Study on Prevalence and Patterns of Dyslipidemia among Kodavas

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Study on Prevalence and Patterns of Dyslipidemia among Kodavas

Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 6

Abstract

Cardiovascular diseases are increasing and dyslipidemia is an important cause. Therefore, it becomes very essential to study these risk factors in the Kodava community, which has been ignored and seem to be predisposed to it due to their life style and food habits. Methods: A cross sectional study was designed by conducting ten health camps in and around Mysore. Around 418 subjects (194 men and 224 women) participated in the camps conducted from 1st March 2012 to 31st January 2013. Informed consent forms were signed by all participants and were asked to answer a standardized questionnaire. Plasma samples were analysed for serum lipid profile [(triglyceride, total cholesterol, high density lipoprotein-cholesterol (HDL-C), low density lipoprotein-cholesterol (LDL-C)] and fasting plasma glucose. Anthropometric measurements and blood pressure was recorded. Results: This ethnic group has presented a clinical picture wherein 88.99% of subjects suffer from one or the other form of lipid abnormality. Dyslipidemia was prominently seen in the 41-60 age group subjects; however 25- 40 age group with normal BMI and low body fat percentage also showed high LDL-C and low HDL-C levels. Deepti A, Lokanath,Sharda A. Chandrashekariah JMSCR Volume 2 Issue 6 June 2014 Page 1417 JMSCR Volume||2||Issue||6||Page 1416-1427 ||June 2014||ISSN: 2347-176X 2014 1. INTRODUCTION Kodava Community is an endogamous, agricultural community with martial traditions from Karnataka, South India. Among the population excessive consumption of pork meat and alcohol is followed traditionally [1,2] . Dyslipidemia is a major metabolic disorder and the cause of cardiovascular diseases (CVD) which is a prime reason for morbidity and mortality worldwide [3]. There is a marked increase in these systemic disorders in economically developing nations. Change in life style and diet has led to increase in life span along with increased burden of cardiovascular and other chronic diseases [4] . According to National Commission on Macroeconomics and Health (NCMH), a Government of India undertaking there would be around 62 million patients with CVD by 2015, among which 23 million patients would be younger than 40 years of age [5] . CVD is usually due to atherosclerosis of large and medium sized arteries and Dyslipidemia has been found to be one of the most important contributing factor[6] . There is no previous study to show the prevalence of lipid disorders in Kodavas and physicians also opine that dyslipidemia and CVD risks are increasing among the Kodava population. Thereforein the present study prevalence of dyslipidemia and associated risk factors were investigated. 2. SUBJECTS AND METHODS 2.1 Study Design This study was carried out by conducting 10 health camps in and around Mysore. A total of 418 Kodava subjects aged between 25 and 85 attended the camps. Sample number was calculated using creative research system survey software with confidence level of 95% and confidence interval of 4.74 with a population of 15,000 in Mysore and overall population of 1,25,000 according to report of Karnataka unit of Bureau of economics and statistics in 2011. Campaigning for the health camps was done with the help of area associations and Kodava Samaj, Mysore. The subjects were from urban area and educated. They were informed about the study and its purpose, and were asked to sign a consent form. Standardized questionnaire related to their medical history, diet, medications, alcohol consumption, smoking status and physical activity were recorded. This study was approved by Institutional Ethical Committee (IOE), Anthropological Survey of India, Kolkata. Conclusions: High prevalence of dyslipidemia was observed among the Kodavas and other factors like obesity, diabetes and hypertension magnified the risk of CVD and other metabolic complications. Life style modification and regular health check-up is crucial.

Authors and Affiliations

Deepti A. Lokanath

Keywords

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EP ID EP205993
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