Background: Lifestyle diseases like hypertension, atherosclerosis, coronary heart disease (CAD), type –II diabetes mellitus, ischemic stroke are Non -communicable diseases leading to premature sickness, disability and death. To determine the risk factors of lifestyle diseases like hypertension and diabetes mellitus and to impart health education on the risk factors of lifestyle diseases and to determine the impact of health education.Methods: A educational interventional study was conducted in a randomly selected urban slum in Peelamedu, Coimbatore funded by ICMR STS.100 Men in the age group of 30-50 years were administered questionnaire to determine the risk factors of lifestyle diseases. Health education was given to the respondents regarding risk factors. The same questionnaire was given to the respondents after the health education to determine the impact of health education. Statistical analysis was performed by using SPSS version 20. Prevalence of risk factors was presented in percentage. Paired T test was used to find out the effectiveness of Health Education.Results: Among the study population, the risk factors for life style diseases in our study are smoking (39%), alcohol intake (27%), lack of physical activity (40%), overweight (36%), obesity (14%). The impact of health education on risk factors of lifestyle disease and it was statistically significant with smoking (p=.000), alcohol (p=.02), physical activity (p=.001) and not significant with BMI (p=.71).Conclusions: Regular health checks can be done to improve the frequency of preventive care and support for behavior change. Effective implementation of lifestyle modifications behavior like healthy diet intake, avoidance of high caloric foods, promoting physical activity help in preventing future complications as a part of primary preventive strategies at primary care level. The importance of lifestyle modifications should be reinforced.
Background Although gout in young people is increasing, studies on the risk factors for gout in these people are lacking. Objectives In this study, we explored the risk factors of gout and effect of lifestyle change on the development of gout in large nationwide population-based cohort of young men. Methods Between 2009–2012, men aged 20–39 years who participated in two national health examinations at 2-year intervals were included in the study. The outcome was occurrence of gout, which was defined using the diagnosis code of gout (ICD-10 code M10) in the claims database. Cox proportional hazard model was used to evaluate the association between incident gout and baseline factors or lifestyle change. Results A total of 1,977,849 subjects were included in the study, and the mean follow-up period was 5.5 ± 4.3 years. Gout occurred in 38,839 subjects (incidence rate = 3.59/1,000 person-years). A high body mass index, alcohol drinking, and comorbidities such as hypertension, diabetes mellitus, and hyperlipidemia were associated with an increased risk of gout. Among lifestyle factors, change in obesity had the greatest impact on gout, followed by drinking. Development of obesity increased the risk of gout by 1.75 times (95% CI 1.68–1.81), and recovery from obesity decreased the risk of gout by 40% (aHR 0.60, 95% CI 0.57–0.64). Heavy drinking increased the risk of gout by 38% (aHR 1.38, 95% CI 1.33–1.43), and stopping heavy drinking decreased the risk of gout by 11% (aHR 0.89, 95% CI 0.85–0.94). The effect of obesity on gout was evident in the younger age group, and the effect of heavy drinking on gout was weak in the severely obese group. Conclusion Obesity and heavy drinking in young men are important modifiable risk factors for gout. Therefore, the management of these risk factors in young men should be emphasized. Disclosure of Interests None declared
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