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Category: Volume 06 Issue 04 April 2018
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Title: Risk Factors of Cardiovascular Diseases and Cardiovascular Risk Assessment in the Bank Employees of Western Maharashtra – A Cross Sectional Study

Authors: Jayesh Chandrakant Sonaje, Tanuja Ravindra Brahmankar

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i4.33

Abstract

Background: In developed countries, cardiovascular diseases (CVDs) are responsible for up to 50% of the total deaths. There is evidence that job characteristics may be associated with CVDs, independently of the social status. Bank employees who deal with various types of customers, involves economic liabilities, high levels of accountability, greatly reduced physical activity, and sedentary mode of functioning may predispose for the development of various diseases like hypertension, obesity, and diabetes mellitus which are major risk factors for the CVDs. The easy and rapid calculation of a Framingham CVD risk score may assist the clinician and patient in demonstrating the benefits of treatment. Thus present study is carried out.

Methods: A cross-sectional study was conducted during January 2014 to December 2015 to study the prevalence of risk factors for CVDs and to assess the cardiovascular risk among the bank employees in Western Maharashtra. By using multistage sampling method, total 340 bank employees from 40 branches were included in the study after fulfilling the inclusion and exclusion criteria. After all ethical considerations, the data were collected by using pre-designed, pre-tested and semi-structured questionnaire and then analysed using MS Excel, SPSS-22 and Primer of Biostatistics.

Results: Out of total 340, 73.5% were males, 39.7% were hypertensives, 18.8% were known diabetics, 66.8% were obese, 80.7% were centrally obese, 48.5% were sedentary, 17.7% were taking alcohol and 5.0% were smokers. 13.3% had known to have heart disease. Out of 318 participants, 119 (37.4%) had low risk of developing CVDs in 10 years, 126 (39.6%) had intermediate risk and 73 (23.0%) had high risk. There is an increasing trend from low risk to high risk with increasing age.

Conclusions: Bank employees have high prevalence of CVD risk factors. Around 60 % had 10 year CVD risk as moderate to high making them a risk group which needs tailored intervention activities.

Keywords: Cardiovascular diseases, Risk factors, Bank employees, Risk assessment.

References

  1. Global Status Report on Non-communicable diseases, 2014.
  2. Shivaramakrishna HR, Wantamutte AS, Sangolli HN, Mallapur MD. Risk factors of coronary heart disease among bank employees of Belgaum city - cross-sectional study. Al Ameen J Med Sci.2010;3(2):152-59.
  3. Gupta R. Trends in hypertension epidemiology in India. Journal of Human Hypertension. 2004;18: 73–8.
  4. Lokare L, Nekar MS, Mulkipatil SY, Venktesh M. Metabolic equivalent task score and risk factors of coronary heart disease in bank employees. Int J Biol Med Res. 2012; 3(2):1627-30.
  5. Raj Kamal, Sengupta. A Study of Job Satisfaction of Bank Officers. Prajnan. 2008;37(3):229-45.
  6. Hobbs FDR, Jukema JW, Silva PM, Mccormack T, Catapano AL. Barriers to cardiovascular disease risk scoring and primary prevention in Europe. Q J Med. 2010; 103:727–39.
  7. Ganesh Kumar S, Unnikrishnan B, Nagaraj K. Self-reported chronic diseases and occupational health risks among bank employees of southern Karnataka city, India. Indian Journal of Community Medicine 2013;38(1):61-2.
  8. Momin MH, Desai VK, Kavishwar AB. Study of sociodemographic factors affecting prevalence of hypertension among bank employees of Surat City. Indian J Public Health. 2012;56(1):44-8.
  9. Ismail IM, Kulkarni AG, Kamble SV, Borker SA, Rekha R, Amruth M. Prevalence of hypertension and its risk factors among bank employees of Sullia Taluk, Karnataka. Sahel Med J. 2013;16(4):139-43.
  10. International Physical Activity Questionnaires. IPAQ: Short Last 7 Days Self-Administered Format For Use With Young And Middle-Aged Adults. Available at https://docs.google.com/viewer?a=v&pid=sites&srcid=ZGVmYXVsdGRvbWFpbnx0aGVpcGFxfGd4OjhlMTcxZGJkZmMxYTg1NQ last assessed on November 23rd
  11. Papathanasiou G,Georgoudis G,  Papandreou M,  Spyropoulos P,  Georgakopoulos D, Kalfakakou V et al. Reliability measures of the short International Physical Activity Question-naire (IPAQ) in Greek young adults. Hellenic J Cardiol. 2009;50(4):283-94.
  12. Tran DV,Lee AH, Au TB, Nguyen CT, Hoang DV. Reliability and validity of the International Physical Activity Questionnaire-Short Form for older adults in Vietnam. Health Promot J Austr. 2013 Aug;24(2):126-31.
  13. Stress questionnaire, International Stress Management Association. Available on http://www.isma.org.uk/wp-content/uploads/2013/08/Stress-Questionnaire.pdf  last assessed on December 9th
  14. WHO/ASO/OTF. The Asian Pacific Prospective Redefining Obesity and its treatment Health Communications Australia Pt Ltd. 2000.
  15. Park K. Parks Textbook of preventive and social medicine, 23rd Jabalpur: m/s BanarasidasBhanot, 2015; 397-401.
  16. Seventh report of Joint National Committee on Prevention, detection, evaluation & Treatment of High Blood Pressure (JNC 7), NIH publication No. 04-5230, August 2004 available at http://www.nhlbi.nih.gov/guidelines/hypertension/jnc7full.pdf. Last accessed on December 10th 2013.
  17. Framingham Heart Study. A project of national heart, lung and blood institute and Boston University. Risk score calculators. Excel spreadsheets. Available at https://www.framinghamheartstudy.org/risk-functions/cardiovascular-disease/10-year-risk.php last assessed on November 29th
  18. Kariuki JK, Stuart-Shor EM, Leveille SG, Hayman LL. Evaluation of the performance of existing non-laboratory based cardiovascular risk assessment algorithms. BMC Cardiovascular Disorders 2013, 13:123.
  19. Hussain SM, Oldenburg B, Wang Y, Zoungas S, Tonkin AM. Assessment of Cardiovascular Disease Risk in South Asian Populations. International Journal of Vascular Medicine2013;1:1-10
  20. Bansal M, Mehrotra R, Kasliwal RR. Cardiovascular risk stratification in Indians. J Clin Prev Cardiol. 2015;4(1):7-17.
  21. Donald M, Jones Risk Prediction in Cardiovascular Medicine Cardiovascular Risk Prediction Basic Concepts, Current Status, and Future Directions. Available at: https://circ.ahajournals.org/content/121/15/1768.full last assessed on October 19th 2015.
  22. Dudala SR, Reddy KAK, Prabhu GR. Prasad's socio-economic status classification- An update for 2014. Int J Res Health Sci [Internet]. 2014 Jul 31;2(3):875-8. Available from http://www.ijrhs.com/issues.php?val=Volume2&iss=Issue3 last assessed on November 23rd
  23. Prashanth HL, Madhusudhana MV, Belagatti S. Is higher cadre a risk factor for hypertension among bank employees? Indian Journal of Public Health Research & Development. 2013;4(4):138-41.
  24. Mohmmedirfan MH, Desai VK, Kavishwar A. An Epidemiological Study of Hypertension among white Collar Job People of an Urban Area of Western India. Indian Journal of Public Health Research & Development. 2013;4(4):84-9.
  25. Ganesh Kumar S, Deivanai Sundaram N. Prevalence and risk factors of hypertension among bank employees in urban Puducherry, India. Int J Occup Environ Med. 2014;5:94-100.
  26. Maroof KA, Parashar P, Bansal R, Ahmad S. A study on hypertension among the bank employees of Meerut district of Uttar Pradesh. Indian Jour Public Health 2007;51(4):225-7.
  27. Parashar P, Maroof KA, Bansal R, Ahmad S, Pant B. Prevalence and risk factors of diabetes among bank employees of Meerut district Indian J. Prev. Soc. Med. 2009;40(3):157-61.
  28. Undhad AM, Bharodiya PJ, Somani RP. Correlates of hypertension among the bank employees of Surat city of Gujarat.National Journal of Community Medicine. 2011;2(1):123-25.
  29. Nagammanavar R, Somashekhar G, Reddy CS, Pavankumar, Bellara R. A study of prevalence and risk factors of hypertension among the bank employees of Bellary city: a cross-sectional study. Journal of Science. 2015;5(7):459-66.
  30. Logan AG, Expert Rev Hypertension in Aging Patients by Cardiovascular Ther. 2011;9(1):113-120.  http://www.medscape.com/viewarticle/734880_5.
  31. Cesarino EJ, Vituzzo AL, Sampaio JM, Ferreira DA, Pires HA, Souza L. Assessment of cardiovascular risk of patients with arterial hypertension of a public health unit. 2012;10(1):33-8.
  32. Vinod RK, Pastapur M, Suresh KP. Screening for risk of cardiovascular disease among officer grade bank employees of Gulbarga city. J Cardiovasc Dis Res. 2012;3(3):218-24.
  33. Sahoo S, Shah K, Shukla A, Prajapati J, Shah P. Cardiovascular disease risk factor estimation In Gujarati Asian Indian population using Framingham risk equation 2014;4(4) 293-7.

Corresponding Author

Dr Tanuja R. Brahmankar

MD Community Medicine

Mobile No.: 7768826519, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.