The Rising Burden of Diabetes and Hypertension in Southeast Asian and African Regions: Need for Effective Strategies for Prevention and Control in Primary Health Care Settings

Mohan, Viswanathan; Seedat, Y K; Pradeepa, Rajendra

doi:10.1155/2013/409083

Cited by 142 publications

(130 citation statements)

References 95 publications

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“…Nevertheless, studies from US report prevalence of diabetes in around 12.0%, hypertension in 17.6% and CAD in 2.1% in patients with sleep apnea with or without arrhythmias [12]. The higher incidence reported in our study may be because of multiple possible reasons-low sample size, higher prevalence of hypertension and diabetes in middle aged Indian population compared to western population [13]. It can also be a direct result of strong association between these comorbidities, OSA and arrhythmias but this assumption is yet to be proven in clinical studies.…”

Section: Discussioncontrasting

confidence: 57%

Electrocardiographic Abnormalities in Obstructive Sleep Apnea: A Retrospective Study

Bhatia¹,

Khatiwada²,

Dubey

2017

Sleep Vigilance

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Obstructive sleep apnea (OSA) is a common medical condition in obese and elderly population. Cardiovascular morbidity and mortality is a major issue in patients with OSA. The increased rates of abnormalities in these patients have been ascribed to the structural and functional impairment caused by OSA. In an attempt to estimate the association between sleep apnea and arrhythmias, we made a qualitative retrospective study of ascertaining the prevalence of electrocardiographic (ECG) abnormalities in patients diagnosed with sleep apnea (n = 273) by a sleep centre over 1 year. About 10% (29) cases had ECG abnormalities, and premature ventricular contraction (PVC) was the most frequent abnormality, seen in about 75% of these cases. Further studies are required to elucidate the prognostic significance and optimal modes of intervention for these ECG abnormalities in patients with OSA.

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Section: Discussioncontrasting

confidence: 57%

Electrocardiographic Abnormalities in Obstructive Sleep Apnea: A Retrospective Study

Bhatia¹,

Khatiwada²,

Dubey

2017

Sleep Vigilance

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“…Challenges exist in terms of feasibility and funding for universal screening. Africa and South East Asia, which face the highest burden of diabetes, have a dearth of primary health centers that can provide oral hypoglycemic agents to pregnant diabetic women [73]. Other challenges include failure to adhere to, or respond to, treatment among those who are on diabetes medications [74].…”

Section: Maternal Diabetes Associated Birth Defectsmentioning

confidence: 99%

Urgent global opportunities to prevent birth defects

Kancherla

Oakley

Brent

2014

Seminars in Fetal and Neonatal Medicine

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“…Chronic diseases like hypertension and diabetes mellitus are prevailing at an epidemic scale throughout the world due to continuous chronic change in the lifestyle pattern of mankind, which then further lead to high mortality rates [1,2]. Even in India, hypertension affected 25% of urban and 33% of rural populations.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Risk Factors of Essential Hypertension and New Onset of Diabetes in Essential Hypertension in Rural Population of Haryana

Jhawat¹,

Gupta²,

Agarwal

et al. 2018

Int J Pharm Pharm Sci

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Objective: We conducted a well-designed prevalence study in a rural population of Haryana in Mullana rural area to find out the latest prevalence of essential hypertension, the prescription pattern of antihypertensive drugs and the associated risk of new onset of diabetes. Methods:A retrospective study was carried out on the patient data (2672 patients) from the years 2009 to 2013 at OPD of M. M. University hospital, Mullana to find the previous year's prevalence of different diseases, including essential hypertension, new onset of diabetes and associated risk factors, prescription pattern of antihypertensive drug therapy. Based on the above results, a prospective study was conducted from January 2015 to December 2016 and total 510 patients (270 essential hypertension and 240 essential hypertension with new onset of diabetes) and 270 normal individuals were recruited in the study. Results:The retrospective study, a total of 2672 patients' data was evaluated which showed 41.21% prevalence of essential hypertension, 11.83% new onset of diabetes in Essential hypertension patients and 15.87% diabetic patients. Antihypertensive monotherapy was prescribed to 59.85% patients and combination therapy to 40.15% patients while that of a prospective study showed 40.37% patients of monotherapy and 59.63% patients of combination therapy. The prospective study also showed that different anthropometric parameters were significantly associated with risk of hypertension and new onset of diabetes except for age and height. Conclusion:An increase in the prevalence of essential hypertension and associated risk factors was observed when compared with previous studies and retrospective study. It is clearly seen by the change in drug therapy pattern and different anthropometric parameters. Implementation of a large scale awareness program is needed to combat these metabolic diseases.

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The Rising Burden of Diabetes and Hypertension in Southeast Asian and African Regions: Need for Effective Strategies for Prevention and Control in Primary Health Care Settings

Cited by 142 publications

References 95 publications

Electrocardiographic Abnormalities in Obstructive Sleep Apnea: A Retrospective Study

Electrocardiographic Abnormalities in Obstructive Sleep Apnea: A Retrospective Study

Urgent global opportunities to prevent birth defects

Prevalence and Risk Factors of Essential Hypertension and New Onset of Diabetes in Essential Hypertension in Rural Population of Haryana

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