scholarly journals THE EFFECTS OF THE UTILIZATION OF INTEGRATED MANAGEMENT POST OF MEDICAL FACULTY OF MULAWARMAN UNIVERSITY ON RISK INDICATORS OF NON-COMMUNICABLE DISEASE

2020 ◽  
Vol 7 (2) ◽  
pp. 150-154
Author(s):  
Irma Kania Safitri ◽  
Krispinus Duma ◽  
Rahmat Bakhtiar ◽  
Evi Fitriani

Non-communicable diseases have become a major public health problem in the last decade. In Indonesia, it was more than 36 million people dying from non-communicable diseases related to several risk factors including behavioral, metabolic and social risk factors. Several indicators can be considered to detect the risk factors of non-communicable diseases. They are blood pressure, cholesterol, glucose, uric acid, and body mass index. Efforts to prevent and control non-communicable diseases that are being developed in Indonesia are integrated management posts for non-communicable diseases that provide facilities and guidance to the community to take part in controlling the risk factors for non-communicable diseases. This research is an observational analytic study with the cross-sectional method based on data obtained from the monitoring book of members of the Medical School of Mulawarman University. The sample of this study was all individuals in the population that met the inclusion criteria of the study. Sixty-five samples were obtained to see the posbindu effect on blood pressure and 61 samples saw the effect of posbindu on total cholesterol levels that met the inclusion criteria. The variables observed in this study were posbindu utilization, sample blood pressure, and total cholesterol levels in the sample. The results of the research, there was the effect of using posbindu on sample blood pressure (p = 0.042), and there was no effect on the use of total cholesterol level in the sample (p = 0.590).

2018 ◽  
Vol 47 (7) ◽  
pp. 705-712
Author(s):  
Sidsel Graff-Iversen ◽  
Inger Ariansen ◽  
Øyvind Næss ◽  
Randi M. Selmer ◽  
Bjørn Heine Strand

Background: The absolute educational differences in the mortality of Norwegian women and men increased during 1960–2000 and thereafter levelled off in men, but continued to widen in women. Which of the risk factors for non-communicable diseases (NCDs) might explain these trends? Aim: The aim of this study was to investigate trends in gender-specific, absolute educational differences in established risk factors during 1974–2002. Methods: We used cross-sectional data from 40–45-year-old women and men who participated in one of three health surveys in two counties, from the years 1974–1978, 1985–1988 and 2001–2002. To account for increasing educational attainment through the period we used a regression-based index of inequality (Slope Index of Inequality) to assess the educational gradients over time. Results: From 1974 to 2002, the mean levels of serum total cholesterol and blood pressure decreased and body mass index (BMI) increased in all subgroups by education in both sexes. In men, the educational gradient tended to diminish toward the null for serum total cholesterol and narrowed for systolic blood pressure, but increased for BMI. In women, the educational gradient increased to the double for smoking and increased for triglycerides. Conclusions: In two Norwegian counties, the NCD risk factors showed dynamic patterns during 1974–2002. For blood pressure and serum total cholesterol, the levels showed consistent beneficial changes in all educational subgroups, with a narrowing tendency for educational gradients in men. In women, the educational gradient for smoking increased markedly. Knowledge on midlife trends in the educational gradients of risk factors may help to explain recent and future NCD mortality.


2019 ◽  
Vol 7 (1) ◽  
pp. 90-95
Author(s):  
Ike Ulantari ◽  
Kusdalinah Kusdalinah ◽  
Eliana Eliana

Non-communicable diseases caused global death. Deaths due to non-communicable diseases are expected to continue to increase throughout the world. More than 70% of the global population will die of non-communicable diseases such as cancer, heart disease, stroke and diabetes mellitus. Purpose of this research to analyze effect of red dragon fruit (Hylocereus polyrhizius) on total cholesterol levels of women with type 2 diabetes mellitus. This study was pre-experiment with one group Pretest and Posttest design. The subjects of the study were women with diabetes mellitus who had cholesterol levels of ≥200mg / dl as many as 20 people. The intervention for 14 days was given red dragon fruit juice at a dose of 5.72 g / kgBB. The normality test uses the Shapiro Wilk test. Statistical analysis using the Wilcoxon test. The highest cholesterol level before intervention was 327 mg / dl, lowest was 209 mg / dl. The highest cholesterol level after intervention was 312 mg / dl, lowest was 198 mg / dl. There were differences before and after the intervention (p = 0.025). Red dragon fruit juice supplement can decrease total cholesterol on women with Diabetes melitus.


1988 ◽  
Vol 3 (2) ◽  
pp. 5-11 ◽  
Author(s):  
Christopher L. Melby ◽  
Roseann M. Lyle ◽  
Gerald C. Hyner

High blood pressure is a major public health problem in the United States. However, the underlying reasons for the chronic elevation of blood pressure (BP) are unknown in most cases of hypertension (HT), and medical care has focused on lowering already elevated BP, primarily by pharmacologic means. Although an important factor in the development of HT appears to be a genetic predisposition, other potentially modifiable lifestyle risk factors associated with elevated BP have been identified. This article describes the scientific rationale for encouraging health promotion specialists to focus on the primary prevention of abnormally elevated blood pressure. Nonbehavioral risk factors such as increasing age, history of HT, Black ancestry, and consistent BP readings in the higher range of normality, and behavioral factors including dietary excesses and deficiencies, excessive body fat, a sedentary life style, and frequent episodes of unmanageable emotional stress are addressed. Recommendations are made based on scientific evidence supporting the relationships between these risk factors and the development of HT.


Author(s):  
Sumit Audichya ◽  
Pavithra H. ◽  
Harikrishnan V. ◽  
Kibballi Madhukeshwar Akshaya

Background: Non communicable diseases (NCDs) are on the rise among workers in various occupations resulting in morbidity and mortality. This study was conducted to assess the various risk factors and associated socio-demographic factors among the security and transport personnel working in a health sciences university in Mangaluru.Methods: It was a cross-sectional study conducted among all the security and transport personnel. Questionnaire based on WHO-STEPS approach was used. Blood pressure (BP) measurements were recorded.Results: Total 167 study participants were enrolled; 57.5% were security and rest were transport personnel. Physical activity was perceived as light by 63.5% participants. Current smokers constituted to 26% and 33.5% consumed alcohol in past 12 months. Eighteen percent of them top salted their food. Among participants who were apparently healthy, 12.5% and 23.4% had raised systolic and diastolic BP. Associations between the areas of residence (p=0.004) and type of occupation (p<0.001) were found to be significant.Conclusions: Prevalence of risk factors of NCDs was high among study participants. Only few study subjects were physically active and majority of them felt that their routine work provided them with light physical activity. Around one third of the participants consumed tobacco and alcohol. Around 1/4th of the study participants who were not known hypertensive, were found with increased levels of blood pressure.


2020 ◽  
Vol 11 (1) ◽  
pp. 44-53
Author(s):  
Vesna Lazić ◽  
Biljana Mijović ◽  
Miloš Maksimović

Chronic non-communicable diseases are diseases that arise as a response of the human body to a number of factors, the most important of which are ecological and socio-economic factors. According to the World Health Organization, their classification is based on mortality and morbidity statistics. The top four leading causes of death are as follows: cardiovascular diseases, malignancies, chronic respiratory diseases and diabetes. Non-communicable diseases (NCDs) present a global public health problem, leading to over 40 million deaths a year, whereby the population aged 30 to 69 years account for one third of the total number of deaths. Risk factors for the development of chronic NCDs can be divided into metabolic and environmental ones. Metabolic risk factors include hypertension, hyperglycemia, hyperlipidemia and obesity. Environmental risk factors include: alcohol and tobacco consumption, followed by physical inactivity and unhealthy diet. Unhealthy diet, apart from posing a risk for the development of NCDs, is also the cause of metabolic risk factor development, namely hypertension and obesity. The world nutritional authorities are focused on making dietary recommendations to prevent the rising trend and subsequently reduce morbidity from NCDs.


2020 ◽  
Author(s):  
Samwel Maina Gatimu ◽  
Thomas Wiswa John

Abstract IntroductionOne in four Kenyans have raised blood pressure. Despite this high prevalence of hypertension and known association between socioeconomic status and hypertension, there is a paucity of evidence on inequality in raised blood pressure in Kenya. Hence, we quantified the socioeconomic inequality in hypertension in Kenya and decomposed the determinants contributing to such inequality.MethodsWe used data from the 2015 Kenya STEP wise survey for non-communicable diseases risk factors. We included 4,398 respondents aged 18–69 years. We estimated the socioeconomic inequality using the concentration index (C) and decomposed the C using Wag staff decomposition analysis.ResultsThe overall concentration index of hypertension in Kenya was − 0.08 (95% CI: −0.14, − 0.02; p = 0.007), showing socioeconomic inequalities in hypertension disfavouring the poor population. Half (52.8%) of the pro-rich inequalities in hypertension was explained by body mass index (52.8%) while 21.1% by socioeconomic factors (paid employment (9.3%), education (7.7%) and poorest wealth quintile (4.1%)) and 17.6% by demographic factors (female gender (11.8%), age (5.2%) and marital status (0.6%)). Regional differences explained 8.1% of the estimated inequality with the Central region alone explaining 6.9% of the observed inequality. Our model explained 98.3% of the estimated socioeconomic inequality in hypertension in Kenya with a small non-explained part of the inequality (− 0.001).ConclusionThe present study shows substantial socioeconomic inequalities in hypertension in Kenya, mainly explained by metabolic risk factors (body mass index), individual health behaviours, and socioeconomic factors. Kenya needs gender- and equity-focused interventions to curb the rising burden of hypertension and inequalities in hypertension.


2018 ◽  
Vol 7 (4) ◽  
pp. 274
Author(s):  
Monicah Njambi Kibe ◽  
Gordon Nguka ◽  
Silvenus Konyole

In Kenya the growing number of premature deaths with half of all hospital admissions and 33% of all deaths are associated with Non-communicable diseases. The study determined the physical measurements and lipid parameters of adults 25-65 years at Kakamega County General Hospital. Data was collected using the WHO STEPs Instrument: Physical measurements assessed were Mid Upper Arm Circumference, Waist Hip measurements, Body mass Index and blood pressure. The study significance level was 0.05.  Data was analyzed using SPSS version 20. Descriptive statistics was used. χ<sup>2</sup> test of independence was used to find out the relationship between anthropometric measurements and lipid parameters. Data was presented in form of tables, figures and texts. There was a significant relationship between BMI and Triglycerideχ<sup>2</sup> (12, N=60)= 25.752 P=0.012, BMI and LDLχ<sup>2</sup>(8,N=60)=19.312 p=0.013, BMI and Total Cholesterol χ<sup>2</sup>(8, N=60)=18.694 p=0.017, MUAC and HDL χ<sup>2</sup>(4, N=60) =14.446 p=0.006, WHR and Total Cholesterol χ<sup>2</sup>(2, N=60)=17.985 p=0.000, WHR and LDL χ<sup>2</sup>(2, N=60)=15.246p=0.000. The study advocated for policies to reduce the incidences of risk factors for NCDs which will assist in achievement of Sustainable Development Goals. Kenyan population are in need of screening for risks associated with NCDs.


2020 ◽  
Vol 4 (2) ◽  
pp. 16
Author(s):  
I Putu Sudayasa ◽  
Muhammad Fathur Rahman ◽  
Amiruddin Eso ◽  
Jamaluddin Jamaluddin ◽  
Parawansah Parawansah ◽  
...  

ABSTRAKPenyakit tidak menular (PTM) merupakan penyakit yang tidak ditularkan dan tidak ditransmisikan kepada orang lain dengan bentuk kontak apapun, menyebabkan kematian dan membunuh sekitar 35 juta manusia setiap tahunnya, atau 60% dari seluruh kematian secara global, dengan 80% pervalensi pada negara berkembang. Penyakit tidak menular, khususnya penyakit kardiovaskuler, kanker, penyakit pernapasan kronis, dan diabetes merupakan ancaman utama bagi kesehatan dan perkembangan manusia saat ini. Tujuan pengabdian masyarakat yang terintegrasi kuliah kerja nyata (KKN) Tematik, untuk mendeteksi faktor risiko penyakit tidak menular, pada masyarakat Kecamatan Sampara, Kabupaten Konawe. Metode kegiatan berupa penyuluhan kesehatan, pemeriksaan tekanan darah, kadar kolesterol, gula darah sewaktu dan asam urat. Telah dilakukan skrining dan deteksi dini fator risiko penyakit tidak menular terhadap 67 orang responden, meliputi 14 laki–laki dan 53 perempuan. Pada hasil pemeriksaan tekanan darah, didapatkan jumlah yang mengalami hipertensi 28,35 %, normotensi 67,16, dan hipotensi 4,47 %. Pada pemeriksaan Kolesterol Total, didapatkan  kolesterol dalam batas normal 2,38 % dan tinggi 37,31 %.  Hasil pemeriksaan gula darah sewaktu (GDS), didapatkan kadar GDS dalam batas normal 85,07 % dan kadar GDS tinggi 14,92 %. Pada pemeriksaan Asam Urat didapatkan dalam batas normal adalah 91,04 % dan tinggi 8,95 %.Kata kunci: Faktor Risiko; Penyakit Tidak Menular Early Detection of Non-communicable Disease Risk Factors in Andepali Village Community, Sampara District, Konawe RegencyABSTRACTNon-communicable disease (PTM) is a disease that is not transmitted and is not transmitted to others by any form of contact, causing death and killing around 35 million people each year, or 60% of all deaths globally, with 80% prevalence in developing countries. PTM, especially cardiovascular disease, cancer, chronic respiratory diseases, and diabetes are the main threats to human health and development today. The purpose of integrated community service is the Thematic Real Work Study (KKN), to detect risk factors for non-communicable diseases, in the community of Sampara District, Konawe Regency. The method of activity in the form of health education, blood pressure, cholesterol levels, blood sugar and uric acid. Screening and early detection of risk factors for non-communicable diseases have been carried out on 67 respondents, including 14 men and 53 women. On the results of blood pressure examination, it was found that the amount of hypertension was 28.35%, normotension 67.16% and hypotension 4.47%. In the examination of Total Cholesterol, cholesterol was found to be within the normal limit of 2.38% and 37.31% high. Examination results of Blood Sugar (GDS), obtained levels of GDS in the normal range of 85.07% and high GDS levels of 14.92%. In the examination of Gout found in the normal range is 91.04% and high 8.95%.Keywords: gout; blood sugar; cholesterol; non-communicable diseases; blood pressure 


Author(s):  
Naresh Kumar Panneerselvam ◽  
Preethi K. Suresh ◽  
Dhilip Ravindran ◽  
Ezhil Ratnakumari Manoharan

Abstract Objectives A healthy lifestyle is one, where the individual adapts it aiming at prevention from ailments. Unhealthy lifestyle is a behavioral risk factor for non-communicable diseases (NCDs). Arogya Raksha Panchatantra (five principles of healthy living), is a Naturopathy and Yoga lifestyle practice proposed by an eminent Indian Naturopath Dr. B. Venkat Rao, observed to modify the behavioral risk factors. The main objective of this study is to observe the changes in Hematological parameters and Anthropometric measures by practicing this Naturopathic lifestyle. Methods The study adapted one group Pretest – Posttest quasi experimental design, with a total of nine healthy student volunteers between age group 18–20 years. Hematological parameters such as total blood cells count, hemoglobin concentration, MCV, MCH, PCV, and anthropometric measurements such as weight, body circumferences (waist, hip) and changes in blood pressure were measured at baseline and after practice at 25th day. Results There was a statistically significant difference observed in weight, waist and hip circumference, hematological indices except with MCV and MCH, and blood pressure (p<0.05), with no significant changes in waist-hip ratio and blood counts. Conclusions The findings of the study indicate that adapting Naturopathy and Yoga lifestyle based on proposed lifestyle practices may be beneficial in reducing the risk factors for non-communicable diseases. The study does not attribute the effects observed to any particular lifestyle practiced in this study; rather it is combination of healthy practices as observed in the study and it needs further longitudinal observations whether the beneficial effect of Naturopathy lifestyle practices is sustained for longer period of time.


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