Madhu B, Prathyusha K, Prakruthi P, Srinath K M
Department of Community Medicine, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India.
Department of Community Medicine, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India.
Diabetes Metab Syndr. 2019 Sep-Oct;13(5):2961-2966. doi: 10.1016/j.dsx.2019.07.056. Epub 2019 Aug 2.
Cardiovascular diseases have been recognized as leading cause of death. Three-fourths of CVD deaths occur in low and middle income countries. Surveillance of CVD risk factors is a key strategy for effective CVD prevention.
To identify the extent of CVD risk factors and 10 year risk of developing Cardiovascular Disease events among rural and tribal population.
This community based cross sectional study was conducted on a total of 482 rural and 415 tribal subjects aged above 30 years from Kollegal taluk, Chamrajanagar, Karnataka, India. Tobacco and alcohol consumption, BMI, blood pressure and capillary blood glucose were estimated. WHO/ISH risk prediction chart was used to predict 10 year risk of MI/stroke.
Tobacco consumption was 15.4% (rural) and 90.8% (tribal). Alcohol consumption was 10.8% (rural) and 21.9% (tribal), Obesity was 40.2% (rural) and 14.0% (tribal). Prevalence of Hypertension was 49.8% (rural) and 32.2% (Tribal) and diabetes 8.3% (rural) and 2.9% (tribal). Nearly one fourth of the population are at moderate risk (10-30%) and one tenth are at high risk (30%) of MI/Stroke within 10 years.
High prevalence of tobacco consumption among tribal and high prevalence of hypertension and diabetes among rural predisposes 10% of population to moderate to high risk of stroke/MI within 10 years.
心血管疾病已被公认为主要死因。四分之三的心血管疾病死亡发生在低收入和中等收入国家。监测心血管疾病风险因素是有效预防心血管疾病的关键策略。
确定农村和部落人口中心血管疾病风险因素的程度以及发生心血管疾病事件的10年风险。
这项基于社区的横断面研究共纳入了来自印度卡纳塔克邦钱拉贾纳加尔科莱格尔乡的482名农村和415名部落30岁以上的受试者。评估了烟草和酒精消费、体重指数、血压和毛细血管血糖。使用世界卫生组织/国际高血压学会风险预测图表来预测心肌梗死/中风的10年风险。
烟草消费率在农村为15.4%,在部落为90.8%。酒精消费率在农村为10.8%,在部落为21.9%。肥胖率在农村为40.2%,在部落为14.0%。高血压患病率在农村为49.8%,在部落为32.2%;糖尿病患病率在农村为8.3%,在部落为2.9%。近四分之一的人口在10年内发生心肌梗死/中风的风险为中度(10 - 30%),十分之一的人口风险为高度(30%)。
部落人群中烟草消费率高,农村人群中高血压和糖尿病患病率高,使10%的人口在10年内发生中风/心肌梗死的风险为中度至高风险。