Kajian intervensi komuniti terhadap faktor-faktor risiko penyakit kardiovaskular di kalangan masyarakat luar bandar Kelantan
| dc.contributor.author | Alwi, Asharina | |
| dc.date.accessioned | 2015-07-30T04:28:21Z | |
| dc.date.available | 2015-07-30T04:28:21Z | |
| dc.date.issued | 2002 | |
| dc.description.abstract | Cardiovascular diseases have become the leading killer in Malaysia for the past decade. Various studies have shown that the main risk factors for cardiovascular diseases were smoking, stress, hypertension, diabetes mellitus, obesity as well as sedentary lifestyles. The objectives of this study was to determine the prevalence of cardiovascular disease borderline risk factors. The other objectives was to determine the effectiveness of educational intervention packages of healthy lifestyle in improving subjects with borderline risk factors in Kelantan, Malaysia. This study was a prospective interventional with a multistage cluster sampling design. Altogether 1333 subjects were screened and 568 subjects who fit the inclusion and exclusion criteria agreed to participate in this study. The subjects were randomly allocated to the intervention and control group according to geographical location in Kota Bharu and Bachok district. Two hundreds and sixty seven subjects were in control group and 301 in intervention group. The intervention group received intervention session which consist of 8 modules at 3 and 9 months. The modules were overweight, impaired glucose tolerance, healthy diet, borderline hypertension, stress, stop smoking and borderline hypercholesterolemia. Both groups were assessed at the end of 12 months of study. Baseline data on cardiovascular risk factors were collected and measurements of weight, height, blood pressure, fasting and 2-hour postprandial blood sugar as well as serum cholesterol were made. Prevalence of borderline risk factors for cardiovascular diseases in Kelantan was found to be 25.1% for impaired glucose tolerance, 33.1% for overweight, 26.2% for borderline hypertension and 38.0% for borderline hypercholesterolaemia as well as 13.4% for smokers. The results showed significant changes of body mass index in overweight subjects. The mean difference of body mass index for overweight subjects in the intervention group was 0. 77 kg/m2 lower than the control group (p = 0.006). Analysis also showed a significant difference in smoking in which 30% of smokers in the intervention group quit smoking at the end of the study compared to only 4% in the control group (p = 0.038). Other risk factors such as borderline hypertension, impaired glucose tolerance and borderline hypercholesterolaemia showed no significant results at the end of the 12 months study period. Above all the educational intervention packages for healthy lifestyle has significant positive effects on overweight subjects and smokers at the end of the 12 months study period. Nevertheless the effect of these packages could be maximized on other risk factors by extending the period of intervention with continous support programme. | en_US |
| dc.identifier.uri | http://hdl.handle.net/123456789/1005 | |
| dc.language.iso | other | en_US |
| dc.subject | Kardiovaskular | en_US |
| dc.title | Kajian intervensi komuniti terhadap faktor-faktor risiko penyakit kardiovaskular di kalangan masyarakat luar bandar Kelantan | en_US |
| dc.type | Thesis | en_US |
Files
License bundle
1 - 1 of 1
Loading...
- Name:
- license.txt
- Size:
- 1.71 KB
- Format:
- Item-specific license agreed upon to submission
- Description: