scholarly journals Sedentary lifestyle among office workers and coronary heart disease risk factors due to the COVID-19 quarantine

Work ◽  
2020 ◽  
Vol 67 (2) ◽  
pp. 281-283
Author(s):  
Mahboubeh Ghayour Najafabadi ◽  
Amir Sobhrakhshan Khah ◽  
Mitch Rostad

The COVID-19 pandemic has affected the entire world. It is difficult to follow protocols and regulations set forth by governments, designed by the World Health Organization. The most common protocol set forth by governments is quarantining at home. Many occupations must stay home to comply with this protocol. Among these occupations, office workers are the most common group to comply and work from home. This has led to a lack of daily movement and increased sedentary lifestyle, which has made employees prone to developing coronary heart disease (CHD). Additionally, obesity is a known risk factor for this group. This commentary presents feasible protocols aimed at helping home-based office workers stay healthy and decrease the risk of developing CHD.

2017 ◽  
Vol 2 (1) ◽  
pp. 1 ◽  
Author(s):  
Thomas K. Awuni ◽  
Gideon Kye-Duodu ◽  
Charles Duodu ◽  
Francis B. Zotor ◽  
Basma Ellahi

<p><em>The World Health Organization (WHO) recommends that a person consumes at least 400g of Fruit and Vegetable (FV) daily to prevent chronic disease risk. We assessed knowledge of current WHO guidelines and other determinants of FV intake among adults (? 18 years, n = 397) in Hohoe Municipality, Ghana. Face-to-face interviews using a questionnaire adopted from </em><em>WHO Risk Factor Surveillance System were undertaken. </em><em>Knowledge of FV daily servings and determinants of intake were evaluated by descriptive statistics and binary logistic regression. There was a 99.2% response rate with approximately 9</em><em>% </em><em>of participants correctly stating the WHO daily recommended amount (P </em><em>=</em><em> </em><em>.</em><em>296</em><em>)</em><em>. Most (54%) of respondents’ FV intake was affected by unavailability of desired choice (</em><em>P </em><em>=</em><em> .050)</em><em>. Odds of inadequate consumption for persons aware of adequate intake amount was 1.97 (95% CI: 0.64, 6.05, P = .234) higher than persons without awareness. Participants with problems accessing their desired choice of FV had 0.59 odds (95% CI: 0.36, 0.95, P = .030) of consuming inadequate amount compared to those with easy access. Adequate FV intake depends on availability of consumer prefered choice regardless of knowledge of recommendations. Individual home based FV cultivation is relevant for availability of preferred choice and adequate consumption for NCDs risk reductions among Ghanaians.</em></p>


ESC CardioMed ◽  
2018 ◽  
pp. 2850-2851 ◽  
Author(s):  
Petronella Pieper

In all women with heart disease or aortic disease, risk assessment should be performed, preferably before conception. The recommended system for risk assessment is the modified World Health Organization classification. Additionally, disease-specific information should be used.


Author(s):  
Iin Novita Nurhudayati Mahmuda ◽  
Nanda Nurkusumasari ◽  
Fakhri Nofaldi ◽  
Prihatin Puji Astuti ◽  
Ferika Dian Syafitri ◽  
...  

<p>Coronary heart disease (CHD), is one of the non-communicable diseases that has a tendency to increase every year and have an impact not only on developed countries, but also in developing countries. According to the World Health Organization (WHO), in 2012 there were 56 million deaths worldwide caused by non-communicable disease and heart disease contributed 46.2% or caused 17.5 million deaths. This review article to give brief explanation about CHD from risk factors, diagnosed criteria, management therapy and prognosis. Risk factors for CHD can be distinguished into major risk factors and minor risk factors. Symptoms of CHD are discomfort in the chest ranging from pain crushed during activity and improved with rest to continuous chest pain. The diagnosis of CHD is established based on anamnesis, physical examination, and laboratory examination. The CHD classification consists  of Stable Angina Pectoris (APS) and Acute Coronary Syndrome (ACS). Lifestyle changes accompanied<em> </em>by right medication can reduce complications caused             by CHD.</p>


2021 ◽  
Vol 11 (4) ◽  
pp. 293-299
Author(s):  
A. F. Nurimanshin ◽  
R. R. Bogdanov ◽  
P. I. Mironov ◽  
A. A. Khusaenova

Background. According to the World Health Organization, the atherosclerosis development depends on the quality of life and lifestyle (60 %), genetic (20 %), environmental factors (10 %) and quality of medical aid (5 %). The routes to defeat atherosclerosis generally and certain systemic enzyme disorders in particular pertain in research into the population genetic predispositions to this pathology.Materials and methods. A comparative study of genetic predispositions to malignant brachiocephalic atherosclerosis analysed the renin—angiotensin system gene association in 60 patients. Th e renin—angiotensin system allelic and polymorphic loci haplotype frequencies have been determined.Results and discussion. Patients with atherosclerotic brachiocephalic vascular lesions revealed a statistically significant frequency of the AGT gene’s allele C involved in coronary heart disease development.Conclusion. Th e study suggests a putative involvement of the angiotensinogen system genes in mediating the development of brachiocephalic atherosclerosis and coronary heart disease


2021 ◽  
Vol 10 (1) ◽  
pp. 47
Author(s):  
Citra Rachmawati ◽  
Santi Martini ◽  
Kurnia Dwi Artanti

ABSTRAKLatar Belakang: Pola penyakit saat ini mengalami transisi epidemiologi, salah satunya dibuktikan oleh perkembangan dari penyakit tidak menular yaitu penyakit jantung. Penyakit jantung khususnya jantung koroner ini termasuk penyakit yang menduduki tingkat nomor satu di dunia.. Diperkirakan angka kematian akibat penyakit Jantung Koroner akan mengalami peningkatan hingga 23,3 juta pada tahun 2030 (World Health Organization 2013). Penelitian ini membahas mengenai faktor risiko PJK yaitu hipertensi, diabetes melitus, aktivitas fisik, dan perilaku merokok.Tujuan: Penelitian ini bertujuan untuk menganalisis faktor risiko hipertensi, diabetes melitus, aktivitas fisik, dan perilaku merokok pada pasien penyakit jantung koroner di Rsu Haji Surabaya tahun 2019.Metode: Penelitian ini merupakan penelitian observasional dan bersifat analitik. Desain penelitian yang digunakan adalah case control.Hasil: Penelitian ini menunjukkan bahwa variabel hipertensi memiliki hubungan (p-value = 0,0 ; p<0,05) terhadap penyakit jantung koroner, variabel diabetes melitus memiliki hubungan (p-value= 0,00 ; p<0,05) terhadap penyakit jantung koroner dan variabel aktifitas fisik memiliki hubungan yang signifikan (p-value = 0,017; OR = 0,184; 95%CI =0,039-0,861) dengan kejadian penyakit jantung koroner. Sedangkan hasil yang tidak beruhubungan yaitu pada variabel perilaku merokok (p-value = 0,250; OR = 1,463; 95%CI=0,764-2,802) terhadap penyakit jantung koroner. Kesimpulan: Berdasarkan hasil dan pembahasan dapat disimpulkan bahwa hipertensi, diabetes melitus, dan aktifitas fisik memiliki hubungan dan termasuk faktor risiko kejadian penyakit jantung koroner. Sedangkan perilaku merokok tidak menunjukkan adanya hubungan yang signifikan dengan kejadian penyakit jantung koroner. Kata kunci: Penyakit jantung, jantung koroner dan faktor risiko ABSTRACTBackground: The pattern of disease is currently undergoing an epidemiological transition, one of which is evidenced by the development of non-communicable diseases, namely heart disease. Heart disease, especially coronary heart disease, is a disease that ranks number one in the world. It is estimated that the death rate due to coronary heart disease will increase to 23.3 million in 2030 (World Health Organization 2013). This study discusses the risk factors for CHD, namely hypertension, diabetes mellitus, physical activity, and smoking behavior. Purpose: The purpose of this study was to analyze the risk factors for hypertension, diabetes mellitus, physical activity, and smoking behavior in coronary heart disease patients at Rsu Haji Surabaya in 2019. Methods: This study was an observational and analytical study. The research design used was case-control. Results: The results of this study indicate that the hypertension variable has a relationship (p-value = 0.00; p <0.05) on coronary heart disease, the diabetes mellitus variable has a relationship (p-value = 0.00; p <0.05) on coronary heart disease and the activity variable physical had a significant relationship (p-value = 0.017; OR = 0.184; 95% CI=0.039-0.861) with the incidence of coronary heart disease. While the results that were not related were the smoking behavior variable (p-value = 0.250; OR = 1.463; 95% CI=0.764-2.802) on coronary heart disease.Conclusion: Based on the results and discussion, it can be concluded that hypertension, diabetes mellitus, and physical activity have a relationship and include risk factors for coronary heart disease. Meanwhile, smoking behavior does not show a significant relationship with the incidence of coronary heart disease. Keywords: Cardiovascular diseas, coronary heart and  risk factors.


2004 ◽  
Vol 3 (3) ◽  
pp. 1-2
Author(s):  
R.K. Shah ◽  
AB Upadhayaya ◽  
L.P. Tibrewala ◽  
P.R. Regmi ◽  
K.P. Acharya ◽  
...  

World Health Organization [WHO] has predicted that by AD 2020 up to three- quarter of death in developing countries would result from non-communicable diseases (NCDs) and that Coronary Heart Disease (CHD) will top the list of killers. Data also indicate that epidemiological transition, which is characterized by aging and changing life style and culminates in epidemics of hypertension (HTN) and CHD, is rapidly occurring in India and other developing countries.


2019 ◽  
Vol 37 (2) ◽  
Author(s):  
Patrícia Cristina Cardoso ◽  
Larissa Gussatschenko Caballero ◽  
Karen Brasil Ruschel ◽  
Maria Antonieta Pereira de Moraes ◽  
Eneida Rejane Rabello da Silva

Abstract Objective. To identify the nursing diagnoses through reports in the medical records of patients monitored in a specialized ischemic heart disease outpatient clinic.Methods. Cross-sectional study with retrospective data collection in the medical records. From the data collected, the nursing diagnoses were proposed by the researchers and submitted for validation by specialist cardiology nurses.Results. A total of 13 nursing diagnoses were evaluated from the medical records of 50 outpatients with the following validation agreements among the specialists: Ineffective health management (100%), Noncompliance (100%), Sedentary lifestyle (100%), Activity intolerance (100%), Decreased cardiac output (88%), Risk of decreased cardiac tissue perfusion (65%), Risk of intolerance to activity (65%), Acute pain (76%), Ineffective health maintenance (65%), Risk-prone health behavior (65%), Risk for decreased cardiac output (65%), Risk for intolerance to activity (65%), Ineffective respiratory pattern (53%), Impaired memory (29%).Conclusion. In this study, the nursing diagnoses validated for stable heart disease patients were linked to adherence to treatment and to the cardiovascular responses of the patients, reinforcing the importance of early intervention. These results allow the multidisciplinary team to individualize the goals and interventions proposed for ischemic heart disease patients.Descriptors: ambulatory care; cross-sectional studies; nursing diagnosis; outpatients; nursing process; myocardial ischemia.How to cite this article: Cardoso PC, Caballero LG, Ruschel KB, Moraes MAP, Silva ERR. Profile of the nursing diagnoses in stable heart disease patients. Invest. Educ. Enferm. 2019; 37(2):e08.ReferencesWorld Health Organization. World Health Statistics 2018: monitoring health for the SDGs, sustainable development goals [Internet]. Geneva: WHO; 2018 [cited: 7 May 2019]. Available from: https://www.who.int/gho/publications/world_health_statistics/2018/en/ Ministério da Saúde. Informações de Saúde (TABNET) - Assistência à Saúde. DATASUS. Departamento de Informatica a Serviço do SUS [Internet]. 2016 [cited: 7 May 2019]. Available from: http://datasus.saude.gov.br/informacoes-de-saude/tabnet/assistencia-a-saude Ôunpuu S, Negassa A, Yusuf S. INTER-HEART: A global study of risk factors for acute myocardial infarction. Am. Heart J. 2001; 141(5):711–21. Berwanger O, Guimarães HP, Laranjeira LN, Cavalcanti AB, Kodama AA, Zazula AD, et al. Effect of a multifaceted intervention on use of evidence-based therapies in patients with acute coronary syndromes in Brazil: The BRIDGE-ACS randomized trial. 2012; 307(19):2041–9. Saffi MAL, Polanczyk CA, Rabelo-Silva ER. Lifestyle interventions reduce cardiovascular risk in patients with coronary artery disease: A randomized clinical trial. Eur. J. Cardiovasc. Nurs. 2014; 13(5):436–43. Brasil. Ministerio da Saúde. Diretrizes para o cuidado das pessoas com doenças crônicas nas redes de atenção à saúde e nas linhas de cuidado prioritárias [Internet]. Brasília; 2013 [cited: 7 May 2019]. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/diretrizes%20_cuidado_pessoas%20_doencas_cronicas.pdf Gallagher-Lepak S. Fundamentos do diagnóstico de enfermagem. In: Herdman TH, Kamitsuru S O, editor. Diagnósticos de enfermagem da NANDA: Definições e Classificação. 2015. p. 21–30. Santos NA dos, Cavalcante TF, Lopes MV de O, Gomes EB, Oliveira CJ de. Profile of nursing diagnoses in patients with respiratory disorders. Invest. Educ. Enferm. 2015; 33(1):112–8. Sampaio F de C, de Oliveira PP, da Mata LRF, Moraes JT, da Fonseca DF, Vieira VA de S. Profile of nursing diagnoses in people with hypertension and diabetes. Invest. Educ. Enferm. 2017;35(2):139–53. Javier F, Rivas P, Martín-iglesias S, Luis J, Arenas CM, Lagos MB. Effectiveness of Nursing Process Use in Primary Care. Int. J. Nurs. Knowl. 2015; 27(1):43–8. Araújo DD, Carvalho RLR, Chianca TCM. Nursing diagnoses identified in records of hospitalized elderly. Invest. Educ. Enferm. 2014; 31(3):225–35. Menna Barreto LN, Swanson EA, De Abreu Almeida M. Nursing Outcomes for the Diagnosis Impaired Tissue Integrity (00044) in Adults with Pressure Ulcer. Int. J. Nurs. Knowl. 2016; 27(2):104–10. Moreira RP, Guedes NG, Lopes MV de O, Cavalcante TF, Araújo TL de, Moreira RP, et al. Nursing diagnosis of sedentary lifestyle: expert validation. Texto Context - Enferm. 2014; 23(3):547–54. Bowry ADK, Shrank WH, Lee JL, Stedman M, Choudhry NK. A systematic review of adherence to cardiovascular medications in resource-limited settings. J. Gen. Intern. Med. 2011; 26(12):1479–91. Osterberg L, Blaschke T. Adherence to medication. New. Engl. J. Med. 2005; 353(18):1973–4. Vrijens B, De Geest S, Hughes DA, Przemyslaw K, Demonceau J, Ruppar T, et al. A new taxonomy for describing and defining adherence to medications. Br. J. Clin. Pharmacol. 2012; 73(5):691–705. Borges JWP, Moreira TMM, Rodrigues MTP, de Souza ACC, da Silva DB. Content validation of the dimensions constituting non-adherence to treatment of arterial hypertension. Rev. Esc. Enferm. 2013; 47(5):1076–82. Freitas JS de, Silva AEB de C, Minamisava R, Bezerra ALQ, Sousa MRG de. Quality of nursing care and satisfaction of patients attended at a teaching hospital. Rev. Lat. Am. Enfermagem. 2014; 22(3):454–60. World health Organization. Adherence to long-term therapies: evidence for action [Internet]. Geneve: WHO; 2003 [cited: 7 May 2019]. Available from: https://www.who.int/chp/knowledge/publications/adherence_report/en/


2018 ◽  
Vol 13 (4) ◽  
pp. 492-502 ◽  
Author(s):  
Kahyun Lim ◽  
Byung Mun Lee ◽  
Ungu Kang ◽  
Youngho Lee

Coronary Heart Disease (CHD) is the world’s leading cause of death according to a World Health Organization (WHO) report. Despite the evolution of modern medical technology, the mortality rate of CHD has increased. Nevertheless, patients often do not realize they have CHD until their condition is serious due to the complexity, high cost, and the side effects of the diagnosis process. Thus, research on predicting CHD risk has been conducted. The Framingham study is a widely-accepted study in this field. However, one of its limitations is its overestimation of risk, which threatens its accuracy. Therefore, this study suggests a more advanced CHD risk prediction algorithm based on Optimized-DBN (Deep Belief Network). Optimized- DBN is an algorithm to improve performance by overcoming the limitations of the existing DBN. DBN does not have the global optimum values for number of layers and nodes, which affects research results. We overcame this limitation by combining with a genetic algorithm. The result of genetic algorithm for deriving the number of layers and nodes of Optimized-DBN for CHD prediction was 2 layers, 5 and 7 nodes to each layers. The accuracy of the CHD prediction algorithm based on Optimized- DBN which is developed by applying results of genetic algorithm was 0.8924, which is better than Framingham’s 0.5015 and DBN’s 0.7507. In the case of specificity, Optimized-DBN based CHD prediction was 0.7440, which was slightly lower than 0.8208 of existing DBN, but better than Framingham’s 0.65. In the case of sensitivity, Optimized-DBN is 0.8549, which is better than Framingham 0.4429 and DBN 0.7468. AUC of suggesting algorithm was 0.762, which was much better than Framingham 0.547 and DBN 0.570.


1989 ◽  
Vol 34 (6) ◽  
pp. 550-555 ◽  
Author(s):  
W.C.S. Smith ◽  
H. Tunstall-Pedoe ◽  
I.K. Crombie ◽  
R. Tavendale

The Scottish Heart Health Study is a study of lifestyle and coronary heart disease risk factors in 10,359 men and women aged 40–59 years, in 22 districts of Scotland. The study was conducted during 1984–86, when Scotland had the highest national coronary heart disease mortality reported by the World Health Organisation. A self-completed questionnaire, complemented by a 40 minute visit to a survey clinic, staffed by nurses, enabled the classical major risk factors and some more newly described ones to be measured. The study emphasised quality control and representativeness, and incorporated a World Health Organisation protocol for measurement of key items to allow comparisons in place and time, and therefore also to provide a definitive baseline against which interventions can be assessed. This paper describes the overall findings. Current cigarette smokers constitute 39% of men and 38% of women, higher levels than those reported in England but lower than previous Scottish reports. Mean blood pressure levels were 134/84 mmHg for men and 131/81 mmHg in women, lower than in British studies of the 1960s and 1970s. Mean body mass index levels, 26.1 Kg/m2 in men and 25.7 Kg/m2 in women, were not high by international standards. However, mean serum cholesterol levels were 6.4 mmol/l in men and 6.6 mmol/l in women — as high as those in previous British studies and high by international standards. Levels of high density lipoprotein cholesterol, non-fasting triglycerides and fibrinogen are also reported. Physical activity both at work and in leisure time was low. Many participants did not eat fresh fruit or green vegetables. High cholesterol and cigarette smoking levels provide a classical explanation for the excess of coronary deaths in Scotland, justifying action, but other factors, such as the dietary deficiencies, also merit further investigation.


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