Knowledge and Understanding of Hypertension Among Tibetan People in Lhasa, Tibet

Yao, Dao-Kuo; Su, Wen; Zheng, Xiaodong; Wang, Lexin

doi:10.1016/j.hlc.2015.11.007

Cited by 13 publications

(11 citation statements)

References 23 publications

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“…In this study the average ratio of the 3–5 years old children is 1.59. The Tibetans are no exception to the rule as it appears that more than 40% of the agricultural populations around Lhasa suffer from hypertension [47]. In addition to being a risk factor for cardiovascular disease, potassium deficiency is likely to increased bone turnover resulting in reduced bone formation and increased bone resorption [45].…”

Section: Resultsmentioning

confidence: 99%

“…A rapid preventive measure could be a modification of the iodized salt program in which the sodium chloride could be partially replaced by potassium chloride [49]. Nevertheless, on the long-term, an efficient policy, integrated in the cultural and socio-economic environment, must pass through the education of the population in order to rise their awareness and modify they dietary habits [47]. In our opinion, one of the most promising actions currently implemented by the Chinese government and some NGOs is the greenhouses construction, combined with seed banks [50,51].…”

Section: Resultsmentioning

confidence: 99%

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Minerals and Trace Elements Intakes and Food Consumption Patterns of Young Children Living in Rural Areas of Tibet Autonomous Region, P.R. China: A Cross-Sectional Survey

Dermience

Mathieu²,

et al. 2017

Healthcare

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Background and objectives: Several studies revealed clinical signs of stunting and rickets among rural populations of Tibet Autonomous Region (T.A.R.), and especially amid children. Further, these populations are affected by a bone disease named Kashin-Beck disease (KBD). However, little is known about the dietary status of this population. This survey aimed to assess the usual intakes of young Tibetan children living in rural areas around Lhasa for energy, water, and ten minerals and trace elements (Na, K, Ca, P, Mg, Fe, Zn, Cu, Mn, and Se) involved in bone metabolism. Design: A cross-sectional survey was designed. Totally, 250 pre-school children aged 3–5 years living in rural areas were enrolled. The 24-h food recall method was used to collect the intakes for two days, during two different seasons (September 2012 and April 2013). Because Tibetan foods are mainly derived from local agriculture and artisanal production, a combination of food composition tables was compiled, including specific and local food composition data. Results: The Chinese dietary recommended intakes are not met for most of the elements investigated. Intake of sodium is much too high, while usual intakes are too low for K, Ca, Zn, Cu, and Se. Bioavailability of Ca, Fe, and Zn may be of concern due to the high phytic acid content in the diet. Conclusion: These nutrient imbalances may impact growth and bone metabolism of young Tibetan children. The advantages of the implementation of food diversification programs are discussed as well as the relevance of supplements distribution.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Minerals and Trace Elements Intakes and Food Consumption Patterns of Young Children Living in Rural Areas of Tibet Autonomous Region, P.R. China: A Cross-Sectional Survey

Dermience

Mathieu²,

et al. 2017

Healthcare

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show abstract

“…Knowledge on diabetic mellitus type 2 (T2DM) comprised common risk factors such as heredity and high sugar intake, symptoms such as frequent hunger, eating too much and body weight loss, and level of fasting blood sugar for diabetics [11,12,13]. Knowledge on hypertension comprised blood pressure classification and risk factors for hypertension such as cigarette smoking, alcohol consumption, obesity and hyperlipidemia [14,15]. Knowledge about cardiovascular disease encompassed risk factors such as stress levels, common symptoms such as severe headache and angina pain [16,17].…”

Section: Methodsmentioning

confidence: 99%

Development and Validation of a Questionnaire to Assess Knowledge, Threat and Coping Appraisal, and Intention to Practice Healthy Behaviors Related to Non-Communicable Diseases in the Thai Population

Chamroonsawasdi

Chottanapund

Tunyasitthisundhorn

et al. 2017

Behavioral Sciences

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Non-communicable diseases (NCDs) are important issues in Thailand and health sectors are now focusing on modifiable risks that include cognitive, affective and behavioral factors. This study aimed to develop and validate a questionnaire to assess knowledge about NCDs, threat appraisal, coping appraisal and intention to practice based on protection motivation theory. Content validity was determined by the mean of the item content validity index (I-CVI) from five experts. The questionnaire was pilot tested for difficulty of knowledge items and reliability test using the Kuder-Richardson (KR)-20 and Cronbach’s alpha coefficient among 30 Thai adult subjects in the health office for two sub-districts. The mean I-CVI ranged from 0.90–1.00 and difficulty of knowledge ranged from 0.3–0.9. The reliability test of knowledge by KR-20 ranged from 0.648–0.799, while Cronbach’s alpha coefficients of threat and coping appraisal and intention to practice ranged from 0.70–0.843. We compared sociodemographic data, knowledge about NCDs, threat appraisal, coping appraisal and intention to practice between 50 diabetic type 2 cases and 50 controls. T2DM cases had higher age, knowledge scores on diabetes and hypertension, threat appraisal scores on hypertension and cardiovascular disease when compared with control (p < 0.05). The questionnaire was valid and sufficiently reliable to use for data collection.

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“…All of these factors are related with hypertension [6]. Finally, the native Tibetans lack a general understanding of hypertension [35,36]. Even if they know that they have high blood pressure, they would rarely take standard medications for hypertension but prefer to take…”

Section: Hypertensionmentioning

confidence: 99%

“…As such, the control rate of hypertension in this area is very low [34]. There is a need to improve education and primary health care services to this large hypertensive population [34][35][36].…”

Section: E919221-4mentioning

confidence: 99%

Characteristics of Cerebral Stroke in the Tibet Autonomous Region of China

et al. 2020

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It is well known that cerebrovascular disease has become an important cause of adult death and disability. Strikingly, the Tibet Autonomous Region (TAR) ranks on the top in China for the incidence of stroke. To help explain this phenomenon, we have searched for and analyzed stroke-related literature for the TAR in the past 2 decades and have referenced reports from other regions at similar altitudes. This article focuses on epidemiology features, risk factors, and pathogenesis of stroke in the TAR in an effort to generate a better understanding of the characteristics of stroke in this region. The special plateau-related factors such as its high elevation, limited oxygen, the high incidence of hypertension, smoking, and the unique dietary habits of the region are correlated with the high incidence of stroke. In addition to these factors, the pathogenesis of stroke in this high-altitude area is also unique. However, there is no established explanation for the unique occurrence and high incidence of stroke in the TAR. Our study provides an important rationale not only for the clinic to prevent and treat this disease, but also for the government to develop appropriate health policies for the prevention of stroke in the TAR.

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Knowledge and Understanding of Hypertension Among Tibetan People in Lhasa, Tibet

Cited by 13 publications

References 23 publications

Minerals and Trace Elements Intakes and Food Consumption Patterns of Young Children Living in Rural Areas of Tibet Autonomous Region, P.R. China: A Cross-Sectional Survey

Minerals and Trace Elements Intakes and Food Consumption Patterns of Young Children Living in Rural Areas of Tibet Autonomous Region, P.R. China: A Cross-Sectional Survey

Development and Validation of a Questionnaire to Assess Knowledge, Threat and Coping Appraisal, and Intention to Practice Healthy Behaviors Related to Non-Communicable Diseases in the Thai Population

Characteristics of Cerebral Stroke in the Tibet Autonomous Region of China

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