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01.12.2014 | Research article | Ausgabe 1/2014 Open Access

BMC Cardiovascular Disorders 1/2014

Prevalence of cardiovascular health risk behaviors in a remote rural community of Sindhuli district, Nepal

Zeitschrift:
BMC Cardiovascular Disorders > Ausgabe 1/2014
Autoren:
Raja Ram Dhungana, Surya Devkota, Mahesh Kumar Khanal, Yadav Gurung, Rajendra Kumar Giri, Ram Krishna Parajuli, Anup Adhikari, Suira Joshi, Barsha Hada, Arun Shayami
Wichtige Hinweise

Competing interest

The authors declare that they have no competing interests.

Authors’ contributions

RRD designed the study, analyzed and interpreted the data and prepared the first draft of the manuscript. AS, SD, MKK, RKP, YG provided concept and contributed in study design. AA, SJ, BH contributed to acquisition and compilation of the data. RKG performed revision of the manuscript. All authors read and approved the final manuscript.

Abstract

Background

Cardiovascular disease (CVD) is emerging as a public health menace among low and middle income countries. It has particularly affected the poorest. However, there is paucity of information about CVD risk factors profile among Nepalese rural communities where the majority of people live in poverty. Therefore, this study aimed to identify the prevalence of cardiovascular health risk behaviors in an outback community of Nepal.

Methods

We conducted a descriptive cross-sectional study in Tinkanya Village Development Committee (VDC), Sindhuli between January and March, 2014. Total 406 participants of age 20 to 50 years were selected randomly. Data were collected using WHO-NCD STEPwise approach questionnaires and analyzed with SPSS V.16.0 and R i386 2.15.3 software.

Result

The mean age of participants was 36.2 ± 9 years. Majority of participants (76.3%) were from lower socio-economic class, Adibasi/Janajati (63.1%), and without formal schooling (46.3%). Smoking was present in 28.6%, alcohol consumption in 47.8%, insufficient fruits and vegetables intake in 96.6%, insufficient physical activity in 48.8%; 25.6% had high waist circumference, 37.4% had overweight and obesity. Average daily salt intake per capita was 14.4 grams ±4.89 grams. Hypertension was detected in 12.3%. It had an inverse relationship with education and socio-economic status. In binary logistic regression analysis, age, smoking, body mass index (BMI) and daily salt intake were identified as significant predictors of hypertension.

Conclusion

Present study showed high prevalence of smoking, alcohol consumption, insufficient fruit and vegetable intake, daily salt intake, overweight and obesity and hypertension among remote rural population suggesting higher risk for developing CVD in future. Nepalese rural communities, therefore, are in need of population-wide comprehensive intervention approaches for reducing CVD health risk behaviors.
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