P roblem S olving for B etter H ealth

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P roblemS olving forB etterH ealth

• Sponsored by -
• Dreyfus Foundation, New York, USA
• Health Action by
• People, Trivandrum, India.

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ASTUDY ONAWARENESS AND MOTIVATIONABOUTLIPID
PROFILE
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By,
Jaimin Shah (90)
Jayal Shah (91)
Naitik Shah (95)

Nihar Shah (96) Batch 2002 SMT. N.H.L.
MUNICIPAL MEDICAL COLLEGE, AHMEDABAD, INDIA.
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RATIONALE

• Coronary Heart Disease is the burning problem of
  modern world.
• Its incidence is increasing now a days , because
  of there are many risk factors associated with it
  like Smoking, Obesity , Sedentary life style
  ,alcohol and a lot of stress , modern eating
  habits , family history , diabetes etc.
• This can leads to many adverse effects on health
  
• hyperlipidemia (increase cholesterol level in
  blood)
• atherosclerosis of the vessels causing grave
  complications like myocardial infarction ,
  cerebral embolism leading to stroke, etc,.
• So What can be done ?
• Therefore, it is inevitable to spread awareness
  among people about CHD explain them about the
  significance of Lipid Profile examination then
  to motivate them about it, so that with
  sufficient intervention, we can decrease the
  mortality among them.

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AIM AND OBJECTIVES

• AIM
• To motivate people about cardio vascular risk
  factors and to undergo lipid profile for early
  detection and prevention.
• OBJECTIVES
• To find high risk patients for CHD.
• To motivate them to undergo lipid profile.
• To analyze their lipid profile reports.
• To explain at risk patients about precautionary
  measures.
• To motivate hyperlipidemic patients to go to
  doctor for treatment.

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METHODS AND MATERIALS

• The study was conducted among 60 high risk
  persons of Coronary Artery Disease during the
  time period April 2005 to July 2005
• -Source of Records-
• From the persons with defined risk factors of CAD
  residing in the different residential area of
  Ahmedabad (Paldi and Shahibaug)
• -Study variables-
• Name , age , sex , religion , occupation , and
  risk factors present

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Selection-Random selection of at least 60
high risk subjects.Study It Includes Initial
survey, Educational Intervention and post
interventional Survey.
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OBSERVATION ANDANALYSIS
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• The above pie chart shows that a large bulk of
  sample of candidates consists of house wives
  followed by bank manager and business man and
  others.
• Majority of all candidates are employed with
  those professions which involves sedentary work
  and hence they are potential candidates of
  Coronary Artery Disease.

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• The above given Pie Chart shows the distribution
  of Risk Factors in percentage among all the
  candidates of selected sample.
• The large bulk of all candidates comprises of
  individuals presenting with multiple risk factors
  consisting of combinations of risk factors like
  diabetes and obesity or hypertension and high
  stress life style or sedentary life style and
  obesity or smoking and high stress life style
  or significant family history of CAD and
  sedentary life style. etc.,
• Among the candidates with single risk factors
  around 27 presented with sedentary life style,
  15 with obesity, others with diabetes,
  hypertension, smoking and high stress life style.

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• The above given pie chart shows the age wise
  distribution of candidates in percentage.
• Accordingly, the largest group of candidates of
  about 29 belongs to age group of 41-45 years. It
  is followed by 27 in age group of 46-50 years,
  13 in age group of 51-55 years.
• The risk of CAD increases tremendously after 4th
  decade in female and after 5th decade in males
  and accordingly the sample of candidates have
  been selected.

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• The pie chart given explains about the percentage
  of all candidates of sample who went for their
  lipid profile tests.
• As described, about 15 of candidates went for
  their lipid profile after first visit undertaken,
  around the same bulk of people went for lipid
  profile after second visit, while about 7 went
  after their third visit, but in contrast around
  63 of total sample restrained from lipid profile.

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• The above given pie-chart shows that about 55 of
  candidates who went for their lipid profile tests
  were found to be hyperlipidemic while 45 of them
  turned out to be normal
• Around 22 candidates out of 60 go for lipid
  profile and 10 were found to be hyperlipidemic
  and remaining 12 were normal on their lipid
  profile tests.

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• The above given bar chart shows the relative
  difference according to sex in occurrence of CAD.
  It shows that a larger number of males turned out
  to be hyperlipidemic than the females on their
  lipid profile tests.

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• The given bar diagram shows that most of
  candidates went for lipid profile tests after
  their second visit showing emphasis of multiple
  visits on their thinking. As the no of candidates
  left were less in third visit, the percentage of
  them opting for lipid profile is also meagre.

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• The above pie chart explains regarding the
  distribution of occupation of candidates who are
  hyperlipidemic on their lipid profile tests.
  Accordingly, the major bulk of hyperlipidemic
  candidates are employed in the professions that
  are concerned with sedentary and high stress life
  style and hence verifying the high risk for
  Coronary Artery Disease prevailing in them.

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RECOMMENDATIONS

• In our study regarding the screening of
  awareness and motivation for lipid profile in
  about 60 high risk candidates ageing above 40 who
  presented with high risk for CAD, approximately
  22 individuals went for lipid profile
  examinations.
• Out of those 22 people, 10 have been identified
  as hyperlipidemic.

• If remaining 38 people had done lipid profile,
  the number of cases would have been even higher.
• Hence this type of study should be carried out
  on larger scale by the government as most of the
  non-communicable diseases could be prevented by
  early detection and their treatment.