APCNA Korangi Heart Study Annual Report:

APCNA Korangi Heart Study Annual Report:
February 2012

nadeemAfridi0310It has been two years since we embarked on surveying life style (eating habits, tobacco use, and physical activity) and vascular risk factors that lead to CAD in a low to middle income population that represented most Pakistanis. We found this population in a small town in Karachi called Korangi. The funding of this project came from APCNA members who gave small donations of 500 to 1000 dollars to start the project (20,000).

A sample of 4 thousand households was randomly selected, using Google global positioning systems and RFID identifiers. A sample size was 1000 adults and 500 children (15 and under) with 50% women (adults between ages 16 and 65). It was done with the help of a team from Indus Hospital and IRD Research.

Here is what we found.

A; Demographics

1. Most people earn between 60,000 to 80,000 rupees per month

2. Family size ranges from 5 to 9

  1. Both reading and writing Literacy was 50%
  2. 30% could not do simple arrythmatic
  3. Men are less literate than women

B: Vascular Risk factors

  1. Hypercholesterolemia 9% men and 13% women
  2. Diabetes (HbA1C >6.5) 9% both men and women
  3. 70% of diabetics were either untreated or inadequately treated
  4. Hypertension 20 % (female more than men)
  5. 80% of hypertensives were untreated (30% had BP >140/90)
  6. Inflammatory Burden (30% Hep B positive, 10% Hep C positive)

C: Life Styles and Habits

  1. Recall of previous day
    1. Fruit consumption none 62%, once 36%
    2. Vegetable consumption none 51%, once 33%
    3. Desert 67% none, 29% once
    4. Adding salt to cooked food 27% (more women than men)
    5. Cooking oil: Ghee 12%, Oil 75%, both 13%
    6. BMI <18 (23%) under weight, 18-25 (47%) normal weight, 25-30 (overweight), >30 (9%) Obese.
    7. BMI: Women in general were either over weight or obese more than men
    8. Physical Activity: 98% of women compared to men 82% did not participate in any exercise or sports
    9. Commonest reason was lack of adequate and safe areas for exercise
    10. Tobacco smokers 13%
    11. Smokeless tobacco use 45% of these 57% men and 38% women
    12. Cell phone 87%
    13.  TV channel Geo and PTV 83%

D: Ability to pay for catastrophic illness

No 14% and go into debt

Pay for acute short term illness medications 70-80%

Pay for chronic illness (DM, HTN, Chol 3-4%)

 

Where to go from here: (Translational Research)

  1. Developing a profile of the community, Schools, parks, businesses, mosques, playgrounds, clinics, hospitals, other care givers
  2. Profile of people leaders (community, political, imams, etc)
  3. Availability of fruits an vegetables and costs
  4. Developing interventions models for prevention of diseases
  5. Schools, mosques, work places, community gatherings
  6. TV based and phone based models of education for women at homes
  7. Awareness of exercise and dietary changes

Disease Surveillance and effects of education on disease prevalence
For this we need your support. Please support get involved with APCNA
Learn more about NCD prevention.

Nadeem Afridi, MD
Past President APCNA

Note:
The study as a result of APCNA Collaboration in Pakistan with Indus Hospital.
The Burden of Non-Communicable Disease in Transition Communities in an Asian Megacity: Baseline Findings from a Cohort Study in Karachi, Pakistan. See the Study published

 

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