Bhardwaj Ashok Kumar, Kumar Dinesh, Raina Sunil Kumar, Bhushan Satya, Chander Vishav, Sharma Sushant
Department of Community Medicine, Dr. Rajendra Prasad Government Medical College, Kangra, Himachal Pradesh 176001, India.
Department of Biochemistry, Dr. Rajendra Prasad Government Medical College, Kangra, Himachal Pradesh 176001, India.
Int J Chronic Dis. 2014;2014:761243. doi: 10.1155/2014/761243. Epub 2014 Jan 22.
Introduction. Rural area of India is facing epidemiological transitions due to growth and development, warranting a longitudinal study to assess the development of CVDs risk factors. Objective. Feasibility of setting up a rural cohort for the assessment and development of biochemical risk factors for CVDs. Methodology. In Himachal Pradesh, house-to-house surveys were carried out in six villages for anthropometry and assessment of lipid profile. All the information was stored in specifically designed web-based software, which can be retrieved at any time. Results. A total of 2749 individuals of more than 20 years of age were recruited with a 14.3% refusal rate. According to Asian criteria, measured overweight and obesity (BMI > 27.5 kg/m(2)) were 44.9% and 10.5%, respectively. Obesity was significantly more (P = 0.01) among females (11.7%) as compared to males (8.4%). The prevalence of prehypertension and hypertension was observed to be 16.3% and 37.4%, respectively. Eighty percent of individuals had borderline (46.5%) to high (35.4%) level of triglycerides (TGs). Elevated total cholesterol (TC) and low density lipoprotein (LDL) level were observed among 30.0% and 11.0% individuals only. Conclusion. A high prevalence of biochemical risk factors for CVDs in a rural area urges establishment of an effective surveillance system.
引言。由于增长和发展，印度农村地区正面临流行病学转变，因此需要进行一项纵向研究来评估心血管疾病风险因素的发展情况。目的。建立一个农村队列以评估和研究心血管疾病生化风险因素的可行性。方法。在喜马偕尔邦，对六个村庄进行了挨家挨户的调查，以进行人体测量和血脂谱评估。所有信息都存储在专门设计的基于网络的软件中，可随时检索。结果。共招募了2749名20岁以上的个体，拒绝率为14.3%。根据亚洲标准，测量得出超重和肥胖（BMI＞27.5kg/m²）的比例分别为44.9%和10.5%。女性肥胖率（11.7%）显著高于男性（8.4%）（P = 0.01）。观察到高血压前期和高血压的患病率分别为16.3%和37.4%。80%的个体甘油三酯（TGs）水平处于临界（46.5%）至高水平（35.4%）。仅30.0%的个体总胆固醇（TC）升高，11.0%的个体低密度脂蛋白（LDL）水平升高。结论。农村地区心血管疾病生化风险因素的高患病率促使建立一个有效的监测系统。
