Prevalence of cardiovascular risk factors among municipality workers in Chitradurga, South India

Authors

  • Nalina T. Department of General Medicine, Basaveshwara Medical College Hospital & Research Centre, Chitradurga, Karnataka, India
  • Ghouse Phasha Department of General Medicine, Basaveshwara Medical College Hospital & Research Centre, Chitradurga, Karnataka, India
  • Prashanth G. Department of General Medicine, Basaveshwara Medical College Hospital & Research Centre, Chitradurga, Karnataka, India
  • Sree Devi B. K. Department of General Medicine, Basaveshwara Medical College Hospital & Research Centre, Chitradurga, Karnataka, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20194225

Keywords:

Cardiovascular risk factors, Diabetes, Dyslipidaemia, Hypertension, Municipality workers, Obesity

Abstract

Background: Cardiovascular disease (CVD) is the single largest cause for mortality and morbidity in the world. In India, non-communicable diseases (NCDs) were responsible for 53% of deaths and 44% of disability adjusted life years lost. Appropriate assessment and management of cardiovascular risk is vital to prevent fatal and non-fatal heart attacks and strokes and to improve health outcomes in individuals at high risk of cardiovascular events. Diabetes mellitus (DM) and HT are common diseases in adulthood, pre-disposing to many cardiovascular complications, posing a major public health challenge.

This study aims to assess the prevalence of cardiovascular risk factors such as diabetes, HT, smoking, alcohol intake, dyslipidaemia and obesity among Municipality workers.

Methods: A cross-sectional study was carried out between Jan 2019-June 2019 among 100 Municipality workers in Chitradurga, South India. Socio-demographic details and some of the risk factors such as alcohol intake and smoking history were obtained using a pre-tested, structured questionnaire. Blood pressure & waist circumference were measured by standard methods. Fasting blood sugar & lipid profile were measured.

Results: Mean age of study participants was 38.03 years (SD ± 10.9). Out of the study subjects, 21% were known diabetic and 22% were known hypertensive. 34% of the participants had cholesterol level higher than the desirable level of 200 mg/dL. Around 72% had a history of alcohol consumption and 13% had a history of tobacco smoking during the last 1 month. The prevalence of overweight based on BMI (BMI >23) is higher among Municipality workers (56%) compared to the general population (35.4%).

Conclusions: Burden of cardiovascular risk factors such as diabetes and HT were high among Municipality Workers of Chitradurga.

References

World Health Organization. Preventing Chronic Diseases: A Vital Investment. Geneva; 2005. Available at: https://books.google.co.in/books?hl=en&lr=&id=dF00DgAAQBAJ&oi=fnd&pg=PR3&dq=Preventing+Chronic+Diseases:+A+Vital+Investment+&ots=8WY9FvAoMu&sig=lT7GNXwWYXlG8LA2kKIK88kHbDo#v=onepage&q=Preventing%20Chronic%20Diseases%3A%20A%20Vital%20Investment&f=false

Reddy KS, Shah B, Varghese C, Ramadoss A. Responding to the threat of chronic diseases in India. Lancet. 2005;366:1744-9.

Fontana D. Professional Life Stress Scale: Managing Stress. The British Psychological Society and Routledge Ltd; London;1989:19-20.

Perloff D, Grim C, Flack J. Human blood pressure determination by sphygmomanometry Circulation. 1993;88:2460-70.

American Diabetes Association Standards of medical care in diabetes, 2011. Diabetes Care. 2011;34:S11-61.

Joint National Committee The seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. JAMA. 2003;289:2560-72.

Ethnic Specific Values for Waist Circumference. The IDF Consensus Worldwide Definition of the Metabolic Syndrome. Available at: http://www.idf.org/webdata/docs/MetS_def_update2006.pdf. Accessed on 25 May 2012.

The Asia Pacific Perspective: Redefining Obesity and Its Treatment. Regional Office for the Western Pacific of the World Health Organization. World Health Organization, International Association for the Study of Obesity and International Obesity Task Force. Health Communications Australia Pty Limited; Sydney: 2000:17-21.

Ramachandran A, Snehalatha C, Kapur A. High prevalence of diabetes and impaired glucosetolerance in India: National Urban Diabetes survey. Diabetologia. 2001;44:1094-101.

Haffner SM, Lehto S, Rönnemaa T, Pyörälä K, Laakso M. Mortality from coronary heart diseasein subjects with type 2 diabetes and in non-diabetic subjects with and without prior myocardial infarction. N Engl J Med. 1998;339:229-34.

Shah B, Narendra K, Geetha R, Khurana S, Kumar H. Assessment of burden of noncommunicable diseases. Indian Counc Med Res. 2004. Available at: ftp://203.90.70.117/searoftp /WROIND/whoindia/linkfiles/Assessment_of_Burden_of_NCD_BOD-full_report.pdf.

Stamler J, Stamler R, Neaton JD. Blood pressure, systolic and diastolic, and cardiovascular risks.US population data. Arch Intern Med. 1993;153:598-615.

Kannel WB, Belanger MB. Epidemiology of heart failure. Am Heart J. 1991;121:951-7.

Whelton PK. Epidemiology of hypertension. Lancet. 1994;344:101-6.

Raghupathy P, Antonisamy B, Fall CH. High prevalence of glucose intolerance even amongyoung adults in south India. Diabetes Res Clin Pract. 2007;77:269-79.

Gupta A, Gupta R, Sarna M, Rastogi S, Gupta VP, Kothari K. Prevalence of diabetes, impairedfasting glucose and insulin resistance syndrome in an urban Indian population. Diabetes Res Clin Pract. 2003;61:69-76.

Dutt D, Roy G, Chatterjee P. Risk factor assessment for type 2 diabetes mellitus in a tertiary hospital in Kolkata. Indian J Community Med. 2004;29:169-70.

Nakanishi N, Nakamura K, Matsuo Y, Suzuki K, Tatara K. Cigarette smoking and risk forimpaired fasting glucose and type 2 diabetes in middle-aged Japanese men. Ann Intern Med. 2000;133:183-91.

Wannamethee SG, Shaper AG, Perry IJ. British Regional Heart Study Smoking as a modifiablerisk factor for type 2 diabetes in middle-aged men. Diabetes Care. 2001;24:1590-5.

Norberg M, Stenlund H, Lindahl B, Andersson C, Eriksson JW, Weinehall L. Work stress and low emotional support is associated with increased risk of future type 2 diabetes in women. Diabetes Res Clin Pract. 2007;76:368-77.

Agardh EE, Ahlbom A, Andersson T. Work stress and low sense of coherence is associated with type 2 diabetes in middle-aged Swedish women. Diabetes Care. 2003;26:719-24.

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Published

2019-09-23

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Original Research Articles