1. Prevalence of modifiable cardiovascular risk factors among tea garden and general population in Dibrugarh, Assam, India.
- Author
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Mahanta TG, Joshi R, Mahanta BN, and Xavier D
- Subjects
- Adult, Cardiovascular Diseases prevention & control, Comorbidity, Cross-Sectional Studies, Female, Humans, Hypertension epidemiology, Hypertension prevention & control, India epidemiology, Male, Middle Aged, Prevalence, Risk Factors, Smoking epidemiology, Sodium Chloride, Sodium, Dietary administration & dosage, Tobacco Use epidemiology, Agricultural Workers' Diseases epidemiology, Cardiovascular Diseases epidemiology, Diabetes Mellitus epidemiology, Gardening statistics & numerical data, Metabolic Syndrome epidemiology, Tea
- Abstract
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., (Copyright © 2013 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. All rights reserved.)
- Published
- 2013
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