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Prevalence of Stroke and Stroke Risk Factors in a South-Western Community of Nepal.

Thapa, L., Shrestha, S., Kandu, R., Ghimire, M.R., Ghimire, S., Chaudhary, N.K., Pahari, B., Bhattarai, S., Kharel, G., Paudel, R., Jalan, P., Chandra, A., Phuyal, S., Adhikari, B., Aryal, N. and Kurmi, O.P., 2021. Prevalence of Stroke and Stroke Risk Factors in a South-Western Community of Nepal. Journal of Stroke and Cerebrovascular Diseases, 30 (5), - ?.

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DOI: 10.1016/j.jstrokecerebrovasdis.2021.105716

Abstract

BACKGROUND: Stroke related studies in Nepal are primarily hospital-based and mainly from the capital city. OBJECTIVES: We aimed to estimate the prevalence of stroke and stroke risk factors in the South-Western community of Nepal. METHODS: A cross-sectional study was conducted from May to August 2018 among 549 randomly selected Nepalese participants from diverse ethnicity, aged ≥15 years, in a region with the availability of neurological support facilities. Data were collected using a stroke questionnaire designed for the purpose. Stroke was identified by enumerators using the Balance-Eyes-Face-Arms-Speech-Time (BEFAST) scale, and a senior neurologist confirmed it. We assessed the presence of major risk factors associated with stroke. RESULTS: The crude and age-standardised prevalence of stroke were 2368 and 2967 per 100,000 respectively. Of all the surveyed participants, 61% (n=335) reported consumption of full-fat dairy products >3 days per week, 87.6% (n=481) reported a high intake of salt (>5 g/day), 83.6% (n=459) with a low intake of fruits and vegetables (<400 g/day), 45.2% (n=248) with perceived stress related to work or home, 51.6% (n=283) with financial stress (283, 51.6%), 86.7% (n=457) with low high-density lipoprotein, 96.2% (n=507) with high blood urea nitrogen, 47.1% (n=356) were either overweight or obese 20.4% (n=112) with hypertension and 6.2% (n=34) with diabetes. CONCLUSIONS: The prevalence of stroke in the community of the South-Western part of Nepal is relatively higher than that estimated in South-Asia and global context. Our findings suggest an urgent community intervention, particularly with healthy lifestyles changes for future stroke prevention in the high-risk group.

Item Type:Article
ISSN:1052-3057
Uncontrolled Keywords:Community ; Epidemiology ; Nepal ; Prevalence ; Risk factors ; Stroke ; Adolescent ; Adult ; Age Distribution ; Age Factors ; Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Female ; Healthy Lifestyle ; Humans ; Life Style ; Male ; Middle Aged ; Nepal ; Prevalence ; Risk Assessment ; Risk Factors ; Risk Reduction Behavior ; Stroke ; Young Adult
Group:Faculty of Health & Social Sciences
ID Code:35783
Deposited By: Unnamed user with email symplectic@symplectic
Deposited On:20 Jul 2021 10:09
Last Modified:15 Aug 2021 08:30

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