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Background: The study aimed to assess the prevalence of Hypertension (HTN), Diabetes mellitus(DM) and other diseases along with comorbid conditions, disease complications and also to assess medication adherence in a tertiary hospital in Karimnagar, Telangana, India.Methods: A Cross sectional study is performed by analysing a total of 500 patient抯 individual case safety reports (ICSR). Prevalence of Hypertension and Diabetes along with most prescribed drugs are analysed. Medication adherence is analysed by using Morisky Medication adherence questionnaire scale (MMAS-4).Results: Patients with past history of DM, HTN and other diseases which was found to be 245 (49%) patients. Patients with highest disease prevalence were found to be with HTN (56.73%), DM (31.83%) followed by other diseases like asthma (8.57%), Cerebrovascular accident (4.89%) etc., Total of 66 Patients were ruled out with comorbid diseases. Patients with HTN+DM (47) were found to be highest followed by DM+HTN+CVA (4). MMAS-4 revealed 208 patients were using medication out of 245 patients with previous history. According to MMAS-4 most of the patients were with medium adherence (76). Prevalent drug used for HTN include Amlodipine and for DM Telmisartan+Hydrochlorthiazide.Conclusions: The study revealed that almost half of the admitted patients were with HTN and DM. The patients were counselled properly to adhere strictly to the prescription. Medication adherence to HTN and DM was found to be good in this study. Since the disease complications were also ruled out, the health care professionals are recommended to spread awareness on DM and HTN and disease management in order to control disease and improve health outcomes.
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Objective To investigate the trends of hypertension prevalence among Chinese adults from 1991 to 2009.To analysis the effects of socioeconomic status(SES) on hypertension rate.Methods This study was based on the data of China Health and Nutrition Survey which was conducted in 1991,1993,1997,2000,2004,2006 and 2009.Adult subjects aged 18 to 74 years old in each round were included.Statistical method of single factor and multi-factor analysis was used.Results During the eighteen-year follow up,from 1991 to 2009,the crude rate increased from 14.6％ to 28.7％,and the adjusted rate by age increased from 14.6％ to 32.2％ among males.The crude rate increased from 12.0％ to 24.6％,and age adjusted rate from 12.0％ to 24.9％ among females.Hypertension prevalence was highest among the male group with highest SES score at 1991,1993,1997,2000 and 2004.However,the lowest SES score with highest hypertension prevalence was found among the male group at 2006 and 2009.From 1997,the hypertension prevalence of female with highest SES score was lowest,and the group with lowest SES score was highest hypertension prevalence in female group from 1993.Negative association was found between SES score and female hypertension prevalence by the logistic regression analysis.No association was found between SES score and male hypertension prevalence.Conclusion The prevalence of hypertension among Chinese adults had a continual increase with age during the period from 1991 to 2009.Negative association was existed between SES and hypertension prevalence for female.However,further study should be conducted between SES and male hypertension prevalence.
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Objective: To study various determinants of hypertension in faculties of various colleges in Bhavnagar city. Method: The present study was conducted among faculties of various colleges in Bhavnagar city. Total 407 faculties were enrolled in the study. Diagnosis of hypertension was done according to JNC VII criteria. Result: We found 27.5% prevalence of hypertension among the faculties. Non modifiable determinants of hypertension like age, gender and family history of hypertension were significantly associated with hypertension. Modifiable determinants of hypertension like smoking, extra salt intake, sedentary life style, co existence of diabetes mellitus and Obesity (BMI ≥25 kg/m2) were significantly associated with hypertension. Conclusion: Hypertension is a major health problem and both non modifiable and modifiable determinants affect hypertension.
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Objective To investigate the physiological characteristics and the association with low prevalence of hypertension in "desert people" ,as an isolated population,in Taklimakan Desert.Methods All data were obtained from each person by questionnaire and standardized physical examinations. Total 469 subjects received examinations,including 359 subjects of "desert people" (M/F=205/154),aged from 15~99 years; 101 subjects of Uyghur from Yutian county (M/F=51/50),aged from 20~85 years,as controls. Some parameters :TC,TG,LDL-C,HDL-C,Apo-A,Apo-B,Lp-a,BUN,UA and CRE were determined. The statistical analysis was performed with SAS9.1.3 Version (Inititute Inc. Cary,NC. USA). Continuos values were expressed as mean?SD.Differences between groups were examined by student's t test,and statistical difference was considered when the P value was less than 0.05.Results 1)The height in "desert people" was significantly taller than that in controls.P value was 0.0317 for male and P60 years,P value was 0.0127 and 0.0443,respectively.(3)The prevalence of hypertension in "desert people" was 7%(24/359),that was significantly lower than that in controls(30.7%,31/101),P
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BACKGROUND: Recently the Korean society has been challenged with the rapid growth of obese population due to the improved socioeconomic status and lifestyle changes over the past decades. Not only has obesity been known as one of major risk factors for various diseases including cardiovascular diseases(e.g. hypertension, coronary heart disease and stroke) and diabetes mellitus, but it has also increased the death from obesity-related diseases. It has been required, however, to establish our own obesity criteria adjusted for Korean since much difference is expected to exist in the degree of obesity between white and Asian people. Therefore, this study was designed to provide with primary data to help establish new criteria through identifying the distribution of Body Mass Index(BMI), and then analysing its relatian with some obesity-related diseases. METHODS: This study calculated BMI and related it to some obesity-related diseases by analysing data from 1995 National Health Interview Surveys, in which a random sample of 5,750 Korean at the age of 15-69 had self-reported their heights, body weights and diagnoses with obesity-related diseases by physicians. Variables under consideration include potential risk factors(e.g. alcohol intakes, smoking, exercise, etc.) as well as demographics of the sample population. RESULTS: Average BMI(kg/m(2)) were 21.6+/- 2.6 for male and 21.7+/-4.8 for female(mean+/-SD), which increased in direct proportion to the increase of age until the age reached the group of 40-59, and then followed by the inverse in its relation with the age at 60 and over. It was revealed, however, that prevalences of obesity-related diseases such as hypertension, diabetes mellitus etc. were the highest among the population group with their BMI of 23.8~35.6. In short, this study identified the proportional relation of BMI with the prevalence of obesity-related diseases. CONCLUSIONS: In this study, the prevalence for hypertension and diabetes mellitus was shown to be higher than the average among population with their BMI of 21.9~238, whose figure is much lower than both 26.4, the value of the 90th percentile proposed in MONICA prot and 25, the current WHO criteria of obesity. However, a Japanese study reported that the health risk began to increase at the BMI of 23 with risks for obesity-related diseases dramatically increased at the BMI of 26-27 and over, and concluded that because Asian has more body fats accumulated within the upper body part compared with the white, the Asian persons are more obese, though less in terms of BMI, than the white. Therefore, future works should be focused on establishing our own criteria for obesity with health risks through determining the association of BMI with prevalence of various diseases in Korea.