Modifiable Risk Factors of Cardio Vascular Diseases in Adults at Soolamangalam Village, Thanjavur - A Cross Sectional Descriptive Study.

Anantharaman, V V (2007) Modifiable Risk Factors of Cardio Vascular Diseases in Adults at Soolamangalam Village, Thanjavur - A Cross Sectional Descriptive Study. Masters thesis, Madras Medical College, Chennai.


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INTRODUCTION: Chronic Non - Communicable Diseases (NCDS) are assuming increasing Importance among the adult population in both developed and developing Countries. The prevalence of chronic diseases is showing an upward trend in Most countries for the following reasons. 1. Increasing Life Expectancy in most countries and a greater number of People are living to older ages and are at greater risk to Chronic diseases Of various kinds. 2. The Rapidly changing life styles and behavioural patterns of the people (ex : Smoking, Alcoholism etc.) Combined with predicted decrease in The morbidity and mortality from Infectious Diseases, the future burden Of Non - Communicable Diseases is likely to be a major emerging Health Challenge for Developing Countries. Cardio Vascular Diseases (CVD) is one of the major ncds comprise of A group of Diseases of the Heart and the vascular system. The major conditions Are Ischaemic Heart Disease (IHD), Hypertension, cerebro vascular disease (Stroke), Rheumatic Heart Disease (RHD) and congenital Heart Disease. In India, an estimated 2.27 million people died due to CVD during 1990 And according to projections the number of deaths due to IHD was to increase From 1.17 million in 1990 to 1.59 million in 2000 and 2.03 million by 2010. There were over 5 million persons suffering from CVD during 1999. A Peculiar cause of concern is the relative early Age of CVD Deaths in India. India is at the mid - point of the emerging Epidemic and will face its full Impact in the coming years. India can be benefited from the Strategy of primary Prevention. Various Epidemiological studies have confirmed the role of these Risk Factors and reduction of morbidity and mortality due to CVD by controlling Them. The benefit is more, if control is achieved in younger Age itself. Control of Risk factors may be primary or Secondary. Primary Prevention implies control of Risk factors before the onset of CVD. Secondary Prevention denotes control of Risk factors after the clinical setting Of CVD. Primary prevention is very important because 25% of patients may die Even before they reach the doctor with the onset of CVD. OBJECTIVES : 1. To estimate the prevalence of selected modifiable risk factors of cardio Vascular Diseases (Hypertension, Obesity, Smoking, Physical Inactivity, Diet, Alcohol) in Adults aged 18 years and above at Soolamangalam Village, Thanjavur District. 2. To find out the Association of Risk factors among the various Demographic variables. 3. To identify the adults with High Risk factors of CVD and provide Necessary health care. JUSTIFICATION : 1. A large body of Data exists on the occurrence of CVD in Hospital patients. However there are only few studies on its prevalence in the general population. On Screening of persons over the age of 30 years by a 12 - lead ECG, in Chandigarh (Urban Population) the prevalence was found to be 65.4 and 47.8 per 1000 Males and Females respectively7. In a village in Haryana the prevalence was 22.8 and 17.3 per 1000 males and females respectively8. 2. The prevalence data in India are derived from two well - planned studies which screened all persons aged 20 - 60 years and followed WHO suggested criteria for diagnosis9 of Hypertension. The one in Rohtak is taken to represent the urban population10 and the other in a village in Haryana to represent Rural population in India11. The prevalence of Hypertension was 59.9 and 69.9 per 1000 in males and females respectively in the urban population, and 35.5 and 35.9 per 1000 in males and females respectively in the Rural population. 3. The Risk factor Hypertension is an "Iceberg" disease. It became evident in the early 1970s, that only about half of the Hypertensive subjects in the general population of most developed countries were aware of the condition, only about half of those aware of the problem were being treated and only about half of those treated were considered adequately treated. If this was the situation in countries with highly developed medical services, in the developing countries like India, the proportion treated would be far too less (Rule of Halves). 4. It has been estimated that obesity affect 20 - 40% of the Adults and 10 - 20% of children and Adolescents in developed countries. 5. Most of the Studies on Risk factors of CVD done only in developed countries or in Northern India, that too few decades back. 6. Scanty Information is available from South India regarding the prevalence of Risk factors of CVD. Most of the available information is either urban based or Hospital based. 7. Most of the Risk factors of CVD are easily modifiable on simple IEC activities (Information, Education and Communication). 8. Results of this study can be used for prevention and control of NCDs (CVDs) at Rural Community level. In view of the above Reasons, A cross Sectional, Descriptive Study of Modifiable Risk factors of cardio vascular diseases in adults at Soolamangalam Village, Thanjavur is conducted to estimate the prevalence of risk factors in a Rural area of Central Tamil Nadu.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Modifiable Risk Factors ; Cardio Vascular Diseases ; Adults ; Soolamangalam Village, Thanjavur ; A Cross Sectional Descriptive Study.
Subjects: MEDICAL > Community Medicine
Depositing User: Subramani R
Date Deposited: 07 Jul 2017 01:44
Last Modified: 07 Jul 2017 01:44

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