Behavioural risk factors for non communicable diseases among adults in Kerala, India.

BACKGROUND & OBJECTIVE: Cardiovascular and other chronic diseases are becoming the major causes of morbidity and mortality in most of the third world countries including India, especially in the southern Indian States, like Kerala, where most of the health indicators match closely with those of any developed country. Various behavioural risk factors (BRF) namely smoking, unhealthy diet, stress at home and work place, consumption of alcohol, sedentary life style, etc., are known to be risk factors for many such diseases. The present study was carried out to estimate the prevalence of various behavioural risk factors for chronic diseases, and to identify their biosocial correlates. METHODS: A cross-sectional study was done in which the data were collected from a sample of 6579 individuals of age 30 to 74 yr, randomly selected following a stratified multi-stage cluster sampling design covering Kerala State. The important factors investigated include various behavioural risk factors, presenting chronic diseases and family histories among close relatives. The data were analysed using both univariate and multivariate analyses. RESULTS: The two major risk factors observed among males were smoking and alcohol consumption. About two fifths (40%) of them were current smokers as well as current users of alcohol (41%). The median age at initiation was 21 yr for both smoking habits and for alcohol consumption. Nearly a quarter of the target population were inactive (23% males and 22% females) based on work and leisure time activities. More than one-fifth of them (23%) reported stress. Obesity was found more among females (33%) than males (17%). Low socio-economic background was found to be a high predictor (high risk group) for habit of smoking, alcohol consumption, stress and unhealthy diet. INTERPRETATION & CONCLUSION: Substantially high levels of the various behavioural risk factors among adults in Kerala suggests an urgent need for adopting healthy life style modifications among the population in general. The increased risk observed among the younger generation for behavioural risk factors such as smoking and alcohol consumption calls for urgent corrective steps and measures for long-term monitoring of all major risk factors as well as the major chronic disease conditions.

Oil massage in neonates: an open randomized controlled study of coconut versus mineral oil.

INTRODUCTION: Oil massage for newborns is reported to improve weight gain by better thermoregulation. A role for transcutaneous absorption has also been suggested. AIMS AND OBJECTIVES: This study was undertaken to compare the effect of massage with coconut oil versus mineral oil and placebo (powder) on growth velocity and neuro-behavior in well term and preterm babies. STUDY DESIGN: Open Randomized Controlled trial. SETTING: The Premature unit and the postnatal wards of a major teaching hospital in a metropolitan city. MATERIAL AND METHODS: Intramural preterm appropriate for gestational age babies weighing between 1500 to 2000 grams and term births weighing more than 2500 grams fulfilling the inclusion criteria constituted the two gestation age categories studied. Babies in each group were randomized to receive massage with either coconut oil, mineral oil or with placebo. Oil massage was given by a trained person from day 2 of life till discharge, and thereafter by the mother until 31 days of age, four times a day. Babies were followed up daily till discharge and every week after discharge for anthropometry. Neuro-behavioral outcome was assessed by the Brazelton Score at baseline, day 7 and on day 31. RESULTS: Coconut oil massage resulted in significantly greater weight gain velocity as compared to mineral oil and placebo in the preterm babies group; and in the term baby group, as compared to the placebo. Preterm infants receiving coconut oil massage also showed a greater length gain velocity compared to placebo group. No statistically significant difference was observed in the neurobehavioral assessment between all three subgroups in term babies as well as in preterm babies.