A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Mahajan, H.
- Emerging Importance of Coronary Heart Disease Risk Factors in India: a Population Based Study
Authors
1 Community Medicine, SMS & R, Greater Noida, UP, IN
2 Community Medicine, MAMC, Delhi, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 1 (2013), Pagination: 105-109Abstract
Objective: The present study was carried out with the objective to determine and compare the prevalence of known risk factors of CHD in urban and rural communities of Delhi.
Methods: A community-based epidemiological study from Delhi. The study was carried out by conducting a house-to-house survey. The subjects were interviewed using a pre-coded and pre-tested semi-structured schedule after getting informed verbal consent. The various known risk factors of CHD were assessed. Subjects were enquired about family history of CHD, smoking/tobacco use, alcohol intake, physical activity and mental stress. Anthropometric parameters such as height, weight, waist circumference and hip circumference of the subjects were recorded. Blood pressure, fasting blood sugar and serum cholesterol of the study subjects were also estimated.
Results: The prevalence of sedentary lifestyle, obesity, hypertension, diabetes mellitus and hypercholesterolemia were observed to be significantly higher among urban subjects as compared to rural subjects. Higher prevalence has been observed for truncal obesity and family history of CHD among the urban subjects as compared to that among rural subjects. However, difference in prevalence was not statistically significant. Smoking/tobacco use, stress and heavy alcohol intake were higher among the rural subjects than that among the urban subjects but again the difference was not statistically significant.
Conclusion: The present study clearly indicates that increasing prevalence of known risk factors of CHD in India is a major problem of public health importance in India. Urgent population-based measures are needed to control this trend in coronary risk factors for prevention of CHD in India.
Keywords
Risk Factors, CHD, Urban, Rural, Public Health
References
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- Urban-rural Differences in Prevalence of CHD: a Population Based Study
Authors
1 Community Medicine, SMS & R, Greater Noida, UP, IN
2 Community Medicine, SMS&R, Greater Noida, UP, IN
3 Community Medicine, MAMC, Delhi, IN
4 Community Medicine, SMS&R, Greater Noida, UP, IN
Source
Indian Journal of Public Health Research & Development, Vol 3, No 2 (2012), Pagination: 53-55Abstract
Objective
The present study was carried out with the objective to determine and compare the prevalence of CHD in urban and rural communities of Delhi.
Methods
A community-based epidemiological study from Delhi. The study was carried out by conducting a houseto- house survey. WHO Rose Questionnaire was used to detect angina among the study subjects. ECG was recorded using single-channel BPL ECG machine and was reported by a cardiologist.
Results
The overall prevalence of Coronary heart disease was observed to be 12.0% (95%CI: 9.71-14.29). The prevalence of Coronary heart disease was observed to be significantly higher among urban study subjects (14.8%; 95%CI: 11.05- 18.55) as compared to that among rural study subjects (9.7%; 95%CI: 6.88-12.52) (p<0.05). Out of the total 92 cases of Coronary heart disease in the present study, 51(55.5%) cases were detected either on the basis of ECG tracing or Rose questionnaire, while rest of the 41(44.5%) cases were known cases of Coronary heart disease.
Conclusion
The present study clearly indicates that the prevalence of CHD in India is a major problem of public health importance in India.
Keywords
CHD, Prevalence, Urban, Rural, WHO Rose Questionnaire, ECG, Public HealthReferences
- Mackay J, Mensah GA. WHO Atlas of heart disease and stroke. 2004: 46-49.
- Gupta OP, Phatak S. Pandemic trends in prevalence of Diabetes Mellitus and Associated Coronary Heart Disease in India – Their Causes and Prevention. Int J Diab Dev Countries 2003; 23: 37-49.
- Gupta AK, Bharadwaj A, Ashotra S, Gupta BP. Feasibility of training multipurpose Workers in detection, prevention and control of coronary artery disease in apple-belt of Shimla hills. South Asian J Prev Cardiol 2002; 6:17-22
- Rose GA, Blackburn H, Gillum RF, Prineas RJ. Cardiovascular Survey Methods. 2nd ed. WHO monograph series no. 56. Geneva: World Health Organization. 1982.
- Gupta R, Prakash H, Mazumdar S, Sharma S, Gupta VP. Prevalence of Coronary Heart Disease and coronary risk factors in urban population of Rajasthan. Indian Heart J 1995; 47: 331-8
- Gupta R, Gupta VP, Sarna M, Bhatnagar S, Thanvi J, Sharma V, et al. Prevalence of Coronary heart disease and risk factors in an urban Indian population: Jaipur Heart Watch -2. Indian Heart J 2002; 54 (1): 59-66.
- Singh RB, Sharma JP, Rastogi V, Raghuvanshi RS, Moshiri M, Verma SP, et al. Prevalence of coronary artery disease and coronary risk factors in rural and urban population of North India. Eur Heart J 1997; 18: 1728-35
- Chadha SL, Gopinath N, Shekhawat S. Urban-rural differences in the prevalence of coronary heart disease and its risk factors in Delhi. Bull World Health Organ 1997; 75(1): 31-38.
- Gupta R, Prakash H, Gupta VP, Gupta KD. Prevalence and determinants of coronary heart disease in rural population of India. Indian J Clin Epidemiol 1997; 50(2): 203-9
- Wander GS, Khurana SB, Gulati R, Sachar RK, Gupta RK, Khurana S, et al. Epidemiology of coronary heart disease in a Rural Punjab Population – Prevalence and Correlation with various risk factors. Indian Heart J 1994; 46 (6): 319-23