Journal of Epidemiology and Global Health

Volume 3, Issue 3, September 2013, Pages 147 - 156

Prevalence of modifiable cardiovascular risk factors among tea garden and general population in Dibrugarh, Assam, India

Authors
Tulika G. Mahantaa, *, drtulikagoswami@gmail.com, Rajnish Joshib, Bhupendra N. Mahantac, Denis Xavierd
aCommunity Medicine, Assam Medical College, Dibrugarh, India
bSikkim Manipal Institute of Health Sciences, Sikkim, India
cMedicine, Assam Medical College, Dibrugarh, India
dPharmacology, St Johns Medical College, Bangalore, India
*Corresponding author. Address: House No. 16, Ward 19, Satsang Vihar Road, Jyotinagar, Dibrugarh 786001, India. Tel.: +91 9435032536; fax: +91 373 2301061.
Corresponding Author
Tulika G. Mahantadrtulikagoswami@gmail.com
Received 26 August 2012, Revised 11 April 2013, Accepted 12 April 2013, Available Online 25 May 2013.
DOI
10.1016/j.jegh.2013.04.001How to use a DOI?
Keywords
CVD Risk factor; Tea garden community; Salt intake; Assam; India
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.
Open Access
Open access under CC BY-NC-ND license. http://creativecommons.org/licenses/by-nc-nd/4.0/

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Journal
Journal of Epidemiology and Global Health
Volume-Issue
3 - 3
Pages
147 - 156
Publication Date
2013/05/25
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.1016/j.jegh.2013.04.001How to use a DOI?
Copyright
© 2013 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
Open access under CC BY-NC-ND license. http://creativecommons.org/licenses/by-nc-nd/4.0/

Cite this article

TY  - JOUR
AU  - Tulika G. Mahanta
AU  - Rajnish Joshi
AU  - Bhupendra N. Mahanta
AU  - Denis Xavier
PY  - 2013
DA  - 2013/05/25
TI  - Prevalence of modifiable cardiovascular risk factors among tea garden and general population in Dibrugarh, Assam, India
JO  - Journal of Epidemiology and Global Health
SP  - 147
EP  - 156
VL  - 3
IS  - 3
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2013.04.001
DO  - 10.1016/j.jegh.2013.04.001
ID  - Mahanta2013
ER  -