scholarly journals Physical activity and perceived barriers among doctors working in King Abdulaziz Hospital, Jeddah, 2018

Author(s):  
Eyad Khateeb ◽  
Turki AlKharji ◽  
Sulafa AlQutub

Background: Physical inactivity is a major public health problem worldwide, and Saudi Arabia has been identified as one of the countries with the highest prevalence of physical inactivity. This study seeks to determine the physical activity levels and to identify the perceived barriers against physical activity among doctors.Methods: We performed a cross-sectional study involving all physicians practicing in King Abdulaziz Hospital in Jeddah, Saudi Arabia. All doctors holding administrative positions during the conduct of the survey were excluded from the study. Systematic random sampling was used to select the doctors. A previously published and validated self-administered questionnaire was used in the study. The results of the study were analyzed using IBM SPSS version 23.Results: Among the 178 physicians surveyed, more than half (74.6%) reported having regular physical activity. Among the 129 doctors who reported low to high physical activity, 50.0% were in the moderate to high category, meanwhile only 23.7% were in the low category. We found a significant relationship between the level of physical activity and perceived total exercise benefits/barriers (p<0.001), exercise benefits (p-value=0.009), and exercise barriers (p<0.001).Conclusions: Most of the physicians were physically active. However, there is still a need to encourage physicians to improve their physical activity, which would improve their perception of exercise and set them as better role models for physical activity among their patients and the communityz. 

2019 ◽  
Author(s):  
Merhawit Gebremeskel Hagos ◽  
Teferi Gebru Gebremeskel ◽  
Selam Shushay Kassahun ◽  
Birhane Hailu Gebrezgi ◽  
Manay Kifle Woldegebriel

Abstract Background: Delay in receiving immunization is a major public health problem that has been associated with vaccine-preventable disease epidemics. In Ethiopia, many children have not received the benefits of age-appropriate immunization; thus more than 90% of child deaths are largely due to preventable communicable diseases. Therefore, the aim of this study to assess the magnitude and factors associated with delayed immunization among 12 -23 months old children’s in Edagahamus Town, Tigray, Ethiopia, and 2018 G.C. Methods: A community-based Cross-Sectional study was carried out on July1-30, 2018. A simple random sampling method was used to select study participants. Information was collected using a structured, pre-tested questionnaire. Vaccination dates were obtained from children’s immunization cards and timeliness assessed based on the recommended age ranges. Data were entered and analyzed using SPSS version 20.0. Variable with P-value < 0.2 in bivariate was exported to multivariate. The strength of association was identified using the odds ratio with a 95 % confidence interval (CI) and the P-value of <0.05 in multivariate was taken statistically significant. Results: In this study, the overall magnitude of delayed immunization was 29.5% (95%CI 26.7-45). Private firm work of mothers (AOR=0.205 95% CI 0.068-0.617) and Mothers who attend tertiary education (AOR 0.169, 95% CI 0.032-0.882) and secondary education (AOR 0.269, 95% CI 0.114-0.636) had the protective effect of delayed immunization. But the sickness of the child (AOR= 11.8, 95% CI 6.16-22.65) was a risk for delayed immunization. Conclusions: From the study, it is concluded that the magnitude of delayed immunization for children aged 12-23 months is high (29.5%) in Edagahamus. Delayed immunizations of children were predicted by the Mother's occupation, education, and the mother considered the child was too ill to undertake vaccination when it was due. Keywords: Child immunization, Delay to be immunized, Vaccine-preventable diseases


Author(s):  
Arao Oliveira ◽  
Juliane Mercante ◽  
Mario Peres ◽  
Maria Molina ◽  
Paulo Lotufo ◽  
...  

BackgroundPhysical inactivity has been linked to headache disorders, but data regarding the current recommended leisure-time (LTPA) and commuting physical activity (CPA) levels is unknown.ObjectiveTo test the associations between headache disorders (definite and probable migraine tension type headache-TTH) and physical inactivity in these domains (LTPA and CPA) in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).MethodsIn a cross-sectional analysis, logistic regression models computed the odds ratio (OR) for the relationship between headache disorders and physical activity (LTPA and CPA) in the following levels: “active” (Reference), “insuciently active”, and “inactive”. The full models were controlled for the effects of sociodemographic data, cardiovascular risk profile, and use of headache medication (migraine prophylaxis)ResultsOf 15,0105 participants, 14,847 (45.6 % of men and 54.4 % women) responded the baseline interviews regarding physical activity levels and headache disorders. Overall, most significant physical inactivity was observed in LTPA domain for definite migraine [OR: 1.32 (1.10-1.57)] and probable migraine [OR: 1.33 (1.17-1.50)]. Similar findings were replicated by sex. Physical inactivity (LTPA) was positively associated with definite migraine in women [OR: 1.29 (1.04-1.59)], probable migraine in both men [OR: 1.40 (1.15-1.69)] and women [OR: 1.29 (1.04-1.59)]. Physical inactivity in CPA domain was associated to increased OR for probable TTH in men [OR: 1.33 (1.01-1.75)], while CPA was inversely associated to definite migraine [OR: 0.79 (0.64-0.98)] and probable migraine [OR: 0.80 (0.67-0.96)] in women. Considering all headaches, unmet vigorous physical activity levels were associated to increased OR for definite migraine [OR: 1.36 (1.13-1.65)] and probable migraine [OR: 1.37 (1.20-1.57)]. Finally, we found higher odds for daily headaches among LTPA-inactive [OR: 1.73 (1.20-2.49)] and CPA-insufficiently active [ OR: 1.36 (1.04-1.79)] participants.ConclusionPhysical inactivity is associated with headache disorders in the ELSA-Brasil study, with distinct associations regarding headache subtype, sex, physical activity domain and intensity, and headache frequency.


Author(s):  
Masuder Rahman ◽  
Sakila Akter ◽  
Fatama Tous Zohora ◽  
Abu Zaffar Shibly

Background: Cardiovascular Disease (CVD) is a major public health problem throughout the world. In Bangladesh, the reliable data concerning various aspects of CVD is inadequate at present due to lack of national population-based surveys or central administrative health data. Given the rising incidence of CVDs in Bangladesh, an improved understanding of the CVD, symptoms and risk factors is needed. Hence, this study was performed to assess the level of knowledge towards CVD types, warning symptoms of heart attack or stroke, and CVD risk factors.Methods: A descriptive cross-sectional survey was conducted from May 2018 to June 2018 using standard questionnaire on a sample of 350 randomly selected Bangladeshi individuals. All the data of the study were input in SPSS (Statistical Package for the Social Sciences) version 20.0 software from IBM for windows and the gathered data thus analyzed using SPSS & Microsoft Excel.Results: The respondents’ knowledge about types of CVD, symptom heart attack, symptom of stroke and the risk factors of CVD are 38.9%, 67.7%, 35.7%, and 92.9% respectively. The most common risk factors of CVD found to be known by around than two-third of respondents were unhealthy diet (66.9%), physical inactivity (64.3), obesity (61.4%), and smoking (58.6%).Conclusions: The respondents’ knowledge about types of CVD, symptom heart attack, symptom of stroke and the risk factors of CVD are 38.9%, 67.7%, 35.7%, and 92.9% respectively. The most common risk factors of CVD found to be known by around than two-third of respondents were unhealthy diet (66.9%), physical inactivity (64.3), obesity (61.4%), and smoking (58.6%).


Author(s):  
Rushali R. Lilare ◽  
Durgesh Prasad Sahoo

Background: Anaemia is a major public health problem affecting children, adolescent, women of reproductive age groups and lactating mothers worldwide. As per NFHS-IV data, prevalence of anaemia in India is 53%. This study was done to assess the prevalence of anaemia and its epidemiological correlates among women in reproductive age groups in an urban slum of Mumbai. Methods: This community based cross-sectional study was carried out in an urban slum in Mumbai. Total 315 women in the reproductive age groups (15-49 years) were enrolled in the study. Samples were selected by stratified random sampling from various sectors. All respondents were interviewed and haemoglobin estimation was done with Sahli’s method. Data was analysed using SPSS version 20.0 and chi-square test was used to find out the association between two qualitative variables. Results: The prevalence of mild, moderate and severe anaemia was 37.1%, 9.5% and 2.9% respectively. The factors associated with anaemia were education (p value=0.0001), socio-economic status (p value=0.001), consumption of iron rich food (p value=0.0001) and interval between two successive pregnancy in years (p value=0.0001). Conclusions: The findings of the present study revealed that education, socioeconomic status, consumption of iron rich food, interval between successive pregnancies affect the overall blood haemoglobin level on a long run. Community awareness regarding education and schooling of girls will help to increase the education level of women and would indirectly help to increase the health awareness and decrease the prevalence of anaemia. 


2021 ◽  
Author(s):  
Anuji Upekshika Gamage ◽  
Rohini de Alwis Seneviratne

Abstract Background: Physical inactivity is a leading cause of morbidity and mortality and is a major public health problem. Insufficient activity is responsible for a large proportion of non-communicable diseases such as hypertensionObjectives: The purpose of this study was to assess socio-economic variations in physical activity and to measure the association between physical-inactivity and hypertension among government officials in Sri Lanka.Methods: A cross-sectional study was carried out among 275 senior-officers(SOs) and 760 managerial-assistants(MAs) aged 30-60 years and attached to Public Administration institutions in Colombo District in Sri Lanka. Physical-activity(PA) was gathered using the International Physical Activity Questionnaire(IPAQ) adopted and validated to the Sri Lankan context. Blood pressure(measured and classified using JNC-7 guidelines), and anthropometric indices were recorded. Energy utilization of all vigorous and moderated PA and walking was expressed as metabolic-equivalent-of-task(MET) min per week. A total MET score was calculated and categorized based on IPAQ guidelines. Results: Socio-economic variations in PA levels were observed as 58.1%(n=158) SOs and 30.6%(n=226) MAs were involved in inadequate PA. Of the diagnosed hypertensives, 44.7%(n=106), and 49.4%(n=117) reported a low and moderate PA and considering non-hypertensives, 35.9%(n=278), 57.5%(n=445) reported a low and moderate activity levels respectively. After adjusting for potential confounding factors being physically inactive was associated with a higher risk of hypertension[Odds rate ratio(OR) 1.33[95% CI 1.07, 1,65], indicating that physical-inactivity increased the risk of hypertension by 30%. The main modality of commuting to work for SOs(59%) was private transport, and MAs(64%) public transport Commuting distance was positively correlated(p<0.05) with total transport MET among SOs and MAs. After adjusting, commuting distance of >20 km was associated with lower odds of hypertension among SOs and MAs(OR=0.713; 95% CI 0.4 to1.3; and OR=0.63; 95% CI 0.46 to 0.87).Conclusion: Despite the current knowledge that being physically active promotes health, the practice was different. Physical inactivity was associated with hypertension and prevalent among both SOs and MAs. Higher commuting distance is positively correlated with total transport MET and associated with lower odds of hypertension among SOs and MAs. Longitudinal studies are required to provide a causative association between physical inactivity and hypertension among these employees.


Author(s):  
A. A. Alkhlaif ◽  
A. K. Alsuraimi ◽  
A. A. Bawazir

Background/Aims: The Saudi Center for Organ Transplantation (SCOT) reported (2015) a total of 15,782 dialysis patients in Saudi Arabia. Out of these patients, 14,366 were treated via haemodialysis, whereas the remaining 1,416 underwent peritoneal dialysis. Aims: This study aimed to assess common factors that led to ESRD among dialysis patients at King Abdullah’s Dialysis Care Project in Riyadh, Saudi Arabia. Settings and Design: Cross-sectional hospital-based study was conducted in the period May-September 2017, in King Abdullah’s Dialysis Care Project in Riyadh, Saudi Arabia. Methods and Materials: This was a retrospective registry-based study using secondary data from the registry at King Abdullah’s Dialysis Care Project in Riyadh, Saudi Arabia (South Center). Registered male and female adult dialysis patients at this centre were included in this study. Patient medical records including disease state, laboratory profiles, and medical complications were analyzed. Statistical Analysis Used: Statistical Packages for Social Science (SPSS version 22) was used to analyse the data obtained. Various statistical analyses were conducted including means, frequencies, and regression analysis (odds ratio).A P-value of less than 0.05 was considered as significant in the study. Results: A total of 300 patients (55% males and 45% females) were included in this study. The mean age of the sample was 53 years (±SD 16). The prevalence of overweight and obese ESRD patients were 26% and 30%, respectively. The high frequent co-morbidities among ESRD patients were hypertension (82%) followed by diabetes mellitus (57%). The results showed that out of 90% of dialysis complications, 10% were cases of infection. Conclusions: ESRD is an important public health problem in Saudi Arabia with alarming in its annual rates. For a better understanding of the aetiology and specific risk factors provoking ESRD in Saudi Arabia, further studies need to be conducted.


2017 ◽  
Vol 4 (12) ◽  
pp. 4006
Author(s):  
Anand A. ◽  
Maragathamani .

Background:Diabetes mellitus is a major public health problem globally and in Indian population and diabetic foot is reported as the most common cause of non-traumatic amputation of the lower limbs in India. There is renewed interest in various inflammatory markers and their association with various chronic complications of diabetes mellitus. There is a scarcity of data on the subject in Indian population.Methods: The current study was a cross sectional study of 100 patients admitted to a Diabetic foot in Department of General Surgery, Stanley medical college and Hospital between January 2012-November 2012. The CRP level and fasting and plasma glucose levels were considered as the relevant variables for statistical analysis.Results:A total of 100 patients were included in the final analysis. The proportion of subjects with Wagners, grade 1, grade 2, 3, 4 and 5 ulcers were 48%, 27%, 16%, 3% and 6% respectively. Among the study population, 73% of patients had CRP value greater than 40 and 27% patients had CRP value less than 40. The proportion of subjects with Higher CRP level (>40) showed increasing trend with increasing level of fasting blood sugar and post prandial blood sugar in the study population. The proportion of people who underwent amputation was 27.5% in people with CRP value >40 and it was only 6.85% of people with CRP value <40, the association between CRP values and amputation was statistically significant. (P value 0.046).Conclusions:The study has established a strong positive association between poor blood sugar control and elevated CRP levels in the study population. The study has also documented a positive association between higher CRP levels and amputation.


2017 ◽  
Vol 94 (1107) ◽  
pp. 32-36 ◽  
Author(s):  
Arjuna Medagama ◽  
Manoj Galgomuwa ◽  
Chinthani De Silva

BackgroundPhysical inactivity is the fourth leading risk factor for mortality worldwide and a leading risk factor for type 2 diabetes and cardiovascular disease. Medical undergraduates are a group of young adults expected to have a sound knowledge of the benefits of physical activity (PA) and have an active lifestyle.ObjectiveTo quantifyPA levels among medical undergraduates of a Sri Lankan university and to determine the socio-demographic correlates of physical inactivity.MethodsMedical undergraduates in their third, fourth and fifth years of study were recruited for this quantitative, descriptive, cross-sectional study using a self-administered questionnaire.ResultsA total of 421 students were recruited. Overall 41% were physically inactive. Females (47%) were more inactive than males (34%). The total mean weekly metabolic equivalent (MET)-minutes was 1468.2±1873. Males (1676.2±1629) had a higher mean weekly MET minutes than females (1319±20102), p=0.05. 88% owned a portable internet device such as a smartphone or tablet. Students using health-related apps on their devices had significantly higherPA (p=0.01) and lower body mass index (BMI) (p=0.04), than those who did not. Binary logistic regression revealed physical inactivity to be significantly associated with gender (p=0.01), not using a health-promoting app on their portable device (p=0.01) and the year of study (p=0.03).ConclusionPhysical inactivity is a significant problem among medical undergraduates. The use of health applications was associated with a higher PA and lower BMI. The reasons for inactivity and the discrepancy in activity levels between males and females needs to be explored in greater detail.


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