scholarly journals The study of epidemiological correlates of hypertension among the rural population of Mehsana district of North Gujarat region, India

Author(s):  
Nilesh Thakor ◽  
Pankaj B. Nimbalkar ◽  
Maulik D. Joshi

Background: The changing lifestyle factors in rural population are associated with increase in hypertension. Objective was to find out the epidemiological correlates of hypertension among the rural population.Methods: This was cross sectional study and conducted in rural areas of Mehsana district of Gujarat during January 2019 to June 2019. People living rural areas were selected by stratified random sampling. They were screened for hypertension by JNC VII criteria using sphygmomanometer and detailed personal, past and family history was taken after written and informed consent. Data was entered in Microsoft excel and analysis was done using SPSS statistical package.Results: Out of total 602 subjects, 93 (15.4%) were hypertensive. Out of total 93 hypertensive subjects, 50 (53.8%) were females. A blood pressure category and gender difference were not statically significant (p=0.89). Out of 93 hypertensive subjects, 42 (45.2%) subjects were in the age group of ≥60 years. The difference between age groups and blood pressure category was significant (p<0.0001). Out of 93 hypertensive subjects’ majority 85 (91.4%) had negative tobacco history while only 8 (8.6%) consumed tobacco in any form. The tobacco history and blood pressure category were not significantly associated (p=0.211). Out of total 93 hypertensive subjects, 54 (58.1%) subjects were (≥25) body mass index (BMI). Categories of BMI and hypertension were extremely significantly associated (p<0.0001).Conclusions: Hypertension is significantly associated with age, socio economic class and BMI.  

Author(s):  
Nilesh Thakor ◽  
Pankaj B. Nimbalkar ◽  
Maulik D. Joshi

Background:High blood pressure is considered both a disease and a risk factor, especially for cardiovascular diseases, and is one of the most serious public health problems. To find out the prevalence of hypertension among the rural population of Mehsana district of North Gujarat region, India.Methods:This was cross sectional study and conducted in rural areas of Mehsana district of Gujarat during January 2019 to June 2019. People living rural areas were selected by stratified random sampling. They were screened for hypertension by JNC VII criteria using sphygmomanometer after written and informed consent. Data was entered in Microsoft excel and analysis was done using statistical package for the social sciences (SPSS) statistical package.Results: Out of total 602, majority 293 (48.7%) subjects had normal blood pressure with mean age of 25.28±16.62 years, 271 subjects (45.0%) had pre hypertension with mean age of 40.30±14.32 years. Out of total, 25 (4.2%) subjects had hypertension stage 1 with mean age of 45.82±11.48 years and 13 (2.2%) subjects had hypertension stage 2 with mean age of 53.77±16.02 years. Out of total 271 subjects who had pre hypertension, 150 (55.3%) were males. Hypertension stage 1 and 2 were almost equally distributed among both gender. A blood pressure category and gender difference was statically significant. Out of total 38 hypertensive subjects, 19 (50%) subjects were in the age group of 40-59 years.Conclusions: Prevalence of hypertension among rural population was 6.4%. 


2020 ◽  
Author(s):  
Shao Ju ◽  
Shaosong Zhou ◽  
Yuan Qu ◽  
bibo liang ◽  
Qing-Hong Yu ◽  
...  

Abstract Background: Bone turnover and metabolic indicators are related to age and gender. Age and gender should be matched in subjects in disease control research of bone turnover and metabolism, but strict matching of gender and age increases the difficulty and cost of the research. Therefore, the aim of this study was to solve the question of whether it is necessary to strictly match age and gender in clinical research in bone metabolism.METHODS: Patient data were extracted from the HIS of ZhuJiang Hospital, Southern Medical University. From these data, a cross-sectional study was conducted. Data relating to seven bone turnover and metabolic indicators from 1036 patients between January 2018 and October 2019 were analyzed. A total of 156 patients aged under 20 were identified and analyzed separately. RESULTS: P1NP, β-CTx and 25(OH)D were significant different in individuals younger than 20 years of age. ALP was significantly higher in those under 20 years of age and lower at age 20-39 compared with other age groups. The concentrations of Ca and P were different among the groups aged 0-19, 20-39, and 40-59 years of age groups but exhibited no difference above 60 years of age. PTH expression was not dependent on age. P1NP, β-CTx and PTH concentrations were not significantly different between the genders within the same age group. ALP was significantly different between genders within the age range 20-59 years. Ca and 25(OH)D were significantly different between the genders for those older than 60. Serum P was significantly different in the two genders for those aged 40-79. CONCLUSION: P1NP and β-CTx were highly correlated with age. If these two indictors require analysis in a case control study, the patients and controls should be strictly matched by age under 20 years. The demarcation point for ALP was 40 years of age. Ca and P were strongly recommended strict matching according to age in disease research. The difference in P1NP, β-CTx, 25(OH)D and ALP between genders depends on age differences.


Author(s):  
Pratibha Rao Katapadi ◽  
Dattatreya D. Bant

Background: Hypertension is a significant public health issue worldwide and can have deleterious effects on the health when it is not under control. Adherence to antihypertensive medications is thus necessary for better control of blood pressure and to reduce the risk of complications. There are various factors which support or hinder the patient’s adherence to anti- hypertensive treatment. Thus this study was done to reflect the factors influencing the adherence to antihypertensive drugs among urban and rural population.Methods: A community based cross sectional study was conducted in urban and rural field practice areas of Karnataka Institute of Medical Sciences, Hubballi. A semi-structured questionnaire was used for data collection among the known hypertensive patients. The data was entered in Microsoft Excel and analysed using SPSS software.Results: Most of the hypertensive patients were aged 45 and above (89.5%). A total of 73.5% of the participants were adherent to antihypertensive medications and adherence was more among urban (76%) as compared to rural population (71%). Knowledge regarding complications of uncontrolled hypertension was the major factor for adherence in both the areas. The mean systolic and diastolic blood pressure was controlled in patients who were adherent.Conclusions: There is a higher level of adherence to antihypertensive medications in urban population as compared to rural population of Hubballi. The findings suggest patient factors, clinical factors and socio-demographic factors play an important role in determining the adherence to the medication.


Author(s):  
Trapti Saxena ◽  
Rajeev K. H.

Background: Hypertension is major risk factor for CVDs and its complications account for 9.4 million deaths worldwide every year. Hypertension itself is responsible for about 45% and 51% deaths due to heart disease and stroke respectively. Hypertension is a major public health concern in India both in urban and rural areas and it is increasing at an alarming rate in rural population. Because of inadequate access to health care facilities at rural areas, the early screening and treatment of hypertension is not done regularly, so we conducted this study. The objective of the study was to determine the prevalence of hypertension in a rural community of coastal Karnataka.Methods: A community based cross sectional study was conducted at rural field practice area of Srinivas Institute of Medical Sciences. Sample size was 300 and convenient sampling method used. Data was collected visiting homes and blood pressure measured with mercury sphygmomanometer by. Descriptive statistics were used to analyse the data.Results: Among 300 participants, 45% and 55% were males and females respectively and mean age of the participants was 50.6±15.4 years. The overall prevalence of hypertension among them was 18% and the proportion of hypertension was more among males, people aged >45 years and illiterates.Conclusions: Our study shows that, hypertension has seeped into rural population also which was a concern of the urban population earlier. New cases of hypertension diagnosed were also more which indirectly indicates, most people are not aware of their blood pressure and importance of regular monitoring of blood pressure. So, doing regular screening and creation of awareness at rural areas will help in reducing the morbidity and mortality due to hypertension and its complications. 


Author(s):  
Neethi Chandra M. ◽  
Ramesh Babu A. ◽  
T. S. Durga Prasad ◽  
Meghana Devulapalli ◽  
Shabana Banu S. K. ◽  
...  

Background:HIBackground: HIV/ AIDS is an epidemic that is most prevalent in India affecting people of different age groups, occupations and gender. It has a severe impact on the health status of the affected individuals. With the increase in the transmission of HIV there is also an increase in the existence of TB as a co-infection. In this context, the aim of our study is to emphasize the factors affecting the occurrence, transmission and prognosis of HIV/AIDS patients along with TB co-infection.Methods: A cross sectional study was conducted from October 2015 to March 2016 at an ART center in South India. All the seropositive patients with/ without opportunistic infection above the age of 18 years were included in the study.Results: Overall 374 patients were included in the study, of which the most affected age group was 18-45 years. Women constituted 55.61% of the total population. 64.17% of the individuals were married. Majority of them belonged to rural areas (64.97%) and were illiterates (37.43%). Commonly observed WHO clinical stage was I and functional status was working. Heterosexuality (93.65%) was the predominant route of transmission. 170 had TB with PTB (60.58%) being prevalent than EPTB (33.52%). The number of smear positive and smear negative cases were 37.79% and 27.55% respectively. DOTS therapy was accessible to only 49.99%.Conclusions: There was an extensive prevalence of TB among HIV/AIDS individuals. This signifies a need for increased screening of TB among HIV seropositive individuals and vice-versa. Preventive and educational programmes should be organised to halt the transmission of HIV and to reduce the newly occurring HIV infections. V/ AIDS is an epidemic that is most prevalent in India affecting people of different age groups, occupations and gender. It has a severe impact on the health status of the affected individuals. With the increase in the transmission of HIV there is also an increase in the existence of TB as a co-infection. In this context, the aim of our study is to emphasize the factors affecting the occurrence, transmission and prognosis of HIV/AIDS patients along with TB co-infection.Methodology: A cross sectional study was conducted from October 2015 to March 2016 at an ART center in South India. All the seropositive patients with/ without opportunistic infection above the age of 18 years were included in the study.Results: Overall 374 patients were included in the study, of which the most affected age group was 18-45 years. Women constituted 55.61% of the total population. 64.17% of the individuals were married. Majority of them belonged to rural areas (64.97%) and were illiterates (37.43%). Commonly observed WHO clinical stage was I and functional status was working. Heterosexuality (93.65%) was the predominant route of transmission. 170 had TB with PTB (60.58%) being prevalent than EPTB (33.52%). The number of smear positive and smear negative cases were 37.79% and 27.55% respectively. DOTS therapy was accessible to only 49.99%.Conclusion: There was an extensive prevalence of TB among HIV/AIDS individuals. This signifies a need for increased screening of TB among HIV seropositive individuals and vice-versa. Preventive and educational programmes should be organised to halt the transmission of HIV and to reduce the newly occurring HIV infections.   


2020 ◽  
Author(s):  
Shao Ju ◽  
Shaosong Zhou ◽  
Yuan Qu ◽  
bibo liang ◽  
Qing-Hong Yu ◽  
...  

Abstract Background : Bone turnover and metabolic indicators are related to age and gender. Age and gender should be matched in subjects in disease control research of bone turnover and metabolism, but strict matching of gender and age increases the difficulty and cost of the research. Therefore, the aim of this study was to solve the question of whether it is necessary to strictly match age and gender in clinical research in bone metabolism. METHODS: Patient data were extracted from the HIS of ZhuJiang Hospital, Southern Medical University. From these data, a cross-sectional study was conducted. Data relating to seven bone turnover and metabolic indicators from 1036 patients between January 2018 and October 2019 were analyzed. A total of 156 patients aged under 20 were identified and analyzed separately. RESULTS: P1NP, β-CTx and VitD 3 were significant different in individuals younger than 20 years of age. ALP was significantly higher in those under 20 years of age and lower at age 20-39 compared with other age groups. The concentrations of Ca and P were different among the groups aged 0-19, 20-39, and 40-59 years of age groups but exhibited no difference above 60 years of age. PTH expression was not dependent on age. P1NP, β-CTx and PTH concentrations were not significantly different between the genders within the same age group. ALP was significantly different between genders within the age range 20-59 years. Ca and VitD 3 were significantly different between the genders for those older than 60. Serum P was significantly different in the two genders for those aged 40-79. CONCLUSION: P1NP and β-CTx were highly correlated with age. If these two indictors require analysis in a case control study, the patients and controls should be strictly matched by age under 20 years. The demarcation point for ALP was 40 years of age. Ca and P were strongly recommended strict matching according to age in disease research. The difference in P1NP, β-CTx, VitD3 and ALP between genders depends on age differences.


2014 ◽  
pp. 90-93
Author(s):  
Van Tuan Nguyen ◽  
Tam Vo ◽  
Bui Bao Hoang

Elevated serum Transforming growth factor-beta1 (TGF-beta1) levels have been linked to tissue fibrosis including chronic kidney disease. Objectives: (1) Investigate serum TGF-beta1 levels in healthy adult people and (2) Examined the relation between serum TGF-beta1 level and gender, age, body mass index (BMI). Method: A cross-sectional study. TGF-beta1 were quantified by ELISA. Results: Levels of serum TGF-beta1 in healthy people were 13,45 ± 7,17 ng/mL mL (0,59 - 33,10 ng/mL). There are no difference of serum TGF-beta1 levels between men and women, between the age groups (<40 years, 40 to < 60 years and ≥ 60 years), between BMI groups < 23 and BMI group ≥ 23. Key words: TGF-beta1, healthy people


Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 2961
Author(s):  
Nafissatou Cisse Egbuonye ◽  
Ariun Ishdorj ◽  
E.L.J. McKyer ◽  
Rahma Mkuu

Malnutrition is a major public health concern in Niger. The stunting rate in children in Niger is over 50%, one of the highest in the world. The purpose of this cross-sectional study was to examine children’s dietary diversity (CDD) and the maternal factors that impact CDD. A total of 1265 mother–child pairs were analyzed. Descriptive analysis was conducted to present maternal and child characteristics. To compare the mean scores of CDD in relation to the region, an independent sample t-test was conducted. A one-way ANOVA test was conducted to evaluate the CDD score by different age groups. A linear regression model was estimated to identify household, maternal and child factors that affect the CDD score. Our results indicate that most of the participants of our survey resided in rural areas and the majority (80.7%) of the mothers had no education. Factors such as region, children’s age, woman’s empowerment, vitamin A intake and wealth index were significant predictors of CDD (p < 0.05). The children residing in rural areas were more likely to have lower CDD scores (p < 0.05) than the children in urban areas, therefore becoming more susceptible to malnutrition.


2017 ◽  
Vol 17 (3) ◽  
pp. 86-96 ◽  
Author(s):  
Mohd Rohaizat Hassan ◽  
Mohd Fadhli Samsuri ◽  
Shamsul Azhar Shah ◽  
Nazarudin Safian ◽  
Zulkifli Md Zainuddin ◽  
...  

The purpose of this study was to determine the prevalence and factors associated with of Premature Ejaculation &Erectile Dysfunctionamong Malaysian men. A cross-sectional study was conducted in urban and rural areas using standardized and validated self-administered questionnaires. A total of 319 samples were recruited for PE screening. The overall prevalence of PE was 31.7% with 20.7% and 40.8% for urban and rural area respectively. Depression, anxiety and frequent masturbation were significantly associated with PE. While For ED, infrequent sexual intercourse was the sole factor significantly associated with ED.PE and ED were highly prevalent in both urban and rural areas; with several significant preventable associated factors.


2016 ◽  
Vol 5 (1) ◽  
pp. 15-20
Author(s):  
S Hoque ◽  
I Jahan

A descriptive type of cross sectional study on exploring the common oro-dental problems among the patients attending outpatient department of Ohud Dental Care and implant center, Bogra was conducted during the period from May to July’ 2013. The objectives of this study were to identify the common oro-dental problems for assessing the level of knowledge regarding dental care practices among the respondents. A questionnaire based data were collected and the sample compares 414 respondents of all age groups. The highest percentage of the patients had complaints of periodontitis (73.9%) followed by gingivitis (64.3%), dental caries (40.6%), attrition (10.4%), mobility (5.8%), broken teeth (5.6%) and alveolar abscess (6.3%). Considering the pattern of inflammation, 425.5% had inflammatory or-dental problems and 56.6% had non-inflammatory oro-dental problems. On examination also revealed that 3 1.9% unhealthy gums, 3.9% had unhealthy tonsils, 10.3% had diseased tongue, 10.7% had diseases mucosa and 4.1% had apthus ulcer. The proportion of illiterate patients were higher among the inflammatory disease (16.7%) compared to non-inflammatory disease (9.8%), where as respondents having graduate level of education were higher among the non- inflammatory disease (30.8%) compared to inflammatory diseases (8.3%). There was significant association between the oro-dental problems and food habit (p>O.O5) except liking of sweet and habit of area nut and lime (p<O.05). This indicated that the proportion of non-inflammatory dental problems were higher among the patients habituate with sweet (82.5%) compared to inflammatory disease (72.2%). But the proportion of inflammatory disease was higher among the patients having habituated with chewing areca nut line (35.0%) than non- inflammatory disease (26.1%). Knowledge of causes of dental problems higher among the patients having non-inflammatory disease (62.0%) compared to inflammatory disease (46.7%) and the difference was statistically significant (p<O.001). Similarly, the proportion of visiting dental surgeon was significantly (p<0.001) higher among the patients having non-inflammatory disease (4.4%).International Journal of Natural Sciences (2015), 5(1) 15-20


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