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Behavioural risk factors associated with coronary artery disease among the clients attending tertiary hospitals.

By:

Soti,Binita

Material type: Text

TextPublication details: c2023.Description: vii,111pSubject(s):

NLM classification:

THS-00739

Online resources:

https://www.nhrc.gov.np/

Summary: ABSTRACT: Background: Worldwide mortality due to cardiovascular disease is the dominant cause of death, and coronary artery disease is the leading one. Though risk factors for Coronary Artery Diseases are modifiable and preventable, it is not well investigated and updated in the local context. Thus, we aimed to estimate the odds of behavioral risk factors for coronary artery disease among clients admitted in tertiary hospitals. Methodology: A institution based pair matched case-control study was conducted using consecutive sampling method with the sample of 132 study participants (66 cases and 66 controls) included case: control ratio of 1:1 with ± 2 years of age liability. Data were collected by in-person interview using STEPS Instrument version 3.1 and perceived stress scale-4. Data were analysed under SPSS version 16: chisquare, crude odd ratio and adjusted odd ratio were calculated. Multivariate analysis were done using binary logistic regression model, a p-value < .05 were considered statistically significant. Findings: A total of 132 study participants 77.3% were male and 22.7% were female, half of cases belongs to the age group of 41-60 years. Current alcohol consumption, work related physical inactivity, perceived stress, and snoring experince were significantly higher among cases as compared to controls while smoking was not significantly high. The adjusted odds ratio for family history of CVD was 3.463 (95% CI: .980-12.235), vigorous work physical activity was .341 (95% CI: .109-1.062), moderate work physical activity was .311 (95% CI: .112-.859), perceived stress was 4.402 (95% CI: 1.604-12.079), snoring experience was 3.546 (95% CI: 1.411-8.911), and history of hypertension was 3.781 (95% CI: 1.482-9.645). Conclusion: Behavioral risk factors like high perceived stress, snoring experience, physical inactivity were found as major etiology behind the occurrence of coronary artery disease, which highlights the need of appropriate intervention and strategies for prevention. Keywords: Behavioral Risk Factors, Coronary Artery Disease, Case-Control Study

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Item type	Current library	Call number	Status	Date due	Barcode
Thesis Report	Nepal Health Research Council Reference	THS00739/SOT/2023 (Browse shelf(Opens below))	Available		THS-00739

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Previous	THS00736/DAH/2023 Knowledge and attitude towards sexual and gender minorities among nurses in a tertiary hospital.	THS00737/ADH/2023 Dietary practices and nutritional status among adolescent girls in Government schools of Pokhara.	THS00738/SHA/2023 Evaluation of renal arteries in hypertensive patients by multi detector computed tomography: Based on the study conducted at department of radiology and imaging, Bir hospital.	THS00739/SOT/2023 Behavioural risk factors associated with coronary artery disease among the clients attending tertiary hospitals.	THS00740/KAS/2023 Functional abilities and health-related quality of life in patients with spinal cord injury in a rehabilitation center.	THS00741/PAN/2023 Adherence to treatment among chronic kidney disease patients attending selected hemodialysis units of province one, Nepal.	THS00742/MAN/2023 Nutritional status and its associated factors among pregnant women in Janakpurdham Sub-Metropolitan.	Next

Thesis Report.

ABSTRACT:

Background: Worldwide mortality due to cardiovascular disease is the dominant cause of death, and coronary artery disease is the leading one. Though risk factors for Coronary Artery Diseases are modifiable and preventable, it is not well investigated and updated in the local context. Thus, we aimed to estimate the odds of behavioral risk factors for coronary artery disease among clients admitted in tertiary hospitals.

Methodology: A institution based pair matched case-control study was conducted using consecutive sampling method with the sample of 132 study participants (66 cases and 66 controls) included case: control ratio of 1:1 with ± 2 years of age liability. Data were collected by in-person interview using STEPS Instrument version 3.1 and perceived stress scale-4. Data were analysed under SPSS version 16: chisquare, crude odd ratio and adjusted odd ratio were calculated. Multivariate analysis were done using binary logistic regression model, a p-value < .05 were considered statistically significant.

Findings: A total of 132 study participants 77.3% were male and 22.7% were female, half of cases belongs to the age group of 41-60 years. Current alcohol consumption, work related physical inactivity, perceived stress, and snoring experince were significantly higher among cases as compared to controls while smoking was not significantly high. The adjusted odds ratio for family history of CVD was 3.463 (95% CI: .980-12.235), vigorous work physical activity was .341 (95% CI: .109-1.062), moderate work physical activity was .311 (95% CI: .112-.859), perceived stress was 4.402 (95% CI: 1.604-12.079), snoring experience was 3.546 (95% CI: 1.411-8.911), and history of hypertension was 3.781 (95% CI: 1.482-9.645).

Conclusion: Behavioral risk factors like high perceived stress, snoring experience, physical inactivity were found as major etiology behind the occurrence of coronary artery disease, which highlights the need of appropriate intervention and strategies for prevention.

Keywords: Behavioral Risk Factors, Coronary Artery Disease, Case-Control Study

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