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

BMC Cardiovascular Disorders

Arun Shayami³  Barsha Hada⁸  Suira Joshi⁷  Anup Adhikari¹  Ram Krishna Parajuli⁶  Rajendra Kumar Giri⁴  Yadav Gurung⁵  Mahesh Kumar Khanal²  Surya Devkota³  Raja Ram Dhungana⁶ 

[1]Youth Vision Central office Bhanimandal, Lalitpur, Nepal

[2]Dhaka University, Dhaka, Bangladesh

[3]Manmohan Cardiothoracic, Vascular and Transplant Centre, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal

[4]Ministry of Health and Population, Kathmandu, Nepal

[5]Auckland University of Technology, Auckland, New Zealand

[6]Nepal Family Development Foundation, Kathmandu, Nepal

[7]Tribhuvan University, Kathmandu, Nepal

[8]Nature Care Hospital, Baneshwor, Kathmandu, Nepal

关键词: Rural community;    Nepal;    Cardiovascular diseases;    Behavioral risk factors;   

Others  :  1088480
DOI  :  10.1186/1471-2261-14-92

 received in 2014-05-02, accepted in 2014-07-21,  发布年份 2014

【 摘 要 】

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.

【 授权许可】

   
2014 Dhungana et al.; licensee BioMed Central Ltd.

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