1.Prevalence of some risk factors for non-communicable diseases among schoolchildren
Khishigtogtoh D ; Chimedsuren O ; Davaasuren N ; Tsolmon CH
Mongolian Medical Sciences 2011;168(1):109-114
Introduction: According to the statistical data of health organization 43% of all diseases and 60% of all deaths are due to chronic diseases including cardiovascular diseases, diabetes mellitus and cancer. Many factors contribute to the wide spread of noncommunicable diseases (NCDs)1. As defined in the World Health Report 2002, many common risk factors such as unhealthy diet, physical inactivity, smoking, alcohol use, overweight, raised blood pressure, raised total cholesterol levels and blood sugar are the most prevalent risk factors among the world population. In conclusion, the Mongolian NCD STEPs survey of 2006 revealed that 9 in every 10 people had at least one risk factors for developing NCDs. One in every 5 people had three and more risk factors for developing NCD3. However, partial studies of NCDs, which are dominant in Mongolia, had been conducted previously; the possibilities of wide use of the results are limited and those studies covered only adult people. So it is very important to evaluate knowledge about nutrition and food, tendency and practical experience about life style, activity of motion and use of food among the children.Objective: The goal of the study was to determine the prevalence of risk factors for NCDs among schoolchildren and to develop recommendation and suggestion for prevention of non communicable diseases.Materials and Methods: The survey covered 1504 students, studying in 20 middle and high schools, which are located 5 districts of UB, and was conducted by cross-sectional methods using questionnaire and anthropometric measurements (height, weight and BMI).Results and Conclusion: 31.3% of surveyed population did not consume any serving size of fruits per day, 68.7% consumed less than 5 serving sizes. The second common source of fat was fatty meat and butter. The prevalence of tobacco use was 6.1% of the surveyed population. School children do sedentary work, which has low energy consumption, after class. They watch TV for 3.53±1.24 hours and work on computer 2.83±1.07 hours a day. Percentage of the students who involved in some kind of sports activities is 71.2%, whereas 28.8% of them do not do any physical exercise. The reason why they do not participate in sports activities was determined as follows: do not have enough free time 37.2%, do not like sports 5.3%, due to high fees 35.1%, and inconvenient locations of sport facilities 18.2%. Although the laws, resolutions and regulations, supporting public sports are enough, the structure and action of the units that implement, evaluate and control these laws and regulations are weak.
2.COMPARISON OF VALUE OF RED CELL DISTRIBUTION WIDTH AND NT-PRO BNP IN HEART FAILURE
Sukhjargalan Ch ; Tsolmon O ; Mend-Amar R ; Odgerel Ts
Innovation 2018;12(2):20-25
BACKGROUND. Previous retrospective study from our team showed that RDW significantly increased in chronic heart failure (CHF).
OBJECTIVE. The aim of the study was to compare the value of RDW-CV with NT-pro BNP and evaluate sensitivity and specificity of RDW for diagnose of heart failure.
MATEREALS AND METHOD. Here, we analyzed 20 patients who were suffering from heart failure and were treated in the department of Cardiology, First Clinical Hospital between in June 2017. All patients in the study group were underwent a complete blood count, immunoassay for NT-proBNP. The ejection fraction was analyzed by ECHO cardiograpy.
RESULTS. 85.0% of patients were male and remained was female. RBC and RDW was significantly differentially measured in between CHF groups (р= 0.028 p=0.0001). In control groups without heart failure NT-proBNP was estimated up to 100 pg/ml, whereas it was definitelly increased in patient with CHF (р=0.0001). There was strong correlation between RDW and NT-proBNP (r =0.846, p=0.0001). sensitivity and specificity of RDW was 89%, and 74.3 % respectively in CHF.
CONCLUSION. According to the our results there was direct correlation between RDW-CV and heart failure (p=0.035). RDW-CV migh be cost effective and routine laboratoty marker to evaulate CHF.
3.Screening for asymptomatic cardiac ventricular dysfunction in diabetic subjects
Tsolmon U ; Chingerel Kh ; Burmaa B ; Sumiya Ts ; Pagmadulam S ; Chuluuntsetseg O ; Enkhjargal Yu
Mongolian Journal of Health Sciences 2025;86(2):55-59
Background:
Type 2 diabetes has increased risk of heart failure 2-4 times more than those in non-diabetic subjects. The
early detection of asymptomatic ventricular dysfunction by using NT-pro BNP test in diabetic patients is the best strategy
for decreasing morbidity and mortality of heart failure.
Aim:
The aims of this study were to detect asymptomatic cardiac ventricular dysfunction by using NT-pro BNP test in
subjects with type 2 diabetes and to define the factors associated with elevated NT-proBNP.
Materials and Methods:
This cross-sectional study was included diabetic and non diabetic subjects aged from 35- to 64
years, who had no clinical symptoms of heart failure. Cardiovascular risk factors were detected by clinical examinations.
NT-pro BNP determination was performed on an immunoassay analyzer (FIA1100, Getein Bio Medical Inc, China),
which uses reagent strip to obtain quantitative NT-pro BNP results in plasma. The cut-off point for NT-pro BNP was 300
pg/ml.
Results:
A total of 536 subjects without clinical symptoms of heart failure were included in the study of which, 150 were
diabetic and 386 were non diabetic. The mean age was 52.8 ± 7.8 years and 281 (52.4%) were females. Cardiac ventricular
dysfunction was detected in 7.3% of diabetic and 5.2% of non diabetic subjects. Cardiac ventricular dysfunction in
diabetic subjects was increased with age and non-significantly higher in females than in males (8.3% vs 6.4%, p>0.05). In
the logistic regression analysis, uncontrolled hypertension (OR 3.80, 95% CI 1.07–13.44), long duration of disease (OR
5.30, 95% CI 1.36-20.66), and ageing (OR 5.40, 95% CI 1.29–22.88) were significantly correlated cardiac ventricular
dysfunction in subjects with type 2 diabetes.
Conclusion
Cardiac ventricular dysfunction in subjects with type 2 diabetes was detected 1.4 times more than those
in non diabetic subjects. The likelihood of positive NT-pro BNP test in subjects with type 2 diabetes was independently
(p<0.05) associated with advanced age, uncontrolled hypertension and long duration of diabetes.