scholarly journals The Assessment of Knowledge in Sample of Iraqi Patients with Ankylosing Spondylitis

2020 ◽  
Vol 28 (1) ◽  
pp. 31-40
Author(s):  
Nizar Jassim ◽  
Saba Majeed
Keyword(s):  
Ankylosing Spondylitis ◽  
Marital Status ◽  
Demographic Data ◽  
Teaching Style ◽  
Disease Diagnosis ◽  
P Value ◽  
Treatment Area ◽  
Level Of Education ◽  
Level Of Knowledge ◽  
The Mean

Ankylosing spondylitis (AS) is a chronic inflammatory disease of the sacroiliac joints and spine that may be associated with a variety of extra-spinal lesions. Knowledge acquisition is a complex procedure and depends on patient intelligence, level of education, motivation teaching style and content. Different models have been identified to increase level of knowledge, with educational courses and information booklets among the most common. The aim of the present study is to assess a level of knowledge in sample of Iraqi patients with ankylosing spondylitis, by a self-administered questionnaire. This is a cross-sectional study including 200 Iraqi patients with AS, who have access to the Rheumatology Unit in Baghdad Teaching Hospital. AS Data collection were taking place between November 2017 and September 2018. Socio demographic data were reported including age, residence, marital status, smoking, educational level, occupation and disease diagnosis duration. Patients had undergone an interview with a physician to assess their level of knowledge by a questionnaire, which included 4 knowledge areas: Area A includes general knowledge about AS, comprising etiology, symptoms musculoskeletal and extra musculoskeletal, and laboratory blood tests. Area B includes immuno-genetics test (HLA.B27 antigen) and inheritance. Area C includes general management, including pharmacological treatment and its side effects, physical therapy and exercise (exercise type & proper duration and its role in treatment). Area D includes joints protection, pacing and priorities. The clinical and demographic data analyzed using descriptive statistics. The mean total questionnaire score is 16.28 SD +- 2.49, range (2 – 26). There is no significant statistical association between the mean total score and the gender (P value = 0.14), age (P value 0.93), marital status (P value 0.73), smoking (P value 0.65), residence (P value 0.56), and BMI (P value 0.23), While there is a highly significant statistical relationship between mean total score and the level of education (P value 0.0004), and occupation (P value 0.0026). For Area A, the mean achieved score is 3.63 +- SD 1.61, maximum possible score is 8. For Area B, the mean achieved score is 0.26 +-SD 0.51, the maximum possible score is 2. For Area C, the mean achieved score is 9.53 +- SD 2.42, maximum possible score is 15. Area D, the mean achieved score is 2.87 +- SD 1.06, the maximum possible score is 4. The study showed that AS Iraqi patients have low level of knowledge, unawareness and wrong thoughts about specific aspects of their disease, which may reinforce the recommendation of this study.

scholarly journals POS0548 OPTIMAL ASSESSMENT OF THE RHEUMATOID ARTHRITIS ANKLE AND HINDFOOT: A COMPARATIVE STUDY BETWEEN CLINICAL EXAMINATION AND ULTRASONOGRAPHY

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 508.2-509
Author(s):  
K. Maatallah ◽  
H. Boussaa ◽  
H. Riahi ◽  
H. Ferjani ◽  
M. Habechi ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Clinical Examination ◽  
Demographic Data ◽  
Power Doppler ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Therapeutic Decisions ◽  
The Mean ◽  
Foot Disease

Background:Foot disease is a common problem in rheumatoid arthritis (RA). Therapeutic decisions are often based on clinical examination (CE) alone, which can be adversely affected by factors such as deformity, obesity, and peripheral edema. Ultrasonography (US) has previously been shown to be more sensitive than CE for detecting synovitis and tenosynovitis in RA forefeet, but few data exist for the hindfoot and ankle.Objectives:The aim of this study was to compare CE and US for the detection of hindfoot and ankle synovitis and tenosynovitis in patients with established RA.Methods:We conducted a cross-sectional study including patients with RA (ACR/EULAR 2010). Demographic data and disease parameters were collected. CE was performed by a rheumatologist for the presence or absence of tenderness, swelling, and mobility restriction of both ankles. The following tendons were examined for tenosynovitis: tibialis anterior (TA) and posterior (TP), fibularis longus (FL), and brevis (FB) (assessed together). In a second time, US examination of the tibiotalar, talonavicular, and subtalar joints and the same tendons as CE was performed by a blinded radiologist experienced in musculoskeletal imaging using a Philips HD11 device with a high-frequency linear transducer. The presence or absence of synovitis and tenosynovitis was recorded, and the composite synovitis score (power doppler / grayscale ultrasound (PDUS)) was measured for each joint. The US score of each patient was defined by the sum of the composite scores of the joints studied (0-30). A p-value <0.05 was considered significant.Results:Sixty-two feet were examined in 31 RA patients (25 women and six men) with a mean age of 54.8±10.8 years old [32-70]. The mean disease duration was 8.5±7.2 years [1-37]. Rheumatoid Factor (RF) and Anti-Citrullinated Peptides Antibodies (ACPA) were positive in 61.3% and 83.8% of cases. The mean DAS28 ESR was 3.8±1.5 [0.6-7].Clinical examination of ankles revealed tenderness in 57.4% of cases, swelling in 38.8% of cases, and restriction in the range of motion in 11.1% of cases. TA tenosynovitis was noted in 14.8% of cases, TP tenosynovitis in 22.2% of cases, and FL and FB tenosynovitis in 31.5% of cases.US showed tibiotalar synovitis in 59.3% of cases, talonavicular synovitis in 64.8% of cases, and subtalar synovitis in 46.3% of cases. TA tenosynovitis was noted in 5.6% of cases, TP tenosynovitis in 22.2% of cases, and FB and FL tenosynovitis in 25% and 11.1% of cases respectively.An association was found between clinical tenderness and US synovitis of the tibiotalar joint (p=0.013) and the talonavicular joint (p=0.027). No association was noted between clinical swelling and US synovitis in these joints.No association was noted between clinical and US tenosynovitis of TA (p=0.279), TP (p=0.436), FB (p=0.495) and FL (p=0.315).Conclusion:Clinical examination of RA ankles may be challenging and needs to be coupled with US, which is more sensitive and accurate in the detection of synovitis and tenosynovitis.Disclosure of Interests:None declared

scholarly journals Mean difference of visual acuity with auto refraction and subjective refraction.

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Shakeel Ahmad ◽  
Rashida RIaz ◽  
Muhammad Haseeb ◽  
Hafiza Ammara Rasheed ◽  
Samia Iqbal
Keyword(s):  
Visual Acuity ◽  
Demographic Data ◽  
Anterior Segment ◽  
Cross Sectional Study ◽  
Mean Difference ◽  
P Value ◽  
Cross Sectional ◽  
Department Of Ophthalmology ◽  
The Mean ◽  
Cylindrical Axis

Purpose: To compare the mean difference of visual acuity as measured by auto refraction and subjective refraction. Study Design:  Descriptive cross-sectional study. Place and Duration of Study:  Department of ophthalmology, Services hospital Lahore from November 2013 to April 2014. Material and Methods:  Using non-probability consecutive sampling 300 eyes of 300 patients fulfilling inclusion criteria were recruited through OPD registration slip. Demographic data including age and gender was recorded. Complete ophthalmic examination was performed. This included measurement of refractive error by auto-refraction as well as subjective refraction. Detailed anterior segment examination with slit lamp and dilated fundus examination with indirect ophthalmoscopy was performed. The collected data was analyzed by using software SPSS version 17. Results:  The mean age of patients was 34.71 ± 7.45 years. There were 156 (52%) males and 144 (48%) females. There were 263 (87.69%) patients who had visual acuity of 6/6 and 37 (12.33%) had 6/9. Mean spherical auto-refraction and subjective refraction was 0.0290 ± 2.58 and -0.2842 ± 2.37 D with mean difference of -0.3133 ± 1.27 D. The mean cylindrical auto and subjective refraction in this study was -.9742 ± 0.78 D and -0.7500 ± 0.81 D and mean difference was 0.2242 ± 0.74 D. The mean cylindrical axis of auto and subjective refraction was 114.88 ± 49.75 and 115.60 ± 49.70 with mean difference as 0.72 ± 3.02 D (p-value < 0.05). Conclusion:  Difference of spherical, cylindrical and cylindrical axis in auto and subjective refraction was significantly different.

scholarly journals The Correlation of the Level of Community Knowledge and Education with the Level of Leprosy Occurrence in Central Jakarta Area year 2017

2018 ◽  
Vol 1 (06) ◽  
pp. 29-33
Author(s):  
Zahra M ◽  
Setiasih N.L ◽  
Bubakar A.H.A
Keyword(s):  
Peripheral Nerves ◽  
Community Education ◽  
Statistical Test ◽  
Point Of View ◽  
P Value ◽  
Human Knowledge ◽  
Spearman Correlation ◽  
Community Knowledge ◽  
Level Of Education ◽  
Level Of Knowledge

Leprosy is caused by Mycobacterium leprae (M. leprae) and the manifest is damage to the skin and peripheral nerves. Humans are still believed to be the main source of M. leprae transmission, especially in patients with highly infectious lepromatous. There is a correlation between leprosy with the level of education and human knowledge of the occurrence of leprosy from the past’s point of view. Based on statistical test of Rank Spearman Correlation, the acquired p-value that is equal to 0,000 < α = 0,05, then H1 is accepted which means there is a significant correlation between the level of knowledge of the community with the incidence of leprosy in the area of Central Jakarta in 2017 and 0,062 > α = 0,05 p-value is acquired, thus H0 is accepted which means there is no significant correlation between community education level and the occurance of leprosy in the area of Central Jakarta area in 2017. It can be concluded that there is a significant correlation between the level of community knowledge and there is no significant correlation between the level of community education with the occurance of leprosy in the area of Central Jakarta in 2017.

scholarly journals Towards Sustainable Development: Exploring the Knowledge of Environmental Impact Assessment among Undergraduates in a Nigerian University

2020 ◽  
pp. 1-10
Author(s):  
Queencallista N Sidney- Nnebue ◽  
Anita O. Garba ◽  
Gbenga E. Fadiora ◽  
Felicia C. Etim ◽  
Amanda N. Ezenagu ◽  
...  
Keyword(s):  
Environmental Impact ◽  
Marital Status ◽  
Impact Assessment ◽  
Environmental Impact Assessment ◽  
Statistical Significance ◽  
P Value ◽  
Sources Of Information ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Level Of Knowledge

Background: Efficient project management suffices that decision makers are adequately informed on the impacts of their actions and inactions on the environment. Objective: To explore the knowledge of environmental impact assessment (EIA) among undergraduates of the faculty of environmental sciences in a university in Nigeria.                                                Materials and Methods: This was a cross sectional survey of 350 undergraduates selected via multistage sampling technique. Data were obtained using self- administered semi-structured questionnaires, and analysed using statistical package for social sciences software version 22. Statistical significance were done using Chi-square test at p value < 0.05. Results: Two hundred and eighteen (62.3%) respondents reported awareness of EIA and cited their sources of information on EIA as 111(50.6%) schools, 109 (50%) textbooks, etc. Only (12.6%) out of 350 respondents had good level of knowledge on EIA. Fifty one (14.6%) out of 350 respondents reported ever participated in EIA process, while 34 (9.7%) were participating in EIA process currently. The level of knowledge of EIA process among respondents significantly vary with [gender, p=0.002) and marital status, p= 0.032)] respectively. Conclusions: This study found apparently poor awareness of EIA, poor knowledge of EIA and poor participation in the EIA process. The level of knowledge on EIA vary significantly with gender and marital status. We recommend comprehensive but targeted, need- based environmental education to help create awareness, impart knowledge and equip these students with EIA strategies and skills to handle environmental challenges.

Relationship between caregiver related factors and their proxy report of quality of life of children with cerebral palsy in Kano City, Nigeria

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Umaru Muhammad Badaru ◽  
O O Ogwumike ◽  
A Fatai Adeniyi ◽  
A I Naziru
Keyword(s):  
Quality Of Life ◽  
Marital Status ◽  
Rank Order ◽  
Demographic Data ◽  
Well Being ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Proxy Report ◽  
The Mean

Background: Caregivers have intimate knowledge of their children and can provide reliable information on their quality of life (QoL). Objective: This study assessed the factors that could influence caregiver report of QoL of children with Cerebral Palsy.Methods: The cross-sectional survey recruited 30 caregivers and children diagnosed with CP using purposive sampling technique. QoL was assessed with CP-QoL questionnaire, depression with Patient Health Questionnaire (PHQ-9) and functional level with Gross Motor Function Classification System (GMFCS). Socio-demographic data and perceived stress were assessed with a pro-forma. The data were summarised with descriptive statistics and analysed with Spearman Rank Order correlation at alpha level of 0.05. Results: The mean age of caregivers and that of children with CP were 34.40 ± 7.02 years and 7.23 ± 2.08 years respectively. The mean QoL score was 60.06±4.27. The ‘social well-being and acceptance’ (75.07 ± 9.52) and ‘Access to services’ (66.65±7.87) domains have the highest mean scores. Marital status has significant relationship with proxy report of children’s overall QoL (Rho=0.40; P<0.05) and caregiver depression (Rho=-0.414; P<0.05). Conclusion: Children with CP in Kano City have moderate QoL. Proxy report of overall QoL was significantly related to marital status with married caregivers’ more likely to report better QoL. Child’s functional status, caregivers’ age and their level of income have also influenced the proxy report of some QoL domains. Researchers should always endeavor to compare parents’ and children’s reports in order to obtain a more accurate measure of children’s QoL.

Functional and Clinical Outcome With Modified Lateral Approach Total Hip Arthroplasty in Stiff Hips With Ankylosing Spondylitis 

2021 ◽  
Author(s):  
MATHEW KIRAN JACOB ◽  
CHANDY VJ ◽  
HARIHARAN TD ◽  
ARUN SHANKAR ◽  
PRADEEP MATHEW POONNOOSE ◽  
...  
Keyword(s):  
Ankylosing Spondylitis ◽  
Lateral Approach ◽  
Functional Improvement ◽  
Harris Hip Score ◽  
P Value ◽  
Flexion Deformity ◽  
Range Of Movement ◽  
Sf 36 ◽  
The Mean ◽  
Modified Harris Hip Score

Abstract Background Ankylosing spondylitis at THA have significant hip stiffness with flexion deformity and restricted function. ROM (range of movement) improvement with good functional outcome is seen following THA with modified lateral approach in these hips.Methods 69hips who underwent THA with a modified Hardinge approach in 40patients were evaluated at a mean follow up of 38.33 months (0 to 83 months). Modified Harris hip score, ROM (range of movement), and SF 36 scores were used to assess clinical and functional improvement at review. Results 69 hips with significant decrease in ROM preoperatively with 32 clinically fused hips showed significant improvement in the range of flexion. The mean flexion in 69 hips improved from 29.35 (SD 31.38) to 102.17 degrees (SD10.48). The mean difference of 72.82 with p Value <0.0001 was found to be significant. 45 /69 hips had fixed flexion deformity with 13 hips having a deformity above 30 degrees. The flexion at review was below 90 degrees in 3 hips. Eleven hips had flexion of 90 degrees at review while the remaining 55 hips had flexion above 100 degrees. Modified HHS improved from 17.03(SD 6.02) to 90.66 (SD7.23). SF 36 at review indicated health status in 40 patients as excellent in 11, very good in 20, fair in 3 and poor in 1. Mean mental health score was 84.10(SD11.58)Conclusion Our study suggests that modified lateral approach THA in AS with stiff hips achieves significant improvement in ROM, HHS and quality of life indicated by SF12 and SF36 scores. Modified lateral approach is useful especially in fused AS hips with flexion deformity.

scholarly journals POS0634 DO BIOLOGICS IMPROVE FATIGUE IN PATIENTS WITH RHEUMATOID ARTHRITIS?

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 555.1-555
Author(s):  
A. Fazaa ◽  
H. Boussaa ◽  
K. Ouenniche ◽  
S. Miladi ◽  
M. Sellami ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Disease Activity ◽  
Demographic Data ◽  
Tender Joint Count ◽  
P Value ◽  
Tender Joint ◽  
Direct Role ◽  
The Mean ◽  
Disease Modifying ◽  
Improve Fatigue

Background:Fatigue is a significant issue in rheumatoid arthritis (RA) with no accepted evidence-based management guidelines. Several studies suggested that biologic Disease Modifying Anti-Rheumatic Drugs (bDMARDs) have a direct role on fatigue in RA.Objectives:This study aimed to compare fatigue between patients treated with bDMARDs and conventional synthetic Disease Modifying Anti-Rheumatic Drugs (cs DMARDs).Methods:We conducted a longitudinal study including patients with RA (ACR/EULAR 2010). Patients with other acute or chronic diseases that may induce fatigue (such as cancer, infection or depression) were excluded. Demographic data and the following disease-related parameters were collected: pain Visual Analog Scale (VAS), Global Patient Assessment (GPA), tender joint count (TJC), swollen joint count (SJC), Erythrocyte Sedimentation Rate (ESR), C Protein Reactive (CRP), Disease Activity Score 28 (DAS28), Health Assessment Questionnaire (HAQ) and DMARDs used. Fatigue was assessed at baseline (T0), at 6 months (T6) and at 12months (T12) using the Functional Assessment of Chronic Illness Therapy – Fatigue (FACIT-F) which is a short 13-item questionnaire validated in RA. The score FACIT-F ranges between 0 and 52. Fatigue was considered mild if the FACIT-F score was ≥40, moderate if 20≤FACIT-F<40 and severe if 0≤FACIT-F<20. A p value inferior to 0.05 was considered significant.Results:We included 100 RA patients (84 women and 16 men) with a mean age of 49.5±10 years old [18-65]. The mean disease duration was 87.3 months [1-360]. The mean pain VAS was 49 cm [0-100] and the mean GPA was 47.8 cm [0-100]. The mean TJC and SJC were 5.3 [0-36] and 1 [0-9] respectively. The mean levels of ESR and CRP were 38.1 mm [10-120] and 10.8 mg/l [2-61] respectively. The mean DAS28 ESR was 3.68 [1.90-8.33] and the mean HAQ score was 0.90 [0-2.75].Eighty-three percent of patients used csDMARDs: Methotrexate (n=96), sulphasalazine (n=28), leflunomide (n=21), and hydroxychloroquine (n=12). bDMARDs were prescribed in 17% of patients: Rituximab (n=10), Infliximab (n=9), and Etanercept (n=5).At baseline, the mean FACIT-F score was 27.1 [0-51]. Moderate fatigue was noted in 57% of cases and severe fatigue in 26% of cases. Patients on csDMARDs had a lower FACIT-F score when compared to patients on bDMARDs (26.89 versus 28.41), but the difference was not statistically significant (p=0.630).The mean FACIT-F score was 27.41 in bDMARDs patients versus 29.80 in csDMARDs patients (p=0.497) at T6, and 32.35 versus 33.65 respectively at T12 (p=0.695).The mean delta FACIT-F was 2.18 in bDMARDs patiens versus 2.73 in csDMARDs patients between T6 and T0 (p=0.815), and 3.94 versus 7.2 respectively between T12 and T0 (p=0.807).When considering all patients, a significant positive correlation was noted between delta FACIT-F and delta DAS28 at T6 (r=0.418, p<0.001) and at T12 (r=0.338, p<0.001).Conclusion:RA patients treated with bDMARDs didn’t show significant improvement of fatigue in comparison with those treated with csDMARDs. Further studies are needed to determine if biologics improve fatigue, and whether the improvement results from a direct action on fatigue or indirectly through reduction in disease activity.Disclosure of Interests:None declared

scholarly journals AB0174 FATIGUE IN RHEUMATOID ARTHRITIS: A CASE-CONTROL STUDY

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1113.2-1113
Author(s):  
A. Fazaa ◽  
H. Boussaa ◽  
K. Ouenniche ◽  
S. Miladi ◽  
M. Sellami ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Disease Activity ◽  
Demographic Data ◽  
Tender Joint Count ◽  
P Value ◽  
Common Symptom ◽  
Healthy Controls ◽  
Tender Joint ◽  
Cross Sectional ◽  
The Mean

Background:Fatigue is a common symptom in many chronic inflammatory diseases, including rheumatoid arthritis (RA). It is considered one of the most frustrating, uncontrollable, and overwhelming symptoms. However, most of rheumatologists do not assess fatigue despite its clinical significance and its impact on patients’ lives.Objectives:The aims of this study were to determine whether RA patients express more fatigue than healthy controls, and to analyze its correlation with disease activity.Methods:We conducted a cross-sectional study including patients with RA (ACR/EULAR 2010) and healthy controls matched for sex and age. Patients with other acute or chronic diseases that may induce fatigue (such as cancer, infection or depression) were excluded. Demographic data and the following clinical parameters were collected: pain Visual Analog Scale (VAS), Global Patient Assessment (GPA), tender joint count (TJC) and swollen joint count (SJC), Erythrocyte Sedimentation Rate (ESR), C Protein Reactive (CRP), Disease Activity Score 28 (DAS28), and Health Assessment Questionnaire (HAQ). Fatigue was assessed using the Functional Assessment of Chronic Illness Therapy – Fatigue (FACIT-F) which is a short 13-item questionnaire validated in RA. The score FACIT-F ranges between 0 and 52. Fatigue was considered mild if the FACIT-F score was ≥40, moderate if 20≤FACIT-F<40 and severe if 0≤FACIT-F<20. A p value inferior to 0.05 was considered significant.Results:We included 100 RA patients (84 women and 16 men) with a mean age of 49.5±10 years old [18-65]. The mean disease duration was 87.3 months [1-360]. The mean pain VAS was 49 cm [0-100] and the mean GPA was 47.8 cm [0-100]. The mean TJC and SJC were 5.3 [0-36] and 1 [0-9] respectively. The mean levels of ESR and CRP were 38.1 mm [10-120] and 10.8 mg/l [2-61] respectively. The mean DAS28 ESR was 3.68 [1.90-8.33] and the mean HAQ score was 0.90 [0-2.75].Thirty-nine healthy controls were enrolled including 35 women and 4 men with a mean age of 51.2 years old [30-64].The mean FACIT-F score was 27.1 [0-51] in RA patients versus 46.2 [0-52] in healthy controls (p<0.001). Among RA patients, 57% had moderate fatigue and 26% had severe fatigue.A significant negative correlation was noted between the FACIT-F score and the following parameters in RA patients: TJC (r=-0.568, p<0.001), SJC (r=-0.274, p<0.001), pain VAS (r=-0.605, p<0.001), GPA (r=-0.658, p<0.001), ESR (r=-0.405, p<0.001), CRP (r=-0.149, p<0.001), DAS28 (r=-0.837, p<0.001) and HAQ (r=-0.634, p<0.001).Conclusion:Fatigue was significantly more observed in RA patients. This symptom was correlated with disease activity and disability. It is important to recognize and manage fatigue in order to improve patients’ quality of life.Disclosure of Interests:None declared

scholarly journals METABOLIC SYNDROME;

2017 ◽  
Vol 24 (09) ◽  
pp. 1286-1294
Author(s):  
Sumbul Sohail ◽  
Shabnum Nadeem ◽  
Fouzia Ali
Keyword(s):  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Blood Sugar ◽  
Demographic Data ◽  
Laboratory Data ◽  
P Value ◽  
Cross Sectional ◽  
Female Population ◽  
The Mean ◽  
Study Laboratory

Metabolic syndrome is a congregation of central obesity, dyslipidemia, raised bloodsugar levels, increasing the individual’s susceptibility to Type II Diabetes and cardiovasculardiseases. Objectives: (1) To determine the prevalence of metabolic syndrome in young, urban,female population. (2) To determine the risk factors in poor, urban, female population. StudyDesign: This was a descriptive cross sectional study. Setting: The department of Gynae/Obst Unit II KMDC/Abbasi Shaheed hospital. Period: One year starting from January 2016 toDecember 2016. Material and Method: Approval was taken from ESRC of KMDC. All healthyasymptomatic married/single women between 18-49 years of age were included while women<18 or >50 years of age, diabetic, hypertensive or having bleeding disorders were excludedfrom study. Laboratory data included blood sugar, triglycerides, HDL-cholesterol, collected byphlebotomist from the participants in fasting state through venipuncture. A Chi-square test wasapplied to evaluate the association of demographic group variables and metabolic syndrome.P-value <0.05 was considered as statistically significant. There was no conflict of interest. Result:A total of 343 participants were recruited. The socio and demographic data is summarized inTable-I. The prevalence of Metabolic syndrome was found to be high. 227(66.2%) of participantswere having Metabolic syndrome according to NCEP ATP III criteria. 63(18.4 %) had history ofPIH while 52(15.2%) had family history of hypertension and 126(36.7 %) had family historyof both Hypertension and Diabetes. 232 (67.6 %) of women had sedentary life style and only3(0.9%) practiced aerobic exercises. 287(83.7%) had their waist circumference of >80cm, themean systolic blood pressure was 127.5 +-23.76 while the mean diastolic blood pressure was86.99+-57.36. The mean of BMI was at higher level 30.97+-6.41. Obesity is the most commonrisk factor for Metabolic syndrome. The mean of fasting blood sugar was 105.08+-42.16which was on higher side. The mean of Triglycerides 142.43+-61.12 and HDL 39.04+-12.45were within normal limits. Increased prevalence was observed in women who had PIH duringpregnancy and childbirth 25.1% v 5.2%(p value=0.001). Conclusion: Prevention and treatmentof metabolic syndrome is a big challenge. Lifestyle interventions should begin from the earlychildhood to reduce weight and to prevent development of obesity and metabolic syndrome.

scholarly journals The Effectiveness of Audio-Visual Health Education Media on Diet on The Level of Knowledge and Attitude of Adolescent in the Prevention of Type 2 Diabetes Mellitus

2021 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Barto Mansyah ◽  
Fetty Rahmawati
Keyword(s):  
Type 2 Diabetes ◽  
Intervention Group ◽  
Mean Value ◽  
Control Group ◽  
P Value ◽  
Knowledge And Attitudes ◽  
Level Of Knowledge ◽  
The Mean ◽  
Visual Health

Efforts to increase knowledge and attitudes in adolescents require a learning media that can not only be used in the world of education but also in the health sector, especially in the prevention of DM where one of the risk factors for DM is an unhealthy diet. One of the media that can be used is audio visual. This study aims to analyze the effect of audio-visual media on diet on the level of knowledge and attitudes of adolescents in preventing type 2 diabetes. This type of research is a quasi-experimental study with a pretest-posttest with control group design. The results showed that there were significant differences in the mean value of knowledge (p value 0,039 <0,005) and attitude score (p value 0,001 <0,005) which were significant between the intervention group and the control group. The mean increase in the knowledge value of the intervention group was 16,27 higher than the control group was 9,20. In the attitude variable, the mean score of attitudes in the intervention group was 13,27 higher than the mean value in the control group, namely 9,20, so it can be concluded that the intervention group in the form of audio-visual health education showed better results in increasing knowledge and attitudes about diet in the prevention of type 2 diabetes.

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