Punyatoya Bej

Abstract

Introduction: The prevalence of hypertension has been reported to be increasing in India due to changes in the lifestyle of people. The current prevalence of hypertension in India has been estimated to be 42.2% in urban areas and is supposed to increase in future requiring huge resources for management of hypertension cases and related cardiovascular co-morbidities. So in this study the lifestyle related factors causing hypertension was explored.  Materials and Methods: Diagnosed hypertensive patients visiting urban health centre were included as study subjects. The participants were asked information on life style, socio-demographic characteristics and physical activities levels in 24 hours in the form of walking, sitting and sleeping. History of hypertension in family, treatment history for hypertension, stress factors, clinical signs and symptoms were recorded. Simultaneously the anthropometric measurements including height, weight and waist circumference were measured. Information on diet intake to calculate total calorie and protein intake per day was collected. Results: Total 44 patients participated in the study. The mean age of the participants was 59.77±13.3 years. Family history of hypertension was in 47.72% participants. History of stress was in 68.18% participants. Calorie intake and protein intake per day was 1109.66±33.64 Kcal and 55.73±25.29gms. Spending time for walking of < 1hr>2hrs per day was in 27.27% participants. BMI > 25 were in 65.9% participants. Waist circumference was > 95cm in 25% of males and > 85cm in 50% of females. Conclusion: Majority of participants were found to be overweight and sedentary. Participants were spending less time in walking. So the study recommends increasing physical activity, limiting calorie and protein intake and eliminating stressors will restrict progression of hypertension in hypertensive patients. Keywords: Calorie intake, Hhypertension, Life style, Physical activity, Protein intake, Stress, Waist circumference.

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Abstract

Introduction: The knowledge, attitude and practices (KAP) for antenatal check-up during pregnancy is a key indicator of health care facility in a community. The study was conducted in a district hospital in North Delhi of India about antenatal care among pregnant female. Materials and Methods: Total 54 pregnant females were studied about KAP during antenatal care check-up in a tertiary care hospital.The study was cross sectional in design. They were asked questions while attending the outpatient clinic in the hospital. Result: It was found that practices and positive attitude about antenatal care among pregnant females was adequate. Score for positive attitude was 93% and score for antenatal care practices was 62%. Both are more than 50%. But knowledge among them is not adequate; the score for knowledge about antenatal care was 17%, which was less than 50%. Hence periodic health education sessions have to be conducted by the doctors and health staffs. Ten pregnant females(18.5%) had faced danger signs during their previous pregnancy, these danger signs were dizziness and fainting, persistent vomiting, less movement of baby inside uterus, bleeding per vagina (for abortion), persistent vomiting, leaking per vagina and pain abdomen. Four pregnant women (7.4 %) had mentioned bleeding per vagina in their previous pregnancy. Out of 54 pregnant women nine pregnant female told that they were using condom and six not using any contraceptive methods after marriage. Conclusion: The study detected knowledge score of 17%, practice score of 62% and attitude score of 93% in pregnant female attending antenatal check-up clinic. Keywords: Antenatal care, Family planning, Danger signs, Knowledge, Attitude, Practices.

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