Prevalence of Risk Factors for Coronary Artery Diseases among Male High School Students a School based Cross-Sectional Study.

Dinesh Kumar, - (2008) Prevalence of Risk Factors for Coronary Artery Diseases among Male High School Students a School based Cross-Sectional Study. Masters thesis, Christian Medical College, Vellore.

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Abstract

INTRODUCTION : Cardiovascular diseases are one of the most important causes of mortality and morbidity In developed as well as developing countries. India has one of largest numbers of patients With cardiovascular diseases including coronary artery disease. India is in the midst of a Rapidly escalating ‘epidemic’ of Type II Diabetes and Coronary Heart Disease (CHD). Today, India has more diabetic patients than any other country, and it is predicted that CHD will soon become the leading cause of death. Projections based on the Global Burden of Disease study indicate the burden of atherothrombotic cardiovascular disease (CVD) in India will surpass that in any other region in the world by 2020. It is now well Known that coronary artery disease (CAD) tends to occur earlier in life in Indians than in other ethnic groups. AIM OF THE STUDY : 1. To determine the prevalence of conventional risk factors for coronary artery disease among male school students in Kaniyambadi block and Vellore town. 2. To estimate the difference in conventional risk factors for coronary artery disease between rural and urban residence of these students. STUDY DESIGN : This study is a cross-sectional study among 8th,9th 10th , 11th and 12th grade students from various secondary and high schools in Kaniyambadi block and Vellore town of Vellore district. . Kaniyambadi block is a community developmental block with a population of 10300 living in 82 villages. CONCLUSIONS : This study was designed to determine the prevalence of risk factors for CAD and also to look out for the rural-urban differences if any. A total of 250 students from rural areas of Kaniyambadi block and 250 from the Vellore town were included in the study. The students in both the rural and urban area have high prevalence of various CAD risk factors. How ever in absence of any reliable score taking into consideration all this risk factors, the exact risk in each group can not be quantified. Thus the study group represents a subset of adolescents who by themselves have low CAD risk factors in terms of BMI, overweight ,blood pressure levels, tobacco and alcohol consumption habits , on the other hand they have quite high familial risk factors and conditions in family which make them susceptible to developing CAD later in life. The urban students were also found to less physically active and led a more competitive life, thereby increasing their CAD risk. The increasing competition among students very early in life is probably depriving many of the children of a healthy childhood as indicated by high proportion of students attending tuitions. TV watching being resorted to as the main relaxation and in certain cases addictive TV watching is of concern. The fact that about 10% of the students in the study has to help out their family occupation also needs to be looked at. Many of the CAD risk factors are modifiable .The students, teacher and parents need to be made aware of this. The traditional concept of school health dealing mainly with communicable diseases need to be reoriented to meet the newer health challenges. Teaching about healthy life style should be included in the syllabus. The teachers need to be trained to incorporate healthy life style and stress management in their teaching sessions. The high school period probably is the best time to start any intervention to prevent non- communicable diseases as the high school students have some idea about the risk factors and start getting exposed to considerable amount of stress both in the school as well as in the home. A health education module (Appendix 3) for the high school students has been proposed here and needs to be field tested in department’s school health education programme.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Prevalence Risk Factors ; Coronary Artery Diseases ; Among Male High School Students ; School Based Cross-Sectional Study.
Subjects: MEDICAL > Community Medicine
Depositing User: Subramani R
Date Deposited: 12 Jul 2017 05:47
Last Modified: 12 Jul 2017 05:47
URI: http://repository-tnmgrmu.ac.in/id/eprint/1187

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