Trends in the Prevalence of Severe Obesity among Tehranian Adults: Tehran Lipid and Glucose Study, 1999–2017

Background: A rise in the global prevalence of severe obesity (body mass index; BMI of ≥35 kg/m2 ) has been reported. In this study, we investigated the trends in the prevalence of severe obesity among Tehranian adults over the past two decades. Methods: A representative sample of 10,045 Tehranians aged ≥19 years were followed from 1999 to 2017. The trends in the prevalence of severe obesity were investigated over six cross-sectional phases with 3.6-year intervals using generalized estimating equations. Results: In this cohort, the overall prevalence of severe obesity increased from 4.6% (1.8% in males and 6.7% in females) in 1999 to 10.1% (4.7% in males and 14.3% in females) in 2017. The persisted rising in prevalence in the youngest age-group in both genders, with the most rapid increase among females aged 19–29 years, plateaued in the older ages and remained unchanged among males aged over 50 years. After age-sex standardized analysis by using Tehranian urban population data, the prevalence rates of severe obesity in Tehranian men and women were estimated to be 1.9% and 5.7% in 1996, and 4.5% and 10.9% in 2016, respectively. Conclusion: A high prevalence of severe obesity among Tehranian adults has been stabilized over the past two decades. Preventive interventions should be focused on the younger and middle-aged population, to mitigate the subsequent burden of severe obesity on Tehranian population and the healthcare system.

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HIGH PREVALENCE OF MALNUTRITON AND WORM INFECTION AMONG VAN KIEU AND PAKOH CHILDREN AGED 12-36 MONTHS IN DAKRONG DISTRICT, QUANG TRI PROVINCE

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2012.5.16 ◽

2012 ◽

pp. 129-134

Author(s):

Thi Lan Tran ◽

Thi Huong Le ◽

Xuan Ninh Nguyen

Keyword(s):

Cross Sectional Study ◽

Age Group ◽

Infection Status ◽

Sectional Study ◽

Group Recommendation ◽

Related Factors ◽

Normal Children ◽

Cross Sectional ◽

High Prevalence ◽

Very High

Objectives: Assess the nutritional status, worm infection status and some related factors among children aged 12-36 months of Dakrong district, Quang Tri province. Subject and method: A cross sectional study was carried out in 2010, in 680 children aged 12-36 months in 4 communes of Dakrong district, Quang Tri province. Results: The malnutrition rate was 55.0% for underweight, 66.5% for stunting and 16.2% for wasting. The prevalence of malnutrition increases by age group. The prevalence of worm infection was 31.6%, the highest prevalence was belong to Ascaris infection (24.6%), followed by Hookworm and Trichuris (6.5% and 6.2%, respectively). The prevalence of worm infection among children under two is very high (27.0%). The prevalence of worm infection was distributed quite equally between the malnutrition children group and normal children group. Recommendation: Early deworming forchildren from 12 months should be considered as important strategy against the malnutrition of children in Dakrong district, Quang Tri province

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Ten-year trends of hypertension treatment and control rate in Korea

Scientific Reports ◽

10.1038/s41598-021-86199-x ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Kwang-il Kim ◽

Eunjeong Ji ◽

Jung-yeon Choi ◽

Sun-wook Kim ◽

Soyeon Ahn ◽

...

Keyword(s):

Age Groups ◽

Favorable Effect ◽

Age Group ◽

Hypertension Treatment ◽

Treatment Rate ◽

Cross Sectional ◽

The Past ◽

Nationally Representative ◽

Multistage Sampling ◽

And Control

AbstractWe analyzed the Korean National Health and Nutrition Examination Survey (KNHANES) database to determine the trends of hypertension treatment and control rate in Korea over the past 10 years. In addition, we tried to investigate the effect of chronic medical conditions on hypertension management. We investigated the hypertension prevalence, awareness, treatment, and control rate from 2008 to 2017. KNHANES, which uses a stratified multistage sampling design, is a cross-sectional, nationally representative survey conducted by the Korean government. A total of 59,282 adults (≥ 20 years) were included, which was representative of the total population of around 40 million Koreans per year. The mean age was 50.7 ± 16.4 years and 42.6% were male. The prevalence of hypertension, hypercholesterolemia, diabetes mellitus, and obesity significantly increased over the 10 years. During this period, the hypertension treatment and control rate significantly improved. Hypertension treatment rate was significantly lower in the younger age group compared to the older age group, but the control rate among the treated patients was not significantly different between age groups. The treatment and control rates of hypertension were higher in patients with multimorbidity, which implies that it has a favorable effect on the treatment and control of hypertension. Hypertension treatment and control rate have improved over the past 10 years. The higher treatment and control rate in patients with multimorbidity suggest that the more aggressive surveillance might be associated with the improvement of hypertension treatment and control rate in Korea.

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Obesity contributes toward hypertension in young and older adult

Zinc supplementation improves heme biosynthesis in rats exposed to lead ◽

10.18051/univmed.2016.v35.96-104 ◽

2016 ◽

Vol 35 (2) ◽

pp. 96 ◽

Cited By ~ 1

Author(s):

Julianty Pradono ◽

Sintawati Sintawati

Keyword(s):

Central Obesity ◽

Blood Pressure Measurement ◽

Population Data ◽

Total Sample ◽

National Health Survey ◽

Age Group ◽

Healthy Weight ◽

General Obesity ◽

Cross Sectional ◽

The Impact

Background Obesity and hypertension are independent risk factors in the increasing prevalence of non-communicable diseases. The proportion of obesity in Indonesia has increased in the last 5 years according to the National Health Survey. The purpose of this research was to obtain the contribution of obesity toward hypertension in the age group of 18 years and above. Methods An observational study of cross-sectional design was conducted using the National Basic Health Research 2013 population data. The total sample of subjects was 2,741,297 from 33 provinces in Indonesia. Data were collected through interviews, blood pressure measurement, and anthropometry. Analysis of categorical data was by means of the chi-square statistical test, followed by calculation of the attributable fraction in the population, and analysis of factors influencing the impact fraction. Results The prevalence of general obesity (BMI>25 kg/m2) was 31.5% in males and 48.0% in females, while central obesity was 20.9% in males and 42.5% in females. In females with general obesity the risk of hypertension was 1.84 (95% CI: 1.82-1.86) times higher than in those with normal BMI. If general obesity and central obesity can be reduced, the prevalence of hypertension may be reduced by 2.9% in males and by 12.2% in females. Conclusion The prevalence of hypertension in the age group of 18 years or more can be reduced by 2.9% in males and by 12.2% in females, by overcoming the contribution of obesity. Therefore efforts should be geared towards promoting healthy eating habits and maintaining a healthy weight through health education.

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Pterygium and associated factors among adults: a hospital-based prospective study

Bhutan Health Journal ◽

10.47811/bhj.97 ◽

2020 ◽

Vol 6 (1) ◽

pp. 32-37

Author(s):

Chhimi Wangmo ◽

Nor Tshering Lepcha

Keyword(s):

Associated Factors ◽

Cross Sectional Study ◽

Referral Hospital ◽

Adult Patients ◽

Age Group ◽

Cross Sectional ◽

Systematic Random Sampling ◽

High Prevalence ◽

Grade 3 ◽

National Referral Hospital

Introduction: The aim of this hospital-based study was to assess the prevalence and associated factors of pterygium among adult patients visiting the Ophthalmology Outpatient Department (OPD) in the Jigme Dorji Wangchuck National Referral Hospital (JDWNRH), Thimphu. Methods: A cross sectional study was carried out in the ophthalmology OPD in the national referral hospital, Thimphu from 1st January, 2018 to 31st December, 2018, during which 1599 adult patients were selected through systematic random sampling. Results: The prevalence of pterygium was 12.8% (95% CI: 11.2 -14.5). Among 271 eyes with pterygium, the distribution of grade 1, grade 2 and grade 3 pterygium was 34.7%, 56.1% and 9.2% respectively. Pterygium wasmost common in the age group of 36-55 years. The significant factors associated with pterygium were age group, occupation and usage of sunglasses. Individuals who were 36-55 years (adjusted OR 2.70, 95% CI 1.82-4.0) and >55 years (adjusted OR 2.17, 95% CI 1.34-3.50) had significantly higher risk than 18-35 years (p< 0.002), and not using sunglasses (adjusted OR 1.97, 95% CI1.17-3.33, p = 0.007) significantly increased the risk of pterygium. Indoor occupation, particularly being a student was protective against pterygium (OR 0.08, 95% CI 10.02-0.33, p< 0.001). Only 14.1% used sunglasses and among them, 27.6% were aware that sunglasses can protect from ultraviolet radiation. Conclusion: This study found a high prevalence of pterygium among adults aged 18 years and above. Those aged 36-55 years and an occupation involving outdoor activities were affected more. Encouraging usage of sunglasses may reduce pterygium

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Prevalence of carotid and femoral artery atherosclerosis among the Ivanovo Oblast population: data from the ATEROGEN-Ivanovo study

CARDIOVASCULAR THERAPY AND PREVENTION ◽

10.15829/1728-8800-2021-2994 ◽

2021 ◽

Vol 20 (5) ◽

pp. 2994

Author(s):

A. I. Ershova ◽

T. V. Balakhonova ◽

A. N. Meshkov ◽

V. A. Kutsenko ◽

E. B. Yarovaya ◽

...

Keyword(s):

Femoral Artery ◽

Carotid Atherosclerosis ◽

Subclinical Atherosclerosis ◽

Population Data ◽

Age Group ◽

Russian Regions ◽

High Prevalence ◽

Age Range ◽

Very High ◽

Low Cardiovascular Risk

Aim. To study the prevalence of carotid (CA) and femoral artery (FA) atherosclerosis among Russian population, mainly in middle age group, using a representative sample of one of the Central Russian regions.Material and methods. The analysis included participants of the ATEROGEN-Ivanovo study (sub-study of the ESSE-RF conducted in the Ivanovo region) aged 40-67 years, who were invited for CA and FA ultrasound to assess plaque presence. A total 1102 people were examined, which was >80% of the original sample.Results. The age of subjects was 54 [48; 60] years (men, 28%). Only 11,2% of participants took statins; 30,9% had low cardiovascular risk (CVR), 35,6% — moderate CVR, 21,8% — high CVR, and 11,8% — very high CVR. The incidence of at least one plaque in CA or FA was 73,6%. The prevalence of CA atherosclerosis was 76,4% in men and 59,1% in women, FA atherosclerosis — 54,9% and 28,3%, respectively. Furthermore, plaques were detected already at the age of 40. The incidence of plaques significantly increased with age, with the exception of carotid atherosclerosis in men, a significant increase in the incidence of which stopped at 45 years of age.Conclusion. Among the Ivanovo population aged 40-67 with a predominance of low-to-moderate CVR patients, there is a high prevalence of carotid and femoral atherosclerosis, which indicates a high potential for using ultrasound for diagnosing subclinical atherosclerosis in assessing CVR in people of this age range.

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Study of the health status of geriatric age group in Chitwan district of Nepal

Journal of Chitwan Medical College ◽

10.3126/jcmc.v5i1.12560 ◽

2015 ◽

Vol 5 (1) ◽

pp. 11-17

Author(s):

L Subedi ◽

R B Sah

Keyword(s):

Health Status ◽

Well Being ◽

Cross Sectional Study ◽

Living Alone ◽

Age Group ◽

Cross Sectional ◽

High Prevalence ◽

Health Related ◽

History Of ◽

Mental Well Being

Retirement, change in housing, illness or death of spouse greatly affect the physical and mental well-being of the geriatric person. This study aims to find out the health status of geriatric age group in chitwan district of Nepal. A cross sectional study was carried out among 300 geriatric people where 15.7% of the geriatric were living alone, 50.3 % and 39.7% of geriatrics gave history of regular use of tobacco and alcohol respectively. Co-morbidities were found in 63% of geriatrics who suffered from 2 or more diseases. In Total 44% were found to have Ophthalmic problems, 23% were found to have ENT problems, 5.33% were found to mental disorders, 33% were found to have CVS problems, 43% were found to have GI problems, 15.67 % were found to have Metabolic disorder. The study highlighted a high prevalence of morbidity and health related problems in geriatric age groups.DOI: http://dx.doi.org/10.3126/jcmc.v5i1.12560

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The prevalence of noma in northwest Nigeria

BMJ Global Health ◽

10.1136/bmjgh-2019-002141 ◽

2020 ◽

Vol 5 (4) ◽

pp. e002141

Author(s):

Elise Farley ◽

Modupe Juliana Oyemakinde ◽

Jorien Schuurmans ◽

Cono Ariti ◽

Fatima Saleh ◽

...

Keyword(s):

Neglected Tropical Diseases ◽

Multivariable Analysis ◽

Water Source ◽

Drinking Water Source ◽

Age Group ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Factors Associated ◽

High Prevalence ◽

Oral Screening

BackgroundNoma, a rapidly progressing infection of the oral cavity, mainly affects children. The true burden is unknown. This study reports estimated noma prevalence in children in northwest Nigeria.MethodsOral screening was performed on all ≤15 year olds, with caretaker consent, in selected households during this cross-sectional survey. Noma stages were classified using WHO criteria and caretakers answered survey questions. The prevalence of noma was estimated stratified by age group (0–5 and 6–15 years). Factors associated with noma were estimated using logistic regression.ResultsA total of 177 clusters, 3499 households and 7122 children were included. In this sample, 4239 (59.8%) were 0–5 years and 3692 (52.1%) were female. Simple gingivitis was identified in 3.1% (n=181; 95% CI 2.6 to 3.8), acute necrotising gingivitis in 0.1% (n=10; CI 0.1 to 0.3) and oedema in 0.05% (n=3; CI 0.02 to 0.2). No cases of late-stage noma were detected. Multivariable analysis in the group aged 0–5 years showed having a well as the drinking water source (adjusted odds ratio (aOR) 2.1; CI 1.2 to 3.6) and being aged 3–5 years (aOR 3.9; CI 2.1 to 7.8) was associated with being a noma case. In 6–15 year olds, being male (aOR 1.5; CI 1.0 to 2.2) was associated with being a noma case and preparing pap once or more per week (aOR 0.4; CI 0.2 to 0.8) was associated with not having noma. We estimated that 129120 (CI 105294 to 1 52 947) individuals <15 years of age would have any stage of noma at the time of the survey within the two states. Most of these cases (93%; n=120 082) would be children with simple gingivitis.ConclusionsOur study identified a high prevalence of children at risk of developing advanced noma. This disease is important but neglected and therefore merits inclusion in the WHO neglected tropical diseases list.

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The Frequency of Using Herbal Medicines Among Patients With Hypertension in Kerman, Iran, 2012-2013

Journal of Evidence-Based Complementary & Alternative Medicine ◽

10.1177/2156587215573141 ◽

2015 ◽

Vol 20 (3) ◽

pp. 199-202 ◽

Cited By ~ 1

Author(s):

Haleh Tajadini ◽

Kouros Divsalar ◽

Mitra Mehrabani ◽

Ali Akbar Haghdoost ◽

Zahra Esmaili ◽

...

Keyword(s):

Medicinal Plants ◽

Herbal Medicines ◽

Cross Sectional Study ◽

Self Administration ◽

Cross Sectional ◽

Hypertensive Patients ◽

The Past ◽

Significant Difference ◽

High Prevalence ◽

Medical Plants

Introduction. The use of medicinal plants has dramatically increased in recent years. Given the increasing rate of hypertension and medical plants usage by these patients and considering drug interactions due to concomitant use with drugs, the present study aims to evaluate the rate of medicinal plants usage in hypertensive patients. Methods. This is a cross-sectional study (descriptive–analytical) in which 650 hypertensive patients referring to the subspecialty clinic of Kerman were questioned about medicinal plants usage by a medicinal plants questionnaire. Among these patients, there were 612 who consented to participate. After the variables were described, the data were finally analyzed using Stata 12. Results. The average age of those using these drugs in the past year was 58.8 ± 10 years. Of the total number of participants using medicinal plants, there were 58 males (23.5%) and 122 females (33.4%). There were 129 participants (72.5%) using medicinal plants through self-administration, 17 participants (9.5%) on experienced users’ advice, 16 participants (9%) as administered by herbalists, and 11 participants (6%) as administered by doctors. However, the most important resources for using a drug that prevents hypertension were family and friends (74 participants; 41.5%) and doctors (13 participants; 7.3%). According to the results, there was no significant difference between the level of education and medicinal plants usage ( P = .95); however, there was a significant difference between gender and medicinal plants usage ( P = .009). Discussion. According to the results indicating the relatively high prevalence of medicinal plants usage and their arbitrary use by hypertensive patients without consulting a specialist, it seems necessary to plan for more effective and secure public education and train people to provide herbal drug services for various diseases with hypertension being the most common one.

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Gingival recession and attachment loss: Cross-sectional and retrospective data of 10 years

Journal of Advanced Periodontology & Implant Dentistry ◽

10.34172/japid.2021.007 ◽

2021 ◽

Vol 13 (1) ◽

pp. 22-27

Author(s):

Ilma Robo ◽

Saimir Heta ◽

Geriona Lasku ◽

Vera Ostreni

Keyword(s):

Poor Prognosis ◽

Axial Rotation ◽

Gingival Recession ◽

Retrospective Data ◽

Age Group ◽

Cross Sectional ◽

Attachment Loss ◽

High Prevalence ◽

Long Time ◽

Data Group

Background. Gingival recession is a manifestation of the presence of periodontitis and the expression of its characteristics for a long time in the patient’s oral cavity. Loss of attachment and its association with gingival recession affect the prosthetic value of the tooth as they significantly change the center of axial rotation of the tooth. The present study aimed to determine the correlation between gingival recession and attachment loss. Methods. Data on gingival recession and loss of attachment were collected in two groups of patients. In the first group (n=34), cross-sectional data were collected; in the second group (n=64), previously collected data over 10 years were evaluated. Results. Gingival recession was the most prevalent in the age group of 20-30 age group in 56% of the patients. The same values held for the retrograde data. An attachment loss of 4-6 mm was reported in 26% of the patients in the 31-50 age group in the cross-sectional data group, and 7 mm of gingival recession was reported in 3% of the patients in the 31-50 age group. Conclusions. The high prevalence of periodontitis at a young age indicates a poor prognosis of this disease at older ages. Gingival recession associated with attachment loss for patients with chronic periodontitis has higher values at the 31-50 age group, where systemic conditions are gradually developing in the human body.

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Prevalence of Intestinal Parasitic Infection in Relation to Age in the Urban Population from Chandigarh, India

International Journal of TROPICAL DISEASE & Health ◽

10.9734/ijtdh/2021/v42i1230504 ◽

2021 ◽

pp. 51-56

Author(s):

Manjula Mehta ◽

Sonia Bhonchal Bhardwaj ◽

Jyoti Sharma

Keyword(s):

Urban Population ◽

Human Subjects ◽

Parasitic Infection ◽

Age Groups ◽

Control Measures ◽

Age Group ◽

Intestinal Parasitic Infection ◽

Intestinal Parasitosis ◽

High Prevalence ◽

Study Population

Background: Intestinal parasitic infection is a global health problem particularly in the developing countries with different prevalence rates in different regions. The aim of this study was to evaluate the prevalence of intestinal parasitic infection in different age groups in the urban population of Chandigarh, India. Materials and Methods: The retrospective study included stool samples 504 in number from human subjects from Chandigarh. Unstained wet saline mount preparations of stool sample were done to detect eggs or larvae and iodine wet mount to detect ova/ cysts of tapeworm, Enterobius, Ascaris, Giardia, Trichuris and Hookworm. Results: A high prevalence rate of intestinal parasitosis (73%) was seen. The age group distribution shows a higher prevalence of intestinal parasitic infection in the young population (age group 21-30 years and 31-40 years). Ascariasis was the most common parasitic infection observed. Conclusion: The present study reveals a high prevalence of intestinal parasitic infection in the study population and calls for long term control measures to improve their sanitary and living conditions.

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