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J Epidemiol Glob Health ; 3(3): 147-56, 2013 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-23932057

RESUMEN

INTRODUCTION: Risk factors for cardiovascular disease (CVD) are multifactorial. Previous research has reported a high prevalence of CVD risk factors in tea-garden workers. This study was conducted to assess prevalence and level of modifiable cardiovascular risk factors among tea-garden and general population in Dibrugarh, Assam. METHODS: A community-based cross-sectional study using the World Health Organization's (WHO) Stepwise methodology was conducted in Dibrugarh District of Assam. A multistep random sampling was done to include adults aged 35 years and above, with an intended equal sampling from tea-garden and general population. INTERHEART modifiable non-laboratory based risk score was estimated. Salt consumption was estimated using questionnaire-based methods in both subgroups. RESULTS: A total of 2826 individuals participated in the study (1231 [43.6%] tea-garden workers; 1595 [56.4%] general population). Tobacco consumption was higher in tea-garden workers as compared with general population (85.2% vs. 41.7% (p < 0.0001). Mean daily per-capita salt consumption was also significantly higher among tea-garden workers (29.60 vs. 22.89 g, p = 0.0001). Overall prevalence of hypertension was similar (44.4% vs. 45.2%), but among those who had hypertension, prevalence of undiagnosed hypertension was higher in tea-garden workers (82.8% vs. 74.4%, p < 0.0001). Tea-garden workers had lower BMI, were more physically active, and had a lower prevalence of diabetes mellitus and metabolic syndrome. Their INTERHEART modifiable risk score was also lower (1.44 [2.5] vs. 1.79 [2.8], p = 0.001). CONCLUSION: High prevalence of modifiable risk factors like tobacco consumption, high salt intake and high prevalence of hypertension indicates the need for early implementation of preventive actions in this population.


Asunto(s)
Enfermedades de los Trabajadores Agrícolas/epidemiología , Enfermedades Cardiovasculares/epidemiología , Diabetes Mellitus/epidemiología , Jardinería/estadística & datos numéricos , Síndrome Metabólico/epidemiología , , Adulto , Enfermedades Cardiovasculares/prevención & control , Comorbilidad , Estudios Transversales , Femenino , Humanos , Hipertensión/epidemiología , Hipertensión/prevención & control , India/epidemiología , Masculino , Persona de Mediana Edad , Prevalencia , Factores de Riesgo , Fumar/epidemiología , Cloruro de Sodio , Sodio en la Dieta/administración & dosificación , Uso de Tabaco/epidemiología
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