Prevalence of modifiable risk factors in patients of thrombotic CVA
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 2
Abstract
Background: CVA is a major cause of morbidity and mortality worldwide. It may result from brain infarction or haemorrhage. Majority are due to ischemic cerebral infarction. Ischemia may result from occlusion of blood vessel due to a disease process intrinsic to carotid and intracranial vessels or may relate to coexisting heart disease, predisposing to embolic phenomenon. Objectives: To study the prevalence of modifiable risk factors in patients of thrombotic CVA. Materials and method: The present case control study was conducted in the department of medicine of Government Medical College, Latur. Study population consisted of patients admitted and diagnosed as a case of thrombotic cerebrovascular accident and controls during study period of two year. Age and sex matched controls were selected with 1: 1 ratio. Total 359 cases of thrombotic cerebrovascular accident and 359 controls. An informed written consent was taken from all the enrolled subjects after a full explanation of the purpose of study. All the patients were evaluated by taking detail history of present illness, significant past and family history and physical examination findings. The subjects were questioned regarding their Life Style, Diet and Addiction. Results: It was seen that out of 359 cases of CVA, 227 were males and 132 were females. Out of 227 cases of males, maximum no of cases i.e. 74 (32.60%) were in 41-50 yrs. of age, and in females out of 132 cases, maximum no of cases i.e. 60 (45.46%) were in 61-70 yrs. of age. 54.04% cases had BMI> 25 KG/ m2. 48.19% cases were having Waist Hip Ratio > 90. Majority of the cases in VCA group were having lack of vegetables and fruits in their daily diet as compared to control group. 29.81% cases had Oil and Ghee consumption > 40 gms per day. 71.69% cases had salt consumption > 5 gms/day. Sedentary life style was seen in 83.01% of cases in CVA groups. 39.83% cases had betel nut addiction which was statistically significant when compared with controls. 37.33% cases had Gutkha addiction. 8.36% cases had alcohol consumption > 60 gms/day which was statistically not significant when compared with controls (5.01%). 10.59% cases in CVA group and 10.59% in control group had smoking addiction which was statistically not significant. 45.13% cases had habit of smokeless tobacco consumption which was statistically significant when compared with controls. Conclusion: Thus we conclude that CVA was more common in middle age males. Overweight and obesity, Waist Hip Ratio >90, Lack of fruits and vegetables in diet, excessive consumption of Oil and Ghee and Salt, sedentary and type A Life style, Betel Nut and Gutkha and Smokeless tobacco addiction were the common modifiable risk factors observed among the cases of CVA with statistically significant difference.
Authors and Affiliations
Vijay Barge, Chandrakant Raibhoge
Keywords
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