An Epidemiological Study of Diabetes Mellitus in Productive Aged Urban Nepalese of Makalbari Area of Gokarneshwor Municipality

2020 ◽  
Vol 22 (3) ◽  
pp. 173-180
Author(s):  
Bharati Shakya ◽  
N Shrestha ◽  
SR Shrestha
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Age Groups ◽  
Sampling Technique ◽  
Joint National Committee ◽  
National Committee ◽  
Age Group ◽  
Cross Sectional ◽  
The People ◽  
Diagnosed Diabetes

Diabetes mellitus is a chronic disease that through its complications can seriously impact the quality of life of an individual. The incidence of diabetes mellitus is starting to rise at a younger age. This study is carried out to determine the prevalence of diagnosed diabetes mellitus in productive aged persons and to study the association of socio-demographic characteristics, body mass index (BMI) and blood pressure among persons with and without diabetes mellitus. A community-based cross-sectional, observational study was conducted in Makalbari area. Systematic random sampling technique was used to select the households. The family members from those households who met the inclusion criteria were interviewed with self-constructed semi-structured questionnaire which included socio-demographic information of respondents. Height, weight and blood pressure were recorded. BMI was interpreted as per WHO guidelines and hypertension was defined as per Joint National Committee (JNC) VII guidelines. Among total 662 participants, 342 (51.7%) were female and 320 (48.3%) were male. About 196 (29.6%) of subjects were between 25 to 34 age group followed by 145(21.9%) of them in 35 to 44 age group. Prevalence of diagnosed diabetes mellitus in productive aged persons in urban area was 3.8%. The prevalence of BMI of ≥25 was 42.4%. Out of total subjects, maximum number of respondents were prehypertensive 406 (61.3%). Mean age of total participants was 37.9±13.59 and BMI was 24.15±3.89.The age of respondents was highly statistically significant among the persons with diabetes (p = 0.000). The number of diabetes mellitus increased with increase in age and BMI of the participants. Prevalence of diabetes mellitus was almost same in both male 13 (52.0%) and female 12 (48.0%). Diabetes mellitus was seen more in subjects who had completed secondary level education 11 (44.0%) and in homemakers and government job holders, 3 (33.3%) each. In conclusion, most of the people in productive age groups were preobese and were in prehypertensive stage which may increase the risk of acquiring diabetes mellitus in future. This necessitates the screening of more persons in productive age group for diabetes mellitus.

scholarly journals BLOOD PRESSURE PROFILES AMONG EAST BONGAS AND WEST BONGAS PEOPLE IN EFFORT AND SUPPORT FROM UNIVERSITAS PADJADJARAN AND THE REGENT OF MAJALENGKA REGENCY AND CHIEVES OF THE VILLAGES

2017 ◽  
Vol 9 (6) ◽  
pp. 215
Author(s):  
Diah Dhianawaty D. ◽  
Henhen Heryaman ◽  
Mas Rizky Anggun Adipurna Syamsunarno
Keyword(s):  
Blood Pressure ◽  
Age Groups ◽  
Simple Random Sampling ◽  
Pressure Profile ◽  
Joint National Committee ◽  
National Committee ◽  
Cross Sectional ◽  
Male And Female ◽  
The People ◽  
Pressure Profiles

Objective: To support the people in East Bongas and West Bongas villages to prevent and treatment the hypertension disease.Methods: This was a cross-sectional design while the subjects were taken by a simple random sampling. A total of 323 families were included, and blood pressure of the male and female subjects aged between 18 to 65 y was measured and had been given a question relating to their blood pressure.Results: The blood pressure profile was classified based on the seventh report of the Joint National Committee (JNC 7). The youngest male and female participants of pre-hypertension were 18 and 22 y, respectively. The normal blood pressure, pre-hypertension, hypertension stage-1, and hypertension stage-2 were 34.3%, 49.5%, 12.1%, and 4.1%, respectively. Prevalence of patients with hypertension based on the age groups 30-39, 40-49, 50-59, and 60-69 y were 6.8%, 15.6%, 33.9%, and 37.3%, respectively. Prevalence of patients with hypertension in male was 16.8%, the female was 15.7%, and the total of both were 16.2%. Prevalence based on gender showed that those who had information about hypertension in male was 46.8%, the female was 47.9%, and the total of both were 47.4%. Prevalence of hypertension patients increased, for a male was 8.9%, the female was 8.2%, and the total of both were 8.5% after the participants declared that they were not hypertension patients.Conclusion: In both villages occurred an increase of hypertension prevalence. Based on this information, the people in two villages should be given the appropriate knowledge and awareness regarding hypertension.

scholarly journals Association of Blood Pressure, BMI and Age among Adults above 18 Years of Makalbari Area of Gokarneswor Municipality in Kathmandu

2019 ◽  
Vol 21 (4) ◽  
pp. 283-287
Author(s):  
SR Shrestha ◽  
B Shakya ◽  
R Oli
Keyword(s):  
Blood Pressure ◽  
Age Groups ◽  
High Body Mass Index ◽  
Cross Sectional Study ◽  
Joint National Committee ◽  
National Committee ◽  
Age Group ◽  
Cross Sectional ◽  
Younger Age ◽  
Relationship Of

In Nepal the prevalence of hypertension is in increasing trend with an increased number of deaths from heart disease and stroke. The morbidity and mortality from hypertension, cardiovascular disease and other chronic diseases has been associated with high Body mass index (BMI). The current study aimed to study the association between BMI, blood pressure and age of the adults in Makalbari area. A community based cross-sectional study was conducted among 643 respondents. The information was obtained using self constructed structured questionnaire which included demographic information of individuals. Height, weight and blood pressure were recorded and hypertension was defined as per Joint National Committee (JNC) VII guidelines. Maximum value of mean BMI was found among 40– 49 years age group. BMI was found to be lowest among younger age group. Both the mean systolic and diastolic BP were found to be lowest among the youngest age groups. Mean Systolic BP increased steadily with age and the highest value was found among the oldest age group. Mean Diastolic BP increased with age till 40–49 years and declined thereafter. There was significant (P <0.01) positive correlation of BMI with systolic and diastolic BP. It showed that BP increased with increase in BMI. Correlation coefficient showed that relationship of BMI with systolic BP (0.231) was stronger than diastolic BP (0.167). Thus the present study provides valuable information regarding the association of BMI with systolic and diastolic blood pressure. It also showed the correlation of blood pressure with increasing age independently.

scholarly journals PREVALENCE OF HYPERTENSION AMONG ADULT POPULATION IN SLUMS OF WEST DELHI

2017 ◽  
Vol 10 (12) ◽  
pp. 350
Author(s):  
Supriya Dwivedi ◽  
Zaozianlungliu Gonmei ◽  
Gurudayal Singh Toteja ◽  
Nidhi Srivastava ◽  
Naval Kishore Vikram ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Lifestyle Modification ◽  
Adult Population ◽  
Cross Sectional Study ◽  
Joint National Committee ◽  
National Committee ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Detection Evaluation

Objective: The present study was conducted to assess the prevalence of hypertension in adult population residing in slums of West Delhi.Methods: A cross-sectional study was conducted among adult population of 18-59 years residing in urban slums of West Delhi. Blood pressure was measured using digital machine (OMRON). The data obtained were analyzed for percent prevalence, mean, standard deviation, and median. Joint National Committee (JNC)on prevention, detection, evaluation, and treatment of high blood pressure (JNC)VI and JNC VII criteria were used to classify hypertension.Results: The overall prevalence of hypertension was 25.3%. The prevalence was higher (27.9%)in males than females (22.8%)and also in the age group 46-59 years (43.0%)as compared to 18-45 years (19.8%). The overall prevalence of prehypertension, Stage I and Stage II hypertension, respectively, was 35.2%, 16.1% and 9.2%.Conclusion: A one-fourth of the adult population is hypertensive. Early diagnosis and treatment are advisable, besides awareness about dietary and lifestyle modification.

scholarly journals Study of Cervical Length in Bangladeshi Cadaver

2016 ◽  
Vol 5 (2) ◽  
pp. 26-28
Author(s):  
Zubaida Gulshan Ara ◽  
ASM Shafiqul Islam ◽  
Umme Kulsum Sharmin Zaman ◽  
Anjuman Ara ◽  
Reeva Aireen Busreea
Keyword(s):  
Uterine Cervix ◽  
Anatomical Variation ◽  
Age Groups ◽  
Sampling Technique ◽  
Descriptive Study ◽  
Cervical Length ◽  
Age Group ◽  
Cross Sectional ◽  
Medical College ◽  
Female Genital

This cross sectional descriptive study was done to see the length of the cervix in Bangladeshi cadaver to find out the anatomical variation and to compare it with other study findings. 60 post mortem specimens containing female genital organs particularly uterine cervix were collected by purposive sampling technique from cadavers of different age groups. All the collected specimens were fixed in 10% formalin solution. This study was carried out in the department of Anatomy, Mymensingh Medical College from July 2006 to June 2007. Both gross and fine dissections were performed to measure the length of the uterine cervix. We compare our study findings with that of the references. Maximum mean length of the cervix was found in the 13-45 years age group. It was 2.89 cm. CBMJ 2016 July: Vol. 05 No. 02 P: 26-28

scholarly journals Agreement between 2017 ACC/AHA Hypertension Clinical Practice Guidelines and Seventh Report of the Joint National Committee Guidelines to Estimate Prevalence of Postmenopausal Hypertension in a Rural Area of Bangladesh: A Cross Sectional Study

Medicina ◽  
2019 ◽  
Vol 55 (7) ◽  
pp. 315 ◽  
Author(s):  
Barua ◽  
Faruque ◽  
Banik ◽  
Ali
Keyword(s):  
Blood Pressure ◽  
Postmenopausal Women ◽  
Rural Area ◽  
Cross Sectional Study ◽  
Joint National Committee ◽  
Elevated Blood Pressure ◽  
National Committee ◽  
Elevated Blood ◽  
Sectional Study ◽  
Cross Sectional

Background and objectives: Justification for application of 2017 American College of Cardiology/American Heart Association (ACC/AHA) guidelines to detect hypertension (HTN) among Bangladeshi population is understudied. This prompted us to examine the level of agreement between 2017 ACC/AHA and Joint National Committee 7 (JNC 7) guidelines to detect postmenopausal HTN in a rural area of Bangladesh. Materials and Methods: This cross-sectional study recruited 265 postmenopausal women of 40–70 years of age who visited a rural primary health care centre of Bangladesh. HTN was diagnosed based on two definitions: the JNC 7 guidelines (SBP ≥ 140 or DBP ≥ 90 mmHg), and the 2017 ACC/AHA guidelines (SBP ≥ 130 mmHg, or DBP ≥ 80 mmHg). The prevalence of postmenopausal HTN, its sub-types and stages were reported and compared using frequency and percentage. Agreement was evaluated using Cohen’s Kappa (κ), Prevalence-Adjusted Bias-Adjusted Kappa (PABAK) and First-order Agreement Coefficient (AC1). Results: The prevalence of postmenopausal HTN was 67.5% and 41.9% using 2017 ACC/AHA and JNC 7 guidelines respectively. Among the HTN sub-types and stages, the new 2017 ACC/AHA guideline classified higher proportion of respondents as having isolated systolic hypertension (ISH) (42.6%) and stage 2 HTN (35.8%) compared to JNC 7 (28.7% and 6.8% respectively). On the other hand, the JNC 7 guideline identified more respondents as pre-hypertensive (32.5%) when compared with the 2017 ACC/AHA guideline (3.8%). Between two guidelines, highest agreement was observed for ISH (86.03%) and those had pre-hypertension/elevated blood pressure (71.3%). Similarly, Landis & Koch’s approach detected highest agreement for ISH (κ = 0.74, substantial; PABAK = 0.76, substantial; AC1 = 0.84, excellent; p < 0.001) and pre-hypertension/elevated blood pressure (κ= 0.12, slight; PABAK = 0.42, moderate; AC1 = 0.83, excellent; p < 0.001). Conclusions: The 2017 ACC/AHA HTN guideline reported high agreement and detected more participants as hypertensive when compared with JNC 7 guideline for Bangladeshi postmenopausal women that demands further large-scale study in general population to clarify the current findings more precisely.

scholarly journals A study on prevalence of hypertension and its relationship with overweight and obesity in adolescents and young adults, Nizamabad city

2019 ◽  
Vol 6 (9) ◽  
pp. 3861
Author(s):  
G. Chethan Raj ◽  
Syam Sundar Junapudi
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Young Adults ◽  
Age Groups ◽  
Overweight And Obesity ◽  
Adolescents And Young Adults ◽  
Age Group ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Study Population

Background: The overall imbalance between unhealthy diet intake and physical activity leads to obesity which contributes to high blood pressure and high cholesterol. It is multi factorial disease and changes in the levels of blood pressure and blood lipids differ by age sex and race and are influenced by body fat and dietary patterns. These risk factors need to be monitored and evaluated in childhood and adolescents. So identifying and modifying the risk factors in early age reduces the incidence in adolescents and adult. Prevalence of hypertension varies across countries and states. The prevalence of hypertension in India is reported as ranging from 10 to 30.9%. The objective of the present study is to observe the prevalence hypertension among study population and to study contributing factors for hypertension among study population.Methods: A cross sectional study done on 100 adolescents and young adults of both sexes in the age group 17 to 25 years from 2 degree colleges randomly selected in Nizamabad city, Telangana, India.Results: In the present study population 52 were males and 48 were females, 22 students belongs to rural area and 78 belongs to urban area, pre-hypertension and hypertension was found 8% in both age groups. Overweight and obesity (>25) was found 7% in 17-19 age group and 9% in 20-25 age group. Pre-hypertension and hypertension was found among 10% of alcoholics.Conclusions: The result of our study concluded that there is increasing prevalence of hypertension with increase in age and is associated with overweight and obesity. 

scholarly journals UNDERSTANDING ADOPTION FACTORS OF SUBSCRIPTION BASED ENTERTAINMENT SERVICES AMONG CONSUMERS IN INDIA

2021 ◽  
Vol 9 (1) ◽  
pp. 795-809
Author(s):  
Tanya Khatri
Keyword(s):  
Consumer Preferences ◽  
Age Groups ◽  
Sampling Technique ◽  
Customer Acquisition ◽  
Cross Sectional ◽  
Systematic Random Sampling ◽  
The People ◽  
Streaming Services ◽  
Quantitative Descriptive ◽  
Gen X

The market of subscription-based entertainment services in India has grown in the last few years, due to the changing lifestyle, preferences and the deluge of choices that are there for the customers. There has been a substantial increase in Customer acquisition especially in paid streaming video, music and gaming subscriptions.  People are adding new services to have access to new and diversified content which is more personalized and offer them a more enriching experience. The market for subscription model-based entertainment services in India has seen growing trends and offers an opportunity to understand the consumer preferences better. A trend in Indian customers has shown the preference of streaming services over buying or downloading it. The objective of this paper is to identify the factors influencing the subscribing intention of the entertainment services in India. In this paper, quantitative descriptive cross-sectional research design has been used, a hundred and fifty-four people were chosen through a systematic random sampling technique from different demographics. The people were categorised into different age groups such as Gen-Z (14-23 years), Millennials (24-37 years) and Gen-X (38-54 years) and then their preferences were studied based on their answers in survey questionnaire. Along with age there were other demographic factors that were taken into consideration to draw the conclusions. In general, descriptive results show that the interviewed consumers have subscribed to these channels and the consumer base for these services is here to stay.  

scholarly journals Knowledge and Awareness of Rural People About Currently Emerging Disease Bird Flu

1970 ◽  
Vol 22 (1) ◽  
pp. 54-58
Author(s):  
M Jahangir Alam ◽  
K Mohammad Ali ◽  
ABM Selimuzzaman
Keyword(s):  
Strong Association ◽  
Age Groups ◽  
Sampling Technique ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Poultry Meat ◽  
Cross Sectional ◽  
Bird Flu ◽  
Modes Of Transmission ◽  
The People

A descriptive type of cross-sectional study was conducted in a village Gohordo of Gabtoli Upazila, Bogra to assess the knowledge and awareness of people of age above 18 years and above about "bird flu", its modes of transmission and prevention, by an interviewer administered questionnaire. The questionnaire was pretested and data were collected using purposive sampling technique. In this study it was found that out of 418 people, 231(55.26%) were female and the rest 187 (44.74%) were male. Majority of the respondents 226 (54.06%) were in the age group of 20-40 years, followed by 29.19%, 8.85% and7.89% were in the age groups of 40-60,<20 and above>60 years respectively. More than half; 226 (54.06%) of the people heard the term ‘bird flu'; majority of them (95.13%) as a disease. Among 226, 193(85.39) respondents know that the disease may transmit to human population. But only 32, (30%) people think that this disease is transmitted by keeping infected birds & suspected poultry, followed by 19.02% who think that it transmitted by caring & culling poultry. Among the people who heard the name of the disease,95 (42%) people had no knowledge about the signs and symptoms of the disease and only 20.35% respondents knew poultry carrying people and poultry meat eaters as "susceptible groups" getting infection. About 195 (77.43%) people know that this disease is preventable. About 55.31% and 37.16% people think, partially cooked meat and half boiled egg respectively may spread the disease to man. There is a strong association of literacy with the knowledge of the disease (p<0.05). This study will emphasize the proper health education to create awareness of the people for prevention of bird flue. DOI: 10.3329/taj.v22i1.5019 TAJ 2009; 22(1): 54-58

scholarly journals Factors associated with hypertension among adults in Nepal as per the Joint National Committee 7 and 2017 American College of Cardiology/American Heart Association hypertension guidelines: a cross-sectional analysis of the demographic and health survey 2016

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e030206 ◽  
Author(s):  
Rajat Das Gupta ◽  
Sojib Bin Zaman ◽  
Kusum Wagle ◽  
Reese Crispen ◽  
Mohammad Rashidul Hashan ◽  
...  
Keyword(s):  
Blood Pressure ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Household Wealth ◽  
Joint National Committee ◽  
National Committee ◽  
Wealth Status ◽  
Cross Sectional ◽  
Ecological Regions

ObjectivesThis study investigated the determinants of hypertension in Nepal according to both the Joint National Committee 7 (JNC7) and the American College of Cardiology/American Heart Association (2017 ACC/AHA) guidelines.DesignCross-sectional study.SettingThis study used data collected from the 2016 Nepal Demographic and Health Survey data.Participants13 393 weighted adults aged ≥18 years enrolled by a stratified cluster sampling strategy were included in our analysis.Primary and secondary outcome measuresThe primary outcome was hypertension, which was defined according to JNC7 (systolic blood pressure (SBP) ≥140 mm Hg and/or diastolic blood pressure (DBP) ≥90 mm Hg) and 2017 ACC/AHA guidelines (SBP ≥130 mm Hg and/or DBP ≥80 mm Hg). Antihypertensive medication users were also classified as hypertensive. After descriptive analysis, multilevel logistic regression was applied to obtain ORs.ResultsAbout 21% (n=2827) and 44% (n=5918) of the individuals aged ≥18 years were classified as hypertensive according to the JNC7 and 2017 ACC/AHA guidelines, respectively. Following factors were found to be significantly associated with hypertension according to the 2017 ACC/AHA guideline: ≥70 years (adjusted OR (AOR) 5.2; 95% CI 4.3 to 6.2), 50–69 years (AOR 3.9; 95% CI 3.4 to 4.4) and 30–49 years (AOR 2.7; 95% CI 2.4 to 3.0) age groups, male gender (AOR 1.7; 95% CI 1.6 to 1.9), being overweight/obese (AOR 3.0; 95% CI 2.7 to 3.3), residence in provinces 4 (AOR 1.5; 95% CI 1.2 to 2.0) and 5 (AOR 1.5; 95% CI 1.2 to 1.9). No significant association was identified with household wealth status and ecological regions of residence using the 2017 ACC/AHA guideline.ConclusionsPer both guidelines, multiple factors were associated with hypertension. Public health programme aiming to prevent and control hypertension in Nepal should prioritise these factors and focus on individuals with a higher likelihood of hypertension irrespective of educational level, household wealth status and ecological regions of residence.

scholarly journals Sexual Dimorphism in Blood Pressure and Hypertension among Adult Parengi Porjas of Visakhapatnam, Andhra Pradesh, India

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
I. Arjun Rao ◽  
Adimoolam Chandrasekhar ◽  
Venugopal N. Pulamaghatta ◽  
Subal Das ◽  
Kaushik Bose
Keyword(s):  
Blood Pressure ◽  
Sex Difference ◽  
Andhra Pradesh ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Stage I ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Group I

The present study investigated blood pressure levels as well as the prevalence of hypertension among adult Parengi Porja tribals of village Munchingput Mandalam, Visakhapatnam district, Andhra Pradesh, India. A cross-sectional study was used to collect data on systolic blood pressure (SBP), diastolic blood pressure (DBP), and pulse rate. A total of 137 adults (100 males and 37 females) were measured and classified into three age groups, that is, Gr-I: 23 to 32 years, Gr-II: 33 to 42 years, and Gr-III: ≥ 43 years. Negative significant sex difference in SBP among age group I (t=-2.409; P<0.05) was observed. Positive significant sex difference in DBP among age group I (t=2.545; P<0.05) was also observed. Significant age group difference was noticed for SBP (F=4.332; P<0.01) among males. Based on SBP, the prevalence of prehypertension and stage I hypertension in males was 25.0% and 5.0%, respectively. Similarly, in females the prevalence of prehypertension and stage I hypertension based on SBP was 32.4% and 5.4%, respectively. On the basis of DBP, the prevalence of stage I hypertension in males was 5.0%. Similarly, in females, the prevalence of stage I hypertension based on DBP was 5.4%. Our results suggest that females of this ethnic group were more prone to have prehypertension and stage I hypertension than males.

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