequency of occurrence of controlled NCDS in urban and rural children are the basis for planning and optimizing primary prevention in medical organizations that provide primary health care, including the organization of a modern model of school-oriented health care.


2019 ◽  
Vol 7 (10) ◽  
pp. 424 ◽  
Author(s):  
Denis Bourgeois ◽  
Camille Inquimbert ◽  
Livia Ottolenghi ◽  
Florence Carrouel

Cardiovascular diseases, chronic obstructive pulmonary diseases, diabetes, rheumatoid arthritis, and cancer are the most common noncommunicable diseases (NCDs). These NCDs share risk factors with periodontal disease (PD), a preventable risk factor linked to lifestyle. The discussion regarding the association between these chronic diseases is more complex. There is still a significant knowledge gap particularly of the causal relationship between PD and NCDs. In this paper, we present fundamental knowledge of the mechanisms and roles of putative periodontal bacteria to gather several hypotheses, evidence that clinical studies thus far have not produced. Although the causal hypotheses are not yet clearly established on a biological basis, prevention and prophylactic measures are recommended to prevent even the possibility of such potential risk factors.


Author(s):  
ALBINA R. NURIEVA ◽  
◽  
ALBINA V. SINEGLAZOVA ◽  
TAISIYA YU. KIM ◽  
SWAPNIL PARVE ◽  
...  

To study the features of modifiable biological and behavioral risk factors of chronic noncommunicable diseases in individuals with different metabolic phenotypes.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Arif Habib ◽  
Mohammad Mahtab Alam ◽  
Izhar Hussain ◽  
Nazim Nasir ◽  
Musa Almuthebi

Background. The burden of noncommunicable diseases (NCDs) in the Arab world has reached an alarming level. Behavioral risk factors including consumption of fast food, inadequate sleep, and skipping meals are pervasive. This study aims at establishing the association between NCDs and modernized behavioral risk factors among populations. Methods. A cross-sectional study was carried out with 1070 respondents who were 18 years old. The data were collected using a structured questionnaire with the help of the WHO STEPS approach with some modifications regarding NCD risk factors. Results. 30% of respondents had cardiovascular diseases (CVD) followed by respiratory diseases (23%) and diabetes (3%) while the habit of smoking was found among 52% of respondents followed by physical inactivity (49%), skipping meals (24%), and inadequate sleep (30%). Consumption of fast food was found to be a significant risk factor for obesity (odds ratio (OR) = 2.72, 95% confidence interval (CI) [1.50, 4.92]), CVD (OR = 1.52, 95% CI [1.20, 1.94]), and respiratory disease (OR = 2.13, 95% CI [1.58, 2.86]). Significant linkages were found between CVD and smoking (OR = 0.69, 95% CI [0.54, 0.88]), diet pattern (OR = 1.86, 95% CI [1.44, 2.39]), fast food (OR = 1.52, 95% CI [1.20, 1.94]), and sleep hours (OR = 0.57, 95% CI [0.42, 0.79]). Conclusions. Undesirable behavioral risk factors pose a considerable threat to public health with a high prevalence rate of NCDs. Reducing the NCD burden and promoting healthy lifestyle formation of suitable strategies and their smooth implementation is the need of the hour.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
D Mangaloiu ◽  
E Bratu ◽  
F Furtunescu ◽  
D Minca

Abstract Background Knowing the prevalence of modifiable risk factors for noncommunicable diseases is the first step to plan effective public health interventions. The study aims to identify the prevalence and distribution of risk factors of non-communicable diseases (NCD) among adult Roma population in a rural community. Methods Using a tool based on the WHO stepwise approach, a cross-sectional study was carried out among a sample 116 adults aged 18-85 years (52 male and 64 female), from a rural community with 800 Roma members. The study instrument included questions to record behavioral risk factors (smoking behavior, alcohol drinking, diet and physical activity and also data on anthropometry and value of blood pressure). Descriptive statistics methods were used to analyze the data. Results The smoking prevalence was 35,3% (95%CI, 27.0 to 44.3,) higher for men (49,9%, 95%CI, 36,6-63,4%) than for women (23,4%, 95%CI, 14.2-34,9), higher than the smoking prevalence recorded for Romanian population in 2017 Eurobarometer study. Prevalence of obesity (body mass index ≥30 kg/m[2]) was observed to be high among Roma respondents 34,48% (95% CI, 26,26 to 43,47) compared with self-reported obesity rates among adults in Romania (9%, Eurostat, EHIS 2014). The observed proportion of obesity is similar for both genders, but central obesity was lower for men compared to women (57,4% to 79.6%). There was observed a higher proportion of people declaring they eat fruits less than once on a week (25%, 95% CI, 17,7 to 37,4) and adding salt before tasting the dishes (58,6%). Most of interviewed people have a sedentary lifestyle with less than 30 minutes of physical activity per day. Conclusions The high prevalence of risk factors for NCD in this rural Roma community indicates the likelihood of a high future burden of illness. Key messages There is a need for both further research into the health of Roma people regarding NCD and prevention interventions to address behavioral risk factors for NCD. Knowing the prevalence of modifiable risk factors for noncommunicable diseases is the first step to plan effective public health interventions.


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