scholarly journals Association between Blood Pressure and Obesity Indices in Medical Students

Author(s):  
Shalini Gandhi ◽  
Jitender Sorout ◽  
Rohit Raina ◽  
Abhay Raina ◽  
Urvashi Miglani ◽  
...  

Introduction: Obesity is strongly associated with other metabolic disorders including Hypertension (HTN), diabetes and Cardiovascular Diseases (CVD). High Blood Pressure (BP) is ranked as the third most important risk factor for attributable burden of disease in South Asia. Aim: The aim of present was to study the association between BP and obesity indices in medical student’s population. Materials and Methods: A cross sectional study was conducted on a group of 100 healthy young medical students. BP, pulse and Hb O2% was measured by using sphygmomanometer, pulse oximeter. Obesity indices were measured by using weighing machine, stadiometer, measuring tape and impedance based Body Composition Analyser (BCA). Results: There was poor correlation of Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) with Total Body Fat (TF) and the association was not significant. SBP and DBP were mildly correlated with BMI. Whole body Visceral Fat (VF) correlation of SBP was moderate and significant. DBP was correlated with whole body VF and correlation was significant. But the whole body, trunk, leg Skin Fat (SF) and Muscle Fat (MF) were not having significant correlation with SBP and DBP. Finger to heart distance was positively correlated with SBP (p<0.05). Also, O2%, chest and hip size were positively correlated with SBP (p<0.05). Only whole body VF and Waist Hip Ratio (WHR) were significantly (p<0.05) affected SBP. None of the other parameters affected DBP. Conclusion: The present study results found that Body Mass Index (BMI), VF and WHR had significant correlation with systolic and SBP and DBP. VF and WHR were significant predictors of SBP.

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e031660 ◽  
Author(s):  
Yen-An Lin ◽  
Ying-Jen Chen ◽  
Yu-Chung Tsao ◽  
Wei-Chung Yeh ◽  
Wen-Cheng Li ◽  
...  

ObjectiveObesity and hypertension (HTN) have become increasingly prevalent in Taiwan. People with obesity are more likely to have HTN. In this study, we evaluated several anthropometric measurements for the prediction of HTN in middle-aged and elderly populations in Taiwan.DesignCross-sectional observational study.SettingCommunity-based investigation in Guishan Township of northern Taiwan.ParticipantsA total of 396 people were recruited from a northern Taiwan community for a cross-sectional study. Anthropometrics and blood pressure were measured at the annual health exam. The obesity indices included body mass index (BMI), body fat (BF) percentage and waist circumference (WC).Outcome measuresStatistical analyses, including Pearson’s correlation, multiple logistic regression and the area under ROC curves (AUCs) between HTN and anthropometric measurements, were used in this study.ResultsOf the 396 people recruited, 200 had HTN. The age-adjusted Pearson’s coefficients of BMI, BF percentage and WC were 0.23 (p<0.001), 0.14 (p=0.01) and 0.26 (p<0.001), respectively. Multiple logistic regression of the HTN-related obesity indices showed that the ORs of BMI, BF percentage and WC were 1.15 (95% CI 1.08 to 1.23, p<0.001), 1.07 (95% CI 1.03 to 1.11, p<0.001) and 1.06 (95% CI 1.03 to 1.08, p<0.001), respectively. The AUCs of BMI, BF percentage and WC were 0.626 (95% CI 0.572 to 0.681, p<0.001), 0.556 (95% CI 0.500 to 0.613, p=0.052) and 0.640 (95% CI 0.586 to 0.694, p<0.001), respectively.ConclusionsWC is a more reliable predictor of HTN than BMI or BF percentage. The effect of abdominal fat distribution on blood pressure is greater than that of total BF amount.


Author(s):  
Kevin A. John ◽  
Poonam R. Naik

Background: Medical students have been reported to suffer from higher perceived stress compared to general population and students in the other academic fields. The objective of the study was to estimate the prevalence of stress and to identify the potential stressors among undergraduate medical students using perceived stress scale (PSS).Methods: A cross sectional study was conducted among 301 undergraduate medical students at a private medical college in Dakshina Kannada district, Karnataka. The extent of the stress was assessed using PSS-10 and a questionnaire was used to identify the potential academic, psychosocial and environmental stressors.Results: The mean PSS score was found to be 26.34±3 in this study. Moderate stress was observed in 68% of the study participants. The PSS score was higher among the 2nd year MBBS students. Stress was observed more among female medical students (74%). Inadequate study leave (92.4%), vastness of academic curriculum (84.1%), poor quality of food in mess or home (70.4%), accommodation away from home (60.1%) and high parental expectations (48.5%) were found to be the potential stressors in this study.Conclusions: The study results thereby highlight the need to plan tailored interventions to address the various stressors and prevent stress among the medical students. 


Author(s):  
Iswarya S. ◽  
Bhuvaneshwari S.

Background: There has been growing public awareness regarding the ethical conduct of medical practitioners, and complaints against physicians appear to be escalating. After completing their studies, healthcare professionals are expected to know ethical principles and apply them in their clinical practice. Hence, this study was conducted to assess the knowledge and attitude of medical ethics among final year medical students.Methods: Cross sectional study was conducted among final year Medical students in a private medical college. After obtaining permission from Institutional ethics committee, the purpose of the study and nature of information which has to be furnished from the students was explained to them. Willingness to participate in the study was obtained from participants using written consent form. Data was collected among 135 medical students using pre tested self-administered questionnaire. The respondents were asked to grade their responses on a 3 point Likert scale.Results: Study results showed majority 87% of students felt patient wishes must always be adhered to. In contrast 65% of students felt doctors must do what is best irrespective of patient’s opinion. About 64.7% of them disagreed consent is required only in case of operations and not for tests and medications. Nearly half (47%) of the students were of opinion privacy of the patient must not be ignored for benefit of larger group.Conclusions: The fact that many respondents had neutral opinion to some questions may indicate their lack of awareness or knowledge in that area and their inability to decide. Hence there should be sufficient training classes, workshops, conferences to stress the importance of ethical practice. 


2021 ◽  
Author(s):  
Fatema Johora ◽  
Asma Akter Abbasy ◽  
Fatiha Tasmin Jeenia ◽  
Mithun Chandra Bhowmik ◽  
Mohsena Aktar ◽  
...  

Background: Since December 2019, the novel coronavirus, SARS-CoV-2, has garnered global attention due to its rapid transmission, which has infected more than twenty nine million people worldwide. World is facing enormous stress and anxiety as there is no effective medicine or vaccine to treat or prevent COVID-19 till date. Experts are recommending self-care like social distancing, respiratory etiquette, hand washing, using face mask to prevent corona virus infection. Materials and methods: This descriptive cross-sectional study was designed to assess the prevalence of self-care practice among the undergraduate medical students (4th year) of 14 medical colleges of Bangladesh during COVID-19 pandemic. A structured questionnaire survey linked in the google form was used as study instrument and was distributed among study population through email, messenger, whatsapp and other social media during the month of October 2020. Total 916 students were participated in the study. Results: 79.8% of students reported self-care practice in study period. 44.98% of students went outside once in a week. 90.5%, 70.96% and 52.62% of respondents always used face mask, followed 20 seconds hand washing principle and maintained social distancing. Face masks (97.8%), sanitizers (76.7%) and gloves (71.9%) are most common items purchased as protective mesures. Most of the students (76.9%) follow their hobbies as a coping strategy to overcome phychological stress, while 6% of students took professional help. Conclusion: Suboptimal practice of self-care was found among the undergraduate medical students of Bangladesh.


2021 ◽  
Vol 8 (3) ◽  
pp. 195-199
Author(s):  
Vaseemunnisa Begum ◽  
Neeraj Sadiq ◽  
Ghulam Subhani ◽  
Asma Gulnaaz ◽  
Mohammed Mohsin ◽  
...  

: The Global disease (COVID-19 pandemic) has impacted our lives in various ways. Online teaching is the strange routine for studying platforms to continue with the process of educating students, Online classes have become a key component in the continuity of education.: 1. This study aims to rank the usefulness of online teaching compared to classroom conventional teaching 2. Socioeconomic parameters related to online teaching in a medical college: The study is a cross-sectional study done on medical students. A questionnaire was prepared listing the various ways in which they discern online teaching trying to cope up during the pandemic.: After the institutional Ethics committee clearance, online cross-sectional study was done on the medical students where from the 2 and 3 year. This online survey was done between 10May 2021- 10 June 2021, A total number of 211 students participated out of 250, after completion of 18 months of online classes. A Set of 15 self -designed questionnaire based on 5 point Likert scale was given to the students to rank the effectiveness through online class usefulness levels and satisfaction levels on various parameters. Students were also asked about the demographic factors. The data was analyzed using software SPSS software The study results shows that online classes is less helpful in five parameters and equally helpful in five parameters but was not at all superior to conventional methods, we can come to the interpretation that students think that classroom teaching cannot be replaced by online teaching. We can conclude that online studies can only be a supplement and cannot be an alternate for the established order of learning


2020 ◽  
Vol 30 (2) ◽  
pp. 318-324
Author(s):  
Mohsen Khosravi ◽  
Mahla Mirbahaadin ◽  
Rashya Kasaeiyan

A large number of studies have shown a positive correlation between high novelty-seeking (HNS), substance/medication use (S/MU), high physical activity (HPA), and academic burnout (AB); however, the outcome of individuals with HNS in the terms of catching AB is doubtful. The present study was conducted to find out whether the personality traits such as HNS in medical students predisposes the AB or decreases its severity by increased physical activity (PA). This cross-sectional study, 227 medical students with HNS were selected from three major cities of Iran during February, 2019 to July, 2019 using convenience sampling and were assessed using demographic information form, Baecke’s physical activity questionnaire, and Breso’s academic burnout questionnaire. In this study, 126 male and 151 female participants were divided into four groups namely HNS + low physical activity (LPA) (n = 68); HNS + HPA (n = 73); HNS + S/MU + LPA (n = 72); and HNS + S/MU + HPA (n = 64). The study results indicated that the maximum and minimum mean scores of AB and its subscales were in the HNS + S/MU + LPA and HNS + HPA groups, respectively. In addition, the hierarchical multiple regression analysis results for the two groups of students with and without S/MU indicated that PA plays a moderating role in the relationship between AB and HNS. Given that the AB can be considered as an antecedent of depressive disorders, its lowered level could be effective in preventing major depressive disorder. Regarding the moderating role of PA in the relationship between HNS and AB, PA, as a relatively simple and inexpensive alternative to pharmacotherapy and psychotherapy, can be raised in the treatment and prevention of the AB.


1970 ◽  
Vol 7 (1) ◽  
pp. 58-61
Author(s):  
Asif Noor ◽  
Ejaz Hussain Sahu ◽  
Muhammad Umer Abdullah ◽  
Aftab Yousaf

Background: Self-medication can be defined as "the drugs which are used to treat self-diagnosed disorders or indications, or the irregular or continued use of a prescribed drug for persistent or recurrent disease or symptoms." Methods: A descriptive cross sectional study was performed to understand the perceptions and practices about self-medication among students admitted to one of medical colleges in Pakistan located in Multan. A structured Questionnaire was distributed to the consenting students. The data were coded, entered and analyzed by using the Statistical Package for Social Science (SPSS) version 20.0. Out of 95 medical students 47.7% (n=45) were males and 52.3% (n=55) were females. Results: Among participants, self-medication was found in 98% (n=93) cases. Among self-medication respondents, more than 50% treated themselves only once while 32% twice, 12% thrice and only 2.1 % more than thrice. Self-medication was equally common in 3rd year, fourth year and final year medical students. While 24.2% of respondents perceived as a good practice, 42.1% took it as an acceptable practice while33.7% were of opinion that it was a totally unacceptable practice. The study revealed different reasons for self-medication and found that the most common reason was non-seriousness of disease i.e 43.2%, followed by convenience / time factor 42.1%, Cost saving 13.7% and least one was the non-availability of physician 1.1% . Regarding the use of drugs, antibiotics were the most common class used as self-medication 27.4%, followed by anti allergics 23.2%, vitamins 17.9%, pain killers 16.8% and antacids in 14.7 % cases. Conclusion: The study results indicate that Self-medication was common among medical students from clinical classes and most of students treated themselves at least once.


2010 ◽  
Vol 4 (06) ◽  
pp. 357-361 ◽  
Author(s):  
Comfort Ajuma Daniyam ◽  
Patricia Aladi Agaba ◽  
Emmanuel Agaba

Background: Various preventive strategies have been employed to curb the spread of HIV infection as there is presently no cure. Abstinence, avoidance of multiple sexual partners, condom use, voluntary counselling and testing (VCT) and treatment of HIV-infected individuals form the cornerstone of HIV prevention. This study assessed the acceptability of VCT among medical students in a single institution in Nigeria Methodology: Self-administered questionnaires were distributed to clinical medical students of the University of Jos in a cross-sectional study. Results: Out of a total of 368 students surveyed, 178 (50.7%) have had VCT. There was no significant difference between the proportion of males and females who had had VCT previously (48.9% of males and 56.3% of females; χ2 = 1.65, OR = 0.76 95% CI: 0.46-1.20; p = 0.19). The majority of the respondents (83.1%) would want to have VCT. Fear of a positive test result was the main reason given by those who would be unwilling to be tested. Gender had no effect on the willingness of the subjects to have VCT as 81.8% of males and 87.1% of females were predisposed to it (χ2 = 1.95; OR = 0.63, 95% CI: 0.31-1.26).  VCT acceptability was similar among sexually active and inactive respondents (80.2% and 80.2% respectively; χ2 = 0.018, p = 0.99). Conclusion: Awareness of VCT services and acceptability of VCT among medical students is high. These students can be role models for the optimization of VCT services.


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