Poor risk factor control among stroke survivors - A cross-sectional survey

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL International Journal of Noncommunicable Diseases Pub Date : 2021-07-01 DOI:10.4103/jncd.jncd_36_21
S. Shani, P. Sylaja, P. Sarma, Kutty Raman
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Abstract

Objectives: A cross-sectional survey was done to find out the prevalence and control status of cardiovascular risk factors among stroke survivors within a post-stroke period of 3 months to 1 year. Methodology: The data on the prevalence of risk factors were taken from past medical history and medical records. The risk factor control is defined as achieving the targeted levels of blood pressure, blood sugars and cholesterol. Data on a diet, physical activity, tobacco use, and alcohol consumption were also collected. Standard instruments were used to measure blood pressure, weight, height, and waist circumference (WC). The blood sugar and lipid values were taken from labratory reports. Results: Stroke survivors (N = 240) participated. Around 75% of the participants were obese or overweight. Normal WC was found only in 25% of the participants. Majority of the participants were not following a healthy diet (62.5%) or doing recommended physical activity (87.1%). The prevalence of diabetes (61.2%), hypertension (88.6%), and dyslipidemia (96%) were high among stroke survivors. The targeted level of diabetic control and hypertension control level was achieved by 26% and 36.2, respectively, while around 72% attained lipid control. Conclusion: The prevalence of cardiovascular risk factors is very high among stroke survivors, and it is poorly controlled.
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中风幸存者的危险因素控制不佳-一项横断面调查
目的:通过横断面调查,了解脑卒中后3个月至1年内脑卒中幸存者心血管危险因素的患病率及控制状况。方法:危险因素流行率的数据取自既往病史和医疗记录。控制风险因素的定义是达到血压、血糖和胆固醇的目标水平。还收集了饮食、体育活动、吸烟和饮酒方面的数据。使用标准仪器测量血压、体重、身高、腰围(WC)。血糖和血脂值取自实验室报告。结果:卒中幸存者(N = 240)参与。大约75%的参与者肥胖或超重。只有25%的参与者WC正常。大多数参与者没有遵循健康饮食(62.5%)或没有进行推荐的体育活动(87.1%)。卒中幸存者中糖尿病(61.2%)、高血压(88.6%)和血脂异常(96%)的患病率较高。糖尿病控制和高血压控制的目标水平分别达到26%和36.2%,而血脂控制的目标水平约为72%。结论:脑卒中幸存者心血管危险因素患病率较高,且控制较差。
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