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Feasibility of Development of a Cohort in a Rural Area of Sub-Himalayan Region of India to Assess the Emergence of Cardiovascular Diseases Risk Factors.

Bhardwaj AK, Kumar D, Raina SK, Bhushan S, Chander V, Sharma S - Int J Chronic Dis (2014)

Bottom Line: Obesity was significantly more (P = 0.01) among females (11.7%) as compared to males (8.4%).Conclusion.A high prevalence of biochemical risk factors for CVDs in a rural area urges establishment of an effective surveillance system.

View Article: PubMed Central - PubMed

Affiliation: Department of Community Medicine, Dr. Rajendra Prasad Government Medical College, Kangra, Himachal Pradesh 176001, India.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus

Recruitment of rural cohort in sub-Himalayan region of India.
© Copyright Policy - open-access
Related In: Results  -  Collection


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fig1: Recruitment of rural cohort in sub-Himalayan region of India.

Mentions: A cross-sectional survey was carried out in the rural area of Taunidevi block of the district Hamirpur, Himachal Pradesh. The study state is in the sub-Himalayan region of India, and 90.0% of its population resides in rural areas. The study area is located in a hilly terrain at an altitude of 738 meters. The study was approved by the Institute Ethics Committee (IEC). An independent research staff (laboratory technician: 1, laboratory assistant: 1, and field workers: 2) were recruited and trained for study purposes. The staff members were permanent residents of the study area. Temporary residents and migrants (about 10.0%) were not recruited and excluded. A total of 459 (14.3%) individuals could not be recruited as they refused to participate in the study (Figure 1). In identified villages, a house-to-house survey was carried out by the research staff. A participation information sheet (PIS) was administered in a local language (Hindi) and signatures of the participants were taken. In case of illiterate individual, the PIS was narrated in Hindi, and a thumb impression (certified by field workers) was taken. After taking informed consent, field workers administered the structured questionnaire and carried out anthropometric (height and weight) and blood pressure assessment. Three blood pressuring readings were taken after intervals of five minutes and an average of the three was recorded. Thereafter, laboratory technician and attendant collected five-milliliter blood samples under universal precautions. More of women were recruited, as they were available in home during the day. Men who visited the household late in the evening could not be included. Individuals screened were identified as hypertensive using Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) by the National Heart, Lung, and Blood Institute (NHLBI).


Feasibility of Development of a Cohort in a Rural Area of Sub-Himalayan Region of India to Assess the Emergence of Cardiovascular Diseases Risk Factors.

Bhardwaj AK, Kumar D, Raina SK, Bhushan S, Chander V, Sharma S - Int J Chronic Dis (2014)

Recruitment of rural cohort in sub-Himalayan region of India.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4590941&req=5

fig1: Recruitment of rural cohort in sub-Himalayan region of India.
Mentions: A cross-sectional survey was carried out in the rural area of Taunidevi block of the district Hamirpur, Himachal Pradesh. The study state is in the sub-Himalayan region of India, and 90.0% of its population resides in rural areas. The study area is located in a hilly terrain at an altitude of 738 meters. The study was approved by the Institute Ethics Committee (IEC). An independent research staff (laboratory technician: 1, laboratory assistant: 1, and field workers: 2) were recruited and trained for study purposes. The staff members were permanent residents of the study area. Temporary residents and migrants (about 10.0%) were not recruited and excluded. A total of 459 (14.3%) individuals could not be recruited as they refused to participate in the study (Figure 1). In identified villages, a house-to-house survey was carried out by the research staff. A participation information sheet (PIS) was administered in a local language (Hindi) and signatures of the participants were taken. In case of illiterate individual, the PIS was narrated in Hindi, and a thumb impression (certified by field workers) was taken. After taking informed consent, field workers administered the structured questionnaire and carried out anthropometric (height and weight) and blood pressure assessment. Three blood pressuring readings were taken after intervals of five minutes and an average of the three was recorded. Thereafter, laboratory technician and attendant collected five-milliliter blood samples under universal precautions. More of women were recruited, as they were available in home during the day. Men who visited the household late in the evening could not be included. Individuals screened were identified as hypertensive using Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) by the National Heart, Lung, and Blood Institute (NHLBI).

Bottom Line: Obesity was significantly more (P = 0.01) among females (11.7%) as compared to males (8.4%).Conclusion.A high prevalence of biochemical risk factors for CVDs in a rural area urges establishment of an effective surveillance system.

View Article: PubMed Central - PubMed

Affiliation: Department of Community Medicine, Dr. Rajendra Prasad Government Medical College, Kangra, Himachal Pradesh 176001, India.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus