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Behavioral risk factors of coronary artery disease: A paired matched case control study
1Community Medicine Department, M. P. Shah Medical College, Jamnagar, India.
Insights
Behavioral risk factors like smoking, tobacco use, and obesity significantly increase coronary artery disease risk. Modifiable factors underscore the need for targeted public health interventions in India.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Cardiovascular diseases are a leading cause of death in developing nations like India.
- Behavioral risk factors are primary contributors to coronary artery disease (CAD).
Purpose of the Study:
- To investigate the role of various behavioral risk factors in the occurrence of coronary artery disease in India.
Main Methods:
- A hospital-based, paired-matched case-control study was conducted with 135 CAD cases and 135 controls.
- Data analysis involved Epi-info software, Chi-square test, Z test, and Odds ratio calculation.
Main Results:
- Higher prevalence of smoking, smokeless tobacco use, and alcohol consumption among CAD cases.
- Significant associations found between smoking, smokeless tobacco use, obesity, physical inactivity, and CAD.
- A dose-response relationship observed between smoking frequency and CAD (OR=3.72).
Conclusions:
- Modifiable and preventable behavioral factors are key etiological agents in CAD.
- Effective control strategies and public health measures are crucial for CAD prevention.
Background:
Cardiovascular diseases are becoming the major cause of morbidity and mortality in most of the developing countries including India. Various behavioral risk factors are the major risk factors for coronary artery disease. Present study was carried out to study the role of various behavioral risk factors in the occurrence of coronary artery disease.
Materials And Methods:
Present study was a hospital-based paired-matched case-control study, carried out at civil hospital, Ahmedabad. A total of 135 newly-diagnosed cases of coronary artery disease and 135 controls were studied after taking an informed written consent. Data was analyzed by using Epi-info version 3.5.1 computer package, Chi -square test, Z test and Odds ratio was calculated.
Results:
Among the total 135 cases, 70.4% were male and 29.6% were female, most of the cases (40%) belong to the age group of 51-60 years. Smokers, smokeless tobacco users, and alcoholic were significantly higher among the cases as compared to controls. Significant association was also observed between current smokers, smokeless tobacco users, and coronary artery disease. Dose-response relationship was observed between the frequency of smoking per day and coronary artery disease (OR = 3.72). Significant association was also observed between obesity, physical inactivity, and coronary artery disease. Salt and oil intake per day were significantly higher among the cases as compared to controls.
Conclusion:
Modifiable and preventable behavioral risk factors are major etiology behind the occurrence of coronary artery disease, which highlights the need of appropriate control strategies and measures.
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