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Compliance of Secondary Prevention Strategies in Coronary Artery Disease Patients with and without Diabetes Mellitus – A Cross-Sectional Analytical Survey from Kerala, India
CONTEXT: There is limited data related to compliance of secondary prevention strategies for coronary artery diseases (CAD) among patients with and without diabetes. OBJECTIVES: The objective was to compare compliance to secondary prevention strategies for CAD including smoking cessation, weight mana...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8477737/ https://www.ncbi.nlm.nih.gov/pubmed/34660241 http://dx.doi.org/10.4103/ijem.IJEM_532_20 |
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author | Sudevan, Remya Raj, Manu Vasudevan, Damodaran Madhavi Arun, Chankramath Thachathodiyl, Rajesh Vijayakumar, Maniyal Abdullakutty, Jabir Thomas, Paul George, Vijo Kabali, Conrad |
author_facet | Sudevan, Remya Raj, Manu Vasudevan, Damodaran Madhavi Arun, Chankramath Thachathodiyl, Rajesh Vijayakumar, Maniyal Abdullakutty, Jabir Thomas, Paul George, Vijo Kabali, Conrad |
author_sort | Sudevan, Remya |
collection | PubMed |
description | CONTEXT: There is limited data related to compliance of secondary prevention strategies for coronary artery diseases (CAD) among patients with and without diabetes. OBJECTIVES: The objective was to compare compliance to secondary prevention strategies for CAD including smoking cessation, weight management, blood pressure (BP) control, Low density lipoprotein (LDL) cholesterol control and adequate physical activity between patients with and without diabetes. SETTINGS AND DESIGN: This is a hospital-based cross-sectional analytical study. METHODS AND MATERIALS: The study questionnaire was used to collect data through interviews of CAD patients. Compliance to secondary prevention strategies was documented using European Society of Cardiology guidelines. STATISTICAL ANALYSIS: We used modified Poisson model to estimate adjusted prevalence ratios (Adj. PR) for estimating compliance. RESULTS: Among 1,206 participants with CAD, 609 (50.5%) had diabetes. The Adj. PR s for three targets – smoking cessation (Adj. PR 1.01, 95% CI 0.97, 1.06, P 0.50), ideal BMI (Adj. PR 0.99, 95% CI 0.92, 1.09, P 0.99) and adequate physical activity (Adj. PR 1.12, 95% CI 0.97, 1.29, P 0.12) showed no significant difference between the groups. There was poor BP control in patients with diabetes compared to those without the same (Adj. PR 0.19, 95% CI 0.15, 0.23, P < 0.0001). LDL cholesterol control was better in patients with diabetes in comparison to those without the same (Adj. PR 1.19, 95% CI 1.08, 1.31, P 0.0005). CONCLUSION: The compliance for secondary prevention of CAD among patients with diabetes is similar to those without diabetes except for poor control of hypertension and better control of LDL cholesterol. |
format | Online Article Text |
id | pubmed-8477737 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-84777372021-10-14 Compliance of Secondary Prevention Strategies in Coronary Artery Disease Patients with and without Diabetes Mellitus – A Cross-Sectional Analytical Survey from Kerala, India Sudevan, Remya Raj, Manu Vasudevan, Damodaran Madhavi Arun, Chankramath Thachathodiyl, Rajesh Vijayakumar, Maniyal Abdullakutty, Jabir Thomas, Paul George, Vijo Kabali, Conrad Indian J Endocrinol Metab Original Article CONTEXT: There is limited data related to compliance of secondary prevention strategies for coronary artery diseases (CAD) among patients with and without diabetes. OBJECTIVES: The objective was to compare compliance to secondary prevention strategies for CAD including smoking cessation, weight management, blood pressure (BP) control, Low density lipoprotein (LDL) cholesterol control and adequate physical activity between patients with and without diabetes. SETTINGS AND DESIGN: This is a hospital-based cross-sectional analytical study. METHODS AND MATERIALS: The study questionnaire was used to collect data through interviews of CAD patients. Compliance to secondary prevention strategies was documented using European Society of Cardiology guidelines. STATISTICAL ANALYSIS: We used modified Poisson model to estimate adjusted prevalence ratios (Adj. PR) for estimating compliance. RESULTS: Among 1,206 participants with CAD, 609 (50.5%) had diabetes. The Adj. PR s for three targets – smoking cessation (Adj. PR 1.01, 95% CI 0.97, 1.06, P 0.50), ideal BMI (Adj. PR 0.99, 95% CI 0.92, 1.09, P 0.99) and adequate physical activity (Adj. PR 1.12, 95% CI 0.97, 1.29, P 0.12) showed no significant difference between the groups. There was poor BP control in patients with diabetes compared to those without the same (Adj. PR 0.19, 95% CI 0.15, 0.23, P < 0.0001). LDL cholesterol control was better in patients with diabetes in comparison to those without the same (Adj. PR 1.19, 95% CI 1.08, 1.31, P 0.0005). CONCLUSION: The compliance for secondary prevention of CAD among patients with diabetes is similar to those without diabetes except for poor control of hypertension and better control of LDL cholesterol. Wolters Kluwer - Medknow 2021 2021-09-08 /pmc/articles/PMC8477737/ /pubmed/34660241 http://dx.doi.org/10.4103/ijem.IJEM_532_20 Text en Copyright: © 2021 Indian Journal of Endocrinology and Metabolism https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Sudevan, Remya Raj, Manu Vasudevan, Damodaran Madhavi Arun, Chankramath Thachathodiyl, Rajesh Vijayakumar, Maniyal Abdullakutty, Jabir Thomas, Paul George, Vijo Kabali, Conrad Compliance of Secondary Prevention Strategies in Coronary Artery Disease Patients with and without Diabetes Mellitus – A Cross-Sectional Analytical Survey from Kerala, India |
title | Compliance of Secondary Prevention Strategies in Coronary Artery Disease Patients with and without Diabetes Mellitus – A Cross-Sectional Analytical Survey from Kerala, India |
title_full | Compliance of Secondary Prevention Strategies in Coronary Artery Disease Patients with and without Diabetes Mellitus – A Cross-Sectional Analytical Survey from Kerala, India |
title_fullStr | Compliance of Secondary Prevention Strategies in Coronary Artery Disease Patients with and without Diabetes Mellitus – A Cross-Sectional Analytical Survey from Kerala, India |
title_full_unstemmed | Compliance of Secondary Prevention Strategies in Coronary Artery Disease Patients with and without Diabetes Mellitus – A Cross-Sectional Analytical Survey from Kerala, India |
title_short | Compliance of Secondary Prevention Strategies in Coronary Artery Disease Patients with and without Diabetes Mellitus – A Cross-Sectional Analytical Survey from Kerala, India |
title_sort | compliance of secondary prevention strategies in coronary artery disease patients with and without diabetes mellitus – a cross-sectional analytical survey from kerala, india |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8477737/ https://www.ncbi.nlm.nih.gov/pubmed/34660241 http://dx.doi.org/10.4103/ijem.IJEM_532_20 |
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