ABSTRACT Physicians usually have a high responsibility in caring for people. Many times, they encounter work-life imbalances that can impact both their personal health and the quality of medical services they provide. To evaluate the works and health habits of Thai physicians. Thai physicians who participated in the hospital’s Corporate Social Responsibility “Save Doctors’ Heart” project, conducted between February 14, 2022 and October 31, 2022, were invited to participate in the study. Data collected was personal data, work habits, including workplace, work hours, and health habits, including fiber in the diet, exercise, sense of well-being, history of health surveillance, and health coverage system. The characteristic features associated with their work and health habits were studied The responses to each question varied among the 1,244 physicians who agreed to join the study. The median age was 45.0 years (IQR 39,56 years). Almost all (98.6%) were still active in medical practice, with >1 workplace in 14.7%. Nearly half (44.5%) worked >40 hours per week. Most reported a moderate to high fiber diet (80.8%), but only 29.7% exercised >3 days per week. Some degree of stress was revealed in 82.1%, being moderate to severe in 25.8%. The younger physicians with less exercise were significantly associated with moderate/severe stress. Only slightly more than half (53.0%) had a good sense of well-being. Nearly 30% had irregular health surveillance. The two most common reasons were unavailability/no time and having no symptoms. Thai participating physicians were still active professionally and had mixed health habits. Most consumed a moderate to high fiber diet and had regular health surveillance; however, with less exercise and some degree of stress. More than half were self-assessed to have a good sense of well-being.
{"title":"Work and health habits of Thai physicians","authors":"Siriwan Tangjitgamol, Paisan Bunsiricomchai, Watcharagan Kaewwanna, Natapon Ativanichayapong, Supattra Parinyachet, S. Manusirivithaya","doi":"10.4103/jfmpc.jfmpc_1692_23","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1692_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 Physicians usually have a high responsibility in caring for people. Many times, they encounter work-life imbalances that can impact both their personal health and the quality of medical services they provide.\u0000 \u0000 \u0000 \u0000 To evaluate the works and health habits of Thai physicians.\u0000 \u0000 \u0000 \u0000 Thai physicians who participated in the hospital’s Corporate Social Responsibility “Save Doctors’ Heart” project, conducted between February 14, 2022 and October 31, 2022, were invited to participate in the study. Data collected was personal data, work habits, including workplace, work hours, and health habits, including fiber in the diet, exercise, sense of well-being, history of health surveillance, and health coverage system. The characteristic features associated with their work and health habits were studied\u0000 \u0000 \u0000 \u0000 The responses to each question varied among the 1,244 physicians who agreed to join the study. The median age was 45.0 years (IQR 39,56 years). Almost all (98.6%) were still active in medical practice, with >1 workplace in 14.7%. Nearly half (44.5%) worked >40 hours per week. Most reported a moderate to high fiber diet (80.8%), but only 29.7% exercised >3 days per week. Some degree of stress was revealed in 82.1%, being moderate to severe in 25.8%. The younger physicians with less exercise were significantly associated with moderate/severe stress. Only slightly more than half (53.0%) had a good sense of well-being. Nearly 30% had irregular health surveillance. The two most common reasons were unavailability/no time and having no symptoms.\u0000 \u0000 \u0000 \u0000 Thai participating physicians were still active professionally and had mixed health habits. Most consumed a moderate to high fiber diet and had regular health surveillance; however, with less exercise and some degree of stress. More than half were self-assessed to have a good sense of well-being.\u0000","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141801551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-26DOI: 10.4103/jfmpc.jfmpc_1959_23
A. A. Bin Alamir, Alanoud M. AlShammari, M. M. Almutairi, H. Aldhafiri, Yossef Alnasser
ABSTRACT In Saudi Arabia, a traditional therapy for a folk labeled problem known as “Autheem – JOURNAL/jfmpc/04.03/01697686-202413080-00056/inline-graphic1/v/2024-07-26T044321Z/r/image-tiff ” is often offered to infants. The procedure involves manipulating an infant’s soft palate to alleviate pain associated with infant colic and poor feeding. However, concerns remain about this procedure’s impact on infant health and its potential to transmit infections. This study focused on perceptions that Saudi mothers hold about Autheem therapy. A descriptive, cross-sectional, community-based study was conducted via an online platform to reach Saudi mothers in the Riyadh region of Saudi Arabia. Five hundred and thirty-six Saudi mothers participated; half were older than 30 years of age. Despite a high rate of college degree attainment, the majority of mothers relied on their elders as a source of information (88.4%). Autheem was viewed to be a stand-alone disease by 86.5% of respondents; 71.4% believed it could not be treated with modern medicine. Most infants were under six months of age when they received Autheem therapy (72%). Roughly 13% of mothers found that their infant had a fever after the therapy; we found an association between Autheem therapy and viral illnesses. About 13% of mothers altered their child’s vaccination schedule after Autheem therapy. Older mothers have more positive attitudes towards and stronger beliefs in Autheem therapy than younger mothers. The therapy’s strong association with viral illnesses and its negative impact on vaccination schedules are major public health concerns.
{"title":"How safe is Autheem therapy for young Saudi infants? A question worth asking","authors":"A. A. Bin Alamir, Alanoud M. AlShammari, M. M. Almutairi, H. Aldhafiri, Yossef Alnasser","doi":"10.4103/jfmpc.jfmpc_1959_23","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1959_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 In Saudi Arabia, a traditional therapy for a folk labeled problem known as “Autheem – \u0000 \u0000 \u0000 \u0000 JOURNAL/jfmpc/04.03/01697686-202413080-00056/inline-graphic1/v/2024-07-26T044321Z/r/image-tiff\u0000 \u0000 \u0000 \u0000 ” is often offered to infants. The procedure involves manipulating an infant’s soft palate to alleviate pain associated with infant colic and poor feeding. However, concerns remain about this procedure’s impact on infant health and its potential to transmit infections. This study focused on perceptions that Saudi mothers hold about Autheem therapy.\u0000 \u0000 \u0000 \u0000 A descriptive, cross-sectional, community-based study was conducted via an online platform to reach Saudi mothers in the Riyadh region of Saudi Arabia.\u0000 \u0000 \u0000 \u0000 Five hundred and thirty-six Saudi mothers participated; half were older than 30 years of age. Despite a high rate of college degree attainment, the majority of mothers relied on their elders as a source of information (88.4%). Autheem was viewed to be a stand-alone disease by 86.5% of respondents; 71.4% believed it could not be treated with modern medicine. Most infants were under six months of age when they received Autheem therapy (72%). Roughly 13% of mothers found that their infant had a fever after the therapy; we found an association between Autheem therapy and viral illnesses. About 13% of mothers altered their child’s vaccination schedule after Autheem therapy.\u0000 \u0000 \u0000 \u0000 Older mothers have more positive attitudes towards and stronger beliefs in Autheem therapy than younger mothers. The therapy’s strong association with viral illnesses and its negative impact on vaccination schedules are major public health concerns.\u0000","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141798611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-26DOI: 10.4103/jfmpc.jfmpc_2000_23
A. Ruram, Happy Chutia, H. Bhattacharyya, Akash Handique
ABSTRACT Vitamin D’s precise role in bone mineral density regulation remains elusive. Nevertheless, its deficiency is linked to increased bone turnover through the upregulation of RANK ligands by osteoblasts. This study aimed to (i) evaluate vitamin D status in young adults and (ii) assess the association between vitamin D deficiency and bone turnover markers receptor activator of nuclear factor-κB ligand (RANKL), RANK, and the osteoprotegerin (OPG) in determining bone mineral density. This cross-sectional study involved 474 participants from the East Khasi Hills district, Meghalaya. Vitamin D levels were measured using the UniCel DxI 800 system, while OPG, RANK, and RANKL were assessed through enzyme-linked immunosorbent assay (ELISA). Additionally, a whole-body dual X-ray absorptiometry (DEXA) scan determined bone mineral density. Vitamin D deficiency was categorised as <20 ng/ml, insufficiency as 20–29 ng/ml, and sufficiency as ≥30 ng/ml. Findings indicated 54.6% vitamin D deficiency and 35.4% insufficiency in young adults. Osteoporosis affected 26%, and 67% exhibited osteopenia. A weak positive correlation was found between vitamin 25(OH) D and bone mineral density T score (r = 0.16, r2 = 0.02, P = 0.44). Additionally, moderately weak correlations were observed between serum vitamin D and OPG (r = –0.42, r2 = 0.18, P < 0.001) and between vitamin D and RANKL (r = –0.13, r2 = 0.01, P = 0.18). The study suggests that vitamin D deficiency diminishes bone mineral density by promoting RANKL-RANK osteoclastogenesis and upregulating OPG expression. As young adults form a significant workforce, creating awareness is crucial for maintaining optimal health.
摘要 维生素 D 在骨矿物质密度调节中的确切作用仍然难以捉摸。然而，维生素 D 的缺乏与成骨细胞通过上调 RANK 配体增加骨质流失有关。本研究旨在（i）评估青壮年的维生素 D 状态；（ii）评估维生素 D 缺乏与骨转换标志物核因子κB 受体激活剂配体（RANKL）、RANK 和骨保护蛋白（OPG）之间在决定骨矿物质密度方面的关联。 这项横断面研究涉及梅加拉亚邦东 Khasi Hills 地区的 474 名参与者。研究人员使用 UniCel DxI 800 系统测量了维生素 D 水平，并通过酶联免疫吸附试验 (ELISA) 评估了 OPG、RANK 和 RANKL。此外，全身双 X 射线吸收测定法（DEXA）扫描确定了骨矿物质密度。维生素 D 缺乏为 <20 纳克/毫升，不足为 20-29 纳克/毫升，充足为≥30 纳克/毫升。 研究结果表明，54.6%的年轻人缺乏维生素 D，35.4%的年轻人维生素 D 不足。26%的人患有骨质疏松症，67%的人患有骨质疏松症。维生素 25（OH）D 与骨矿物质密度 T 评分之间存在微弱的正相关性（r = 0.16，r2 = 0.02，P = 0.44）。此外，还观察到血清维生素 D 和 OPG（r = -0.42，r2 = 0.18，P <0.001）以及维生素 D 和 RANKL（r = -0.13，r2 = 0.01，P = 0.18）之间存在中度弱相关性。 该研究表明，维生素 D 缺乏会通过促进 RANKL-RANK 破骨细胞生成和上调 OPG 表达来降低骨矿物质密度。青壮年是重要的劳动力群体，因此提高对维生素 D 的认识对于保持最佳健康状态至关重要。
{"title":"Serum 25(OH) vitamin D deficiency among young adults in the East Khasi Hills district of Meghalaya and its influence on bone mineral density: Investigating the involvement of the RANKL/RANK/OPG system","authors":"A. Ruram, Happy Chutia, H. Bhattacharyya, Akash Handique","doi":"10.4103/jfmpc.jfmpc_2000_23","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_2000_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 Vitamin D’s precise role in bone mineral density regulation remains elusive. Nevertheless, its deficiency is linked to increased bone turnover through the upregulation of RANK ligands by osteoblasts. This study aimed to (i) evaluate vitamin D status in young adults and (ii) assess the association between vitamin D deficiency and bone turnover markers receptor activator of nuclear factor-κB ligand (RANKL), RANK, and the osteoprotegerin (OPG) in determining bone mineral density.\u0000 \u0000 \u0000 \u0000 This cross-sectional study involved 474 participants from the East Khasi Hills district, Meghalaya. Vitamin D levels were measured using the UniCel DxI 800 system, while OPG, RANK, and RANKL were assessed through enzyme-linked immunosorbent assay (ELISA). Additionally, a whole-body dual X-ray absorptiometry (DEXA) scan determined bone mineral density. Vitamin D deficiency was categorised as <20 ng/ml, insufficiency as 20–29 ng/ml, and sufficiency as ≥30 ng/ml.\u0000 \u0000 \u0000 \u0000 Findings indicated 54.6% vitamin D deficiency and 35.4% insufficiency in young adults. Osteoporosis affected 26%, and 67% exhibited osteopenia. A weak positive correlation was found between vitamin 25(OH) D and bone mineral density T score (r = 0.16, r2 = 0.02, P = 0.44). Additionally, moderately weak correlations were observed between serum vitamin D and OPG (r = –0.42, r2 = 0.18, P < 0.001) and between vitamin D and RANKL (r = –0.13, r2 = 0.01, P = 0.18).\u0000 \u0000 \u0000 \u0000 The study suggests that vitamin D deficiency diminishes bone mineral density by promoting RANKL-RANK osteoclastogenesis and upregulating OPG expression. As young adults form a significant workforce, creating awareness is crucial for maintaining optimal health.\u0000","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141798897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-26DOI: 10.4103/jfmpc.jfmpc_401_24
S. Mukhida, N. Das
{"title":"Factors which can delay the ambulance response","authors":"S. Mukhida, N. Das","doi":"10.4103/jfmpc.jfmpc_401_24","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_401_24","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141799215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-26DOI: 10.4103/jfmpc.jfmpc_1656_23
Ritchie S. Solomon, Adlyne R. Solomon
ABSTRACT Waist-based indicators of obesity are being used to detect central obesity and are predictive for metabolic syndrome (MS). The aim of the study is to assess the basic anthropometric indices in children, to determine the prevalence of overweight and obesity, and to determine the association between various waist-based measurements and body mass index (BMI). A cross-sectional study was conducted among children aged 10 to 15 years attending government corporation schools in Chennai. Basic anthropometric measurements were taken. BMI, waist circumference/height ratio (WHtR), and waist circumference/hip circumference ratio (WHR) were calculated. The percentiles (Indian reference cutoffs) were determined for waist circumference (WC) and BMI. The prevalence of overweight and obesity was determined and compared to waist-based parameters. Of 820 children, males constituted 47.1%. Stunting was seen in 9.8% and 7.8% were underweight. 8.2% had BMI less than the 3rd percentile. The prevalence of overweight and obese children was 9% and 3.2%, respectively, with female predominance. The majority had WC less than the 5th percentile. The prevalence of children under risk for MS based on WC >70th percentile was 4.5% and based on WHtR >0.5 was 8.2%. A significant association was identified between all waist-based anthropometric measurements to detect children at risk for MS and overweight/obese children as per BMI category. WHtR >0.5 was an indicator of overweight/obese children in logistic regression analysis. Early identification of children at risk of MS would require a combination of BMI to detect general obesity and waist-based anthropometric measurements to identify central obesity.
{"title":"Utility of anthropometry in defining overweight and obesity in urban South Indian children","authors":"Ritchie S. Solomon, Adlyne R. Solomon","doi":"10.4103/jfmpc.jfmpc_1656_23","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1656_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 Waist-based indicators of obesity are being used to detect central obesity and are predictive for metabolic syndrome (MS). The aim of the study is to assess the basic anthropometric indices in children, to determine the prevalence of overweight and obesity, and to determine the association between various waist-based measurements and body mass index (BMI).\u0000 \u0000 \u0000 \u0000 A cross-sectional study was conducted among children aged 10 to 15 years attending government corporation schools in Chennai. Basic anthropometric measurements were taken. BMI, waist circumference/height ratio (WHtR), and waist circumference/hip circumference ratio (WHR) were calculated. The percentiles (Indian reference cutoffs) were determined for waist circumference (WC) and BMI. The prevalence of overweight and obesity was determined and compared to waist-based parameters.\u0000 \u0000 \u0000 \u0000 Of 820 children, males constituted 47.1%. Stunting was seen in 9.8% and 7.8% were underweight. 8.2% had BMI less than the 3rd percentile. The prevalence of overweight and obese children was 9% and 3.2%, respectively, with female predominance. The majority had WC less than the 5th percentile. The prevalence of children under risk for MS based on WC >70th percentile was 4.5% and based on WHtR >0.5 was 8.2%. A significant association was identified between all waist-based anthropometric measurements to detect children at risk for MS and overweight/obese children as per BMI category. WHtR >0.5 was an indicator of overweight/obese children in logistic regression analysis.\u0000 \u0000 \u0000 \u0000 Early identification of children at risk of MS would require a combination of BMI to detect general obesity and waist-based anthropometric measurements to identify central obesity.\u0000","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141799705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-26DOI: 10.4103/jfmpc.jfmpc_1781_23
Mukesh Dewangan, Samir Garg, Prabodh Nanda, Ashu Sahu, Lalita Xalxo, Pradeep Tandan, M. J. Quereishi, Anand Kumar Sahu
ABSTRACT India has a high burden of hypertension, and community health workers (CHWs) can contribute to its primary care. Studies of small-scale interventions have shown that trained CHWs can be useful contributors to hypertension care. No assessments are available in India on effectiveness of CHW training when conducted on a large scale. A study was conducted in Chhattisgarh, where 38,000 Accredited Social Health Activist (ASHA) CHWs had been trained in blood pressure (BP) measurement and counselling skills related to hypertension. The study involved a skill test and a knowledge test with ten points each, administered to two representative samples of trained CHWs – 433 in rural areas and 422 in urban slums. The mean skill score out of 10 was 7.79 (7.59–7.99) and 8.11 (7.93–8.29) for the rural and urban CHWs, respectively. Around 75.3% (71.0–79.1%) of the rural and 80.3% (76.2–83.9%) of urban CHWs were able to score 70% (7 out of 10) or higher in the skill test. The mean knowledge score out of 10 was 8.18 (8.04–8.33) and 8.82 (8.78–8.93) for the rural and urban CHWs, respectively. Around 83.2% (79.3–86.4%) and 95.0% (94.4–96.7%) of the rural and urban CHWs, respectively, were able to score 70% or higher in the knowledge test. The ASHAs in Chhattisgarh demonstrated the necessary competence to contribute to BP measurement and primary care of hypertension. It shows feasibility of training a large number of CHWs in such skills. Efforts to equip and support the 1 million strong cadre of ASHAs across India need to be speeded up.
{"title":"Assessing the knowledge and skill of ASHA community health workers in blood pressure measurement and primary care of hypertension","authors":"Mukesh Dewangan, Samir Garg, Prabodh Nanda, Ashu Sahu, Lalita Xalxo, Pradeep Tandan, M. J. Quereishi, Anand Kumar Sahu","doi":"10.4103/jfmpc.jfmpc_1781_23","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_1781_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 India has a high burden of hypertension, and community health workers (CHWs) can contribute to its primary care. Studies of small-scale interventions have shown that trained CHWs can be useful contributors to hypertension care. No assessments are available in India on effectiveness of CHW training when conducted on a large scale.\u0000 \u0000 \u0000 \u0000 A study was conducted in Chhattisgarh, where 38,000 Accredited Social Health Activist (ASHA) CHWs had been trained in blood pressure (BP) measurement and counselling skills related to hypertension. The study involved a skill test and a knowledge test with ten points each, administered to two representative samples of trained CHWs – 433 in rural areas and 422 in urban slums.\u0000 \u0000 \u0000 \u0000 The mean skill score out of 10 was 7.79 (7.59–7.99) and 8.11 (7.93–8.29) for the rural and urban CHWs, respectively. Around 75.3% (71.0–79.1%) of the rural and 80.3% (76.2–83.9%) of urban CHWs were able to score 70% (7 out of 10) or higher in the skill test. The mean knowledge score out of 10 was 8.18 (8.04–8.33) and 8.82 (8.78–8.93) for the rural and urban CHWs, respectively. Around 83.2% (79.3–86.4%) and 95.0% (94.4–96.7%) of the rural and urban CHWs, respectively, were able to score 70% or higher in the knowledge test.\u0000 \u0000 \u0000 \u0000 The ASHAs in Chhattisgarh demonstrated the necessary competence to contribute to BP measurement and primary care of hypertension. It shows feasibility of training a large number of CHWs in such skills. Efforts to equip and support the 1 million strong cadre of ASHAs across India need to be speeded up.\u0000","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141799782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-26DOI: 10.4103/jfmpc.jfmpc_696_23
Nalina Gupta, Palani G. Kumar, Divya J. Patel
ABSTRACT There are few studies on the prevalence of sarcopenia and frailty in India. The aim of this study was to assess sarcopenia and frailty using simple clinical tools among the elderly population in the community. This was an observational study. The elderly population with an age group of >60 years residing in villages within 10–15 km of Sumandeep Vidyapeeth, Vadodara, formed the sampling frame of the study. A total of 785 participants were approached, of whom 556 were included in the study based on inclusion criteria. Participants were assessed for grip strength, muscle mass, gait speed, and frailty. The data were analyzed using STATA-IC statistical software version 13. A nonparametric Chi-square (χ2) test was used for categorical variables, and an independent-samples t-test was used to analyze the difference between various variables. Statistical significance was considered at P < 0.05 with a 95% confidence interval (CI). Based on the Indian criteria, 205 participants (36.1%) were diagnosed as having sarcopenia, and 351 participants (63%) were diagnosed as having “no sarcopenia.” 5.6% of participants were found to be frail, 19.2% to be pre-frailty, and 75.2% to be no frailty. The χ2 analysis showed a significant association of sarcopenia with gender and different age groups (P value < 0.001). In this study, 36.9% of the elderly participants were found to have “sarcopenia,” and 5.6% of the participants had frailty. Simple clinical tools used were easy to administer and suitable for field screening.
{"title":"Sarcopenia and frailty among the elderly population in the community: An observational study","authors":"Nalina Gupta, Palani G. Kumar, Divya J. Patel","doi":"10.4103/jfmpc.jfmpc_696_23","DOIUrl":"https://doi.org/10.4103/jfmpc.jfmpc_696_23","url":null,"abstract":"ABSTRACT\u0000 \u0000 \u0000 \u0000 There are few studies on the prevalence of sarcopenia and frailty in India.\u0000 \u0000 \u0000 \u0000 The aim of this study was to assess sarcopenia and frailty using simple clinical tools among the elderly population in the community.\u0000 \u0000 \u0000 \u0000 This was an observational study. The elderly population with an age group of >60 years residing in villages within 10–15 km of Sumandeep Vidyapeeth, Vadodara, formed the sampling frame of the study.\u0000 \u0000 \u0000 \u0000 A total of 785 participants were approached, of whom 556 were included in the study based on inclusion criteria. Participants were assessed for grip strength, muscle mass, gait speed, and frailty.\u0000 \u0000 \u0000 \u0000 The data were analyzed using STATA-IC statistical software version 13. A nonparametric Chi-square (χ2) test was used for categorical variables, and an independent-samples t-test was used to analyze the difference between various variables. Statistical significance was considered at P < 0.05 with a 95% confidence interval (CI).\u0000 \u0000 \u0000 \u0000 Based on the Indian criteria, 205 participants (36.1%) were diagnosed as having sarcopenia, and 351 participants (63%) were diagnosed as having “no sarcopenia.” 5.6% of participants were found to be frail, 19.2% to be pre-frailty, and 75.2% to be no frailty. The χ2 analysis showed a significant association of sarcopenia with gender and different age groups (P value < 0.001).\u0000 \u0000 \u0000 \u0000 In this study, 36.9% of the elderly participants were found to have “sarcopenia,” and 5.6% of the participants had frailty. Simple clinical tools used were easy to administer and suitable for field screening.\u0000","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141800406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-26DOI: 10.4103/jfmpc.jfmpc_1857_23
Saili S. Pradhan, Jagdish A. Cacodcar, Dhanya Jose, Nikhil S. Akarkar
ABSTRACT Access to safe and nutritious food is key to promoting good health. An estimated 600 million fall ill after eating contaminated food, for which food handlers may constitute a common source of contamination. In addition to unhealthy food handlers, disease carriers handling the food play an equally important role in transmitting these diseases and pose a significant threat to public health. This study, therefore, aimed to know the morbidity profile among the food handlers employed in various food establishments in Panaji city. Using stratified sampling techniques, we conducted a cross-sectional study among 227 participants selected from 12 food establishments. We did three visits to each food establishment. We excluded food handlers who were unavailable despite three visits at fortnightly intervals and those who did not consent to the study. We administered a pre-designed and pre-structured questionnaire to each participant. A general examination and laboratory investigations, including stool and urine routine, were performed on all participants. We performed descriptive and analytical statistics by using SPSS version 14 Out of the 227 study participants, 79 (34.8%) had at least one morbidity at the time of examination. None of the food handlers had received a single dose of typhoid, hepatitis A, or cholera vaccines. Most (74.4%) study participants did not administer deworming tablets We found that the health status of the study participants was substandard. Food safety may be in peril among food handlers with lower education backgrounds with morbidities as they may have little understanding of the risk of microbial contamination of food. Therefore, it is essential to create awareness among them.
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Pub Date : 2024-07-26DOI: 10.4103/jfmpc.jfmpc_1193_24
Raman Kumar
ABSTRACT The Indian education system has produced top-class global corporate leaders in recent decades. The combination of a solid educational foundation, work ethic, adaptability, technical and analytical skills, leadership abilities, networking, entrepreneurial spirit, and cultural values collectively contribute to the success of Indian students and professionals in the corporate world. On the contrary, India’s overall performance in Olympic sports has been modest compared to its population and potential. The education system of any country has a significant role in sporting success. To fully harness the potential of sports in schools, addressing these challenges and creating a supportive environment that values and promotes sporting abilities alongside academic excellence is essential. This will require concerted efforts from various stakeholders, including the schooling system, educational institutions, government, sports organizations, corporate sponsors, and the community. This white paper aims to systematically organize the available knowledge and debates around India’s sporting performance in the background of mainstream education culture. This paper also addresses the systemic devaluation, exclusion, disfranchisement, and stereotyping of sports and sportspersons in India. One key argument put forward in this paper is to extend absolute equivalence to Olympic sports disciplines (e.g., football) at par with general academic disciplines (e.g., mathematics) in terms of examinations and award of qualifications within the mainstream education system of India. And India must host the Olympics before 2047.
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Pub Date : 2024-07-26DOI: 10.4103/jfmpc.jfmpc_330_24
A. Fazeela, R. Borkar, H. T. Mer
ABSTRACT Water is a basic human right essential to all for sustainable development. Sanitation is one of the determinants of quality of life and the human development index. Drinking unsafe water impairs health through illnesses such as diarrhoea, and untreated excreta contaminates ground waters and surface waters used for drinking, bathing and household purposes. To assess the existing facilities and practices related to drinking water, sanitation, and hygiene among household members in the rural population of Tamil Nadu and to assess whether accessibility and availability of safe drinking water and adequate sanitation under sustainable development goal 6 is being achieved in the rural population of Tamil Nadu. This community-based cross-sectional study was carried out among 200 households in the rural field practice area of the Medical College and Hospital, Thiruvallur district, Tamil Nadu. The participants were interviewed using a predesigned semi-structured questionnaire on their existing water, sanitation, and hand washing facilities and practices Our study observed that 71.5% of households had piped water supply into their dwellings, 82% were using sanitary latrines and 28% had closed drainage for draining wastewater. Twenty-eight percent were using soap and water for hand-washing before food, and 82.5% were doing hand-washing with soap after using the toilet. In our study, the association between sanitary practices and education, occupation and socioeconomic status was statistically significant Our study emphasized the need for strengthening health education and behaviour change communication regarding sanitation and hand hygiene practices.
ABSTRACT Water is a basic human right essential to all for sustainable development.环境卫生是生活质量和人类发展指数的决定因素之一。饮用不安全的水会导致腹泻等疾病，损害健康；未经处理的排泄物会污染地下水和地表水，影响饮用、沐浴和家庭用水。 评估泰米尔纳德邦农村人口中与饮用水、环境卫生和个人卫生有关的现有设施和做法，并评估泰米尔纳德邦农村人口是否实现了可持续发展目标 6 下的安全饮用水和适当的环境卫生的可及性和可用性。 这项以社区为基础的横断面研究在泰米尔纳德邦 Thiruvallur 地区医学院和医院的农村实习区的 200 个家庭中进行。我们的研究发现，71.5%的家庭在住宅内安装了自来水，82%的家庭使用卫生厕所，28%的家庭使用封闭式下水道排放废水。28%的家庭在进食前用肥皂和水洗手，82.5%的家庭在如厕后用肥皂洗手。在我们的研究中，卫生习惯与教育、职业和社会经济地位之间的关系具有显著的统计学意义。
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