scholarly journals Awareness and Related Factors of Dyslipidemia in Menopausal Women in Korea

Healthcare ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 112
Author(s):  
Jeonghee Jeong ◽  
Mijin Kim

This study aims to identify the awareness of dyslipidemia and the factors affecting it in menopausal women to prevent cardiovascular disease, a major cause of female mortality. This study used data from 2019, the first year of the eighth (2019–2021) Korea National Health and Nutrition Examination Survey conducted by the Korea Disease Control and Prevention Agency. A total of 975 women fulfilled the selection criteria. Dyslipidemia awareness and the related factors were analyzed with SPSS 26.0 complex sample software. Only 27.3% of menopausal women over age 40 with dyslipidemia were aware of the condition. Factors affecting their awareness level were age, subjective health awareness, body mass index, and underlying disease. The prevalence of dyslipidemia in menopausal women was high, but their awareness was significantly low. This finding confirms the need for measures to improve dyslipidemia awareness to prevent cardiovascular diseases in menopausal women.

Author(s):  
Purum Kang ◽  
Hye Young Shin ◽  
Ka Young Kim

Background—Dyslipidemia is one of the prominent risk factors for cardiovascular disease, which is the leading cause of death worldwide. Dyslipidemia has various causes, including metabolic capacity, genetic problems, physical inactivity, and dietary habits. This study aimed to determine the association between dyslipidemia and exposure to heavy metals in adults. Methods—Using data from the seventh Korean National Health and Nutrition Examination Survey (2016–2017), 5345 participants aged ≥20 years who were tested for heavy metal levels were analyzed in this study. Multiple logistic regression was conducted to assess the factors affecting the prevalence of dyslipidemia. Results—The risks of dyslipidemia among all and male participants with mercury (Hg) levels of ≥2.75 μg/L (corresponding to the Korean average level) were 1.273 and 1.699 times higher than in those with levels of <2.75 μg/L, respectively. The factors that significantly affected the dyslipidemia risk were age, household income, body mass index, and subjective health status in both males and females. Conclusions—In adult males, exposure to Hg at higher-than-average levels was positively associated with dyslipidemia. These results provide a basis for targeted prevention strategies for dyslipidemia using lifestyle guidelines for reducing Hg exposure and healthy behavioral interventions.


2020 ◽  
Author(s):  
Farnaz Khatami ◽  
Mohammad Shariati ◽  
Leila Khedmat ◽  
Maryam Bahmani

Abstract Background The role of family physicians (FPs) in the metropolitan area is critical in identifying risk factors for diseaseprevention/controland health promotioninvarious age groups. Understanding people's preferences and interests in choosing a FP can be an effective and fundamental step in the success of this program. In this study factors affecting the FP selection by Iranian people referred to health centersin the most populous areas in the south of Tehran were assessed and ranked.Methods Asequential mixed-method (qualitative-quantitative) triangulation approach was designed with three subject groups of people, physicians, and health officials.The Framework method was used to analyze interviews transcribed verbatim. After implementing an iterative thematic process, a 26-item quantitative questionnaire with high validity and reliability was draftedto evaluatethe different factors.A convenient sampling method was usedto select 400 subjectson a population-based scale to quantitatively rank the most critical selection factors.Results The selection factors were divided into six centralized codes, including FPs' ethics,individual, professional and performance factors;patients underlying disease and individual health, and disease-related factors;clinic-office’s location and management factors;democracyfactors;economic factors; andsocial factors. After filling out the questionnaires,the most important factors in selecting FP were aspecialistdegree in family medicine (FM), performing accurate examinations, taking correct biography, and spending enough time to visit by the doctor, respectively. However, the parameters such as being a fellow-citizen, being same gender, and physician's appearance were of the least importance.Conclusion There is a necessity to expand the new medical specialty in FM because it was considered as the first people's priority. The clinical andadministrative healthcare systems should schedule the entire implementation process to oversee the doctor's professional commitment and setting the visit times of FP.


2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
T.N Jones ◽  
N Chatrath ◽  
D Cole ◽  
O Dar

Abstract Introduction Cardiac transplantation (CT) is known to improve exercise capacity in patients with advanced heart failure (HF). However, it is unclear whether continued improvements occur after the initial post-operative recovery and whether baseline demographic and disease-related factors influence this improvement. Purpose We aimed to quantify the degree of improvement in exercise capacity over time in CT recipients and establish whether baseline characteristics influenced this improvement. Methods Retrospective review of the medical records of patients who underwent CT at a single centre was performed. Cardiopulmonary exercise (CPEX) testing is routinely offered pre-CT and at 3, 6, 9, 12, 24, 36 and 48 months post-CT, unless there are contraindications. Baseline demographic and clinical characteristics pre-CT were also collected. Results A total of 199 patients underwent CT, of which 138 (69%) were male. The mean age was 44 (SD 14.0) years and mean pre-CT body mass index (BMI) was 25.3 (SD 4.2). In 125 (63%) patients, the underlying aetiology of HF was dilated cardiomyopathy (DCM). 32 (16%) patients had a durable left ventricular assist device (LVAD) as a bridge to CT. Pre-transplant CPEX was undertaken in 131 (66%) patients, with a mean peak VO2 of 15.5 (SD 6.2) ml/kg/min. Peak VO2 was higher in males (16.6; SD 6.7 vs 13.1; SD 4.0, p=0.002) and those under 50 years old (16.8; 7.2 vs 13.8; 3.9, p=0.005) but was not affected by the underlying aetiology (DCM vs others: 16.3, 6.6 vs 14.1, 5.1, p=0.051), the presence of an LVAD (17.3, 5.0 vs 15.1, 6.3, p=0.119) or pre-transplant obesity (14.5, 3.2 vs 15.7, 6.5, p=0.437). Peak VO2 increased within the first year post-CT (Figure 1 and 2). Ongoing improvements were also observed beyond the 1-year time-point, although only the 3-year vs 1-year comparison remained significantly when corrected for multiple comparisons. When analysed with mixed models, time post-CT was a significant predictor of peak VO2 (p=0.001). Additionally, there was a significant interaction between peak VO2 over time with gender (p=0.038), but not with age under 50 years (p=0.244), underlying aetiology being DCM (p=0.05), a previous LVAD (p=0.664) and pre-transplant obesity (p=0.301). Post-hoc analysis showed that males had a greater mean improvement than females in peak VO2 at 1-year compared to pre-CT (7.7, SD 5.5 vs 4.8, SD 4.0 ml/kg/min). Conclusions These results demonstrate that exercise capacity improves up to and beyond the first year post-CT. The degree of improvement may be greater in males, although it is not influenced by age, BMI, underlying disease aetiology or the presence of an LVAD pre-CT. FUNDunding Acknowledgement Type of funding sources: None.


Author(s):  
Amit Kishore Sinha ◽  
Gyanendra B. S. Johri ◽  
Shanti Rai

Since last two decades buying of goods and services from online stores using Internet started off. But players of this industry could reach to the general public residing in second and third category Indian cities in recent past only. Now companies are eagerly interested in understanding the factors affecting Indian consumers so that their needs and wants can be understood and served profitably. This research paper is an attempt to critically evaluate those factors which affect consumer buying behavior in Indian Internet based business environment. For the purpose of coverage of topic researcher has classified the literature under three categories which are Literature related to vendor related factors, Literature related to consumer related factors and Literature related to other factors. Vendor related factors include those factors which are primarily controlled by the companies that are engaged in selling their goods and services on internet along with their intermediaries through which such sales take place. Consumer related factors have been bifurcated under two heading that are consumer demographic factors and consumer psychographic factors. Besides this there are several other factors which may affect consumer’s buying decisions and they are classified as other factors. This research paper also tries to identify the gaps (if any) in the available literature of the factors affecting consumer online buying decisions.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mahbobeh Nejatian ◽  
Ali Alami ◽  
Vahideh Momeniyan ◽  
Ali Delshad Noghabi ◽  
Alireza Jafari

Abstract Background Marital burnout is an important issue in marriage and many factors play an important role in this phenomenon. The aim of this study was to determine the status of marital burnout and the factors affecting married women who were referred to health centers because of it. Methods In this study, 936 women were selected by multistage sampling and data collection was performed using questionnaires of demographic and couple burnout. Data analysis was performed using SPSS software version 24. Results The mean (± SD) of marital burnout, in this study, was 55.46 (± 18.03) (out of 147 score). There was a significant relationship between the level of women's education with total marital burnout, and the subscales of somatic and emotional burnout (P < 0.05). A significant relationship was also observed between mandatory marriage and total marital burnout, as well as subscales of somatic, emotional, and psychological burnout (P < 0.05). A significant relationship was detected and observed between women's participation in training courses of communication skills and total marital burnout, inclusive of the subscales regarding psychological burnout (P < 0.05). The results of linear regression showed a significant relationship between mandatory in marriage, marital satisfaction, marriage duration, and husband's level of education with women's marital burnout. The variables were finally able to predict 12% of marital burnout variance. It should be noted that marital satisfaction had a higher effect on predicting marital burnout (P < 0.001). Conclusions Marital satisfaction was one of the effective factors in predicting marital burnout, so it can be concluded that it is necessary to pay more attention to this issue. Educational programs and examining the factors that enhance marital satisfaction are needed to prevent and reduce marital burnout in married couples.


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