1. Correlation between the blood glucose level and food consumption of Elder people
Ariunjargal Z ; Zesemdorj O ; Erdenebat N ; Odsuren S ; Bat-Erdene N ; Lkhagvasuren TS ; Munkhtsetseg J ; Munkhzol M ; Odkhuu E
Innovation 2014;8(2):28-32
The increasing proportions of aged persons have been accompanied in the world. NCDs are often associated with older age groups. High blood glucose levels and unhealthy diet increase the risk of or cause most NCDs. In this study we aimed to determine correlation between the older people (60<) blood glucose level and food consumption. 1563 healthy elder people participated in this research. We measured blood glucose level in all subjects at the Nursing school’s Training and Research Center of health science university of Mongolia. Ulaanbaatar city, Orkhon aimag, Khovd aimag, Khentii aimag, Bulgan aimag, Dornogovi aimag, Tov aimags represented urban areas, while the rest of aimags and soums represented rural areas. The questionnaire was used to collect data on respondent’s social-economic status, fruit and vegetable consumption, physical activity, and their causes. In order to assess the diet pattern of the surveyed population, the respondents were asked about frequency of fruit and vegetable consumption, type of oil used in food, and amount of salt consumed daily. Simple regression analysis was performed to shown that significantly positive correlations between blood glucose and salt intake (р<0.001), The other composition are no significantly changes.
2. Relationship between thyroid gland function and serum lipid level in elderly people
Odsuren S ; Bat-Erdene N ; Erdenebat N ; Zesemdorj O ; Odkhuu E ; Munkhtsetseg J ; Munkhtulg L ; Munkhzol М
Innovation 2013;7(1):48-51
Determine the pituitary thyroid gland axis function abnormalities and relate it with serum lipid level.We enrolled 313 elderly people from UB and Orkhon aimag. Serum total TSH, T3, T4 hormones, low –density lipoprotein, high-density lipoprotein, total cholesterol and triglyceride level were defined by ELISA and fully automatic analyzer. All analyses were conducted with the use of SPSS 19.0, MS Excel 2007 program in which mean variables, One way Anova test and bivariate correlations are included.A total of 313 elder subjects, male 29.4%, female 70.6% and mean age was 71.8±9.8. Pituitary thyroid hormone abnormalities were detected mostly in females (p=0.027), thyroid hormone decrease was noticed in 70-79 age. In all groups serum triglyceride level as in normal range but it was significantly high (p=0.027) in hypothyroid group. Triglyceride level was negatively correlated with total T4 (p<0.01), positively correlated with T3 (p<0.01).Thyroid hormone decrease increases serum lipid especially triglyceride level. Furthermore it increases atherosclerosis risk factor to elderly people thus affects the quality of life.
3. ATHEROGENIC DYSLIPIDEMIA IN MONGOLIAN OLDER PEOPLE
Oyunsuren M ; Odsuren S ; Erdenebat N ; Bat-Erdene N ; Zesemdorj O ; Odkhuu E ; Munkhzol M ; Lkhagvasuren TS
Innovation 2015;9(3):164-166
Atherogenic dyslipidemia comprises a triad of increased blood concentrations of small, dense low density lipoprotein (LDL) particles, decreased high-density lipoprotein (HDL) particles, and increased triglycerides. A typical feature of obesity, the metabolic syndrome, atherogenic dyslipidemia has emerged as an important risk factor for cardiovascular disease. We have determined levels of serum lipid profiles in 1861 older people who lives 5 regions in Mongolia. The concentrations of total cholesterol, triglycerides and high density lipoprotein cholesterol (HDL-C) were measured using a biochemical reagents by biochemical fully automated analyzer. The levels of LDL-C were calculated by the Friedewald equation. Overall prevalence of dyslipidemia was 4.3% in men and 3.0% in women. Logistic regression showed that Odds ratio of the atherogenic dyslipidemia was OR=1.3, p=0.001 (CI 95% 0.93-2.47) for body mass index, OR=1.6, p=0.02 (CI 95% 1.0-2.88) for waist circumference, OR=1.76, p=0.03 (CI 95% 1.12-3.54) for waist hip ratio. Odds ratio of the atherogenic dyslipidemia was OR=0.98, p=0.001 (CI 95% 0.34-1.05) for gender and OR=1.0 p=0.001 (CI 95% 0.65-1.03) for age. Overall, 3.3% of older people had atherogenic dyslipidemia and 4.3% of men and 3.0% of women had atherogenic dyslipidemia. An increase of physical parameters are getting a risk factor of atherogenic dyslipidemia.
4.The assessment of the current situation of laboratory diagnostic services among family health centers in Ulaanbaatar
Narantsatsral G ; Baljinnyam B ; Myagmartseren D ; Zesemdorj O
Mongolian Journal of Health Sciences 2025;88(4):154-159
Background:
Mongolia’s long-term development policy, Vision 2050, aims to ensure that every citizen has full access
to primary health care services and to increase the country’s average life expectancy. According to the “Primary Health
Care Service Quality and Accessibility Survey,” the diagnostic capacity of family health centers (FHCs) in Mongolia
was 42.1%. There is a need to further identify issues related to laboratory human resources, equipment supply, quality
assurance, and monitoring.
Aim:
To assess the current status of laboratory diagnostic services in family health centers in Ulaanbaatar city.
Materials and Methods:
The study collected data using a questionnaire developed based on resources such as the
WHO’s Service Availability and Readiness Assessment (SARA), USAID’s Laboratory Assessment Tools, the Ministry
of Health’s 2023 Order No. A/283 on updated guidelines for services provided by family, soum, and bagh health centers,
and the national standard “Structure and Operation of Family Health Centers (MNS 5292:2017).” A total of 46 FHCs in
Ulaanbaatar were randomly selected for the study.
Results:
The average population served by the participating FHCs was 10,228±4043, with 73.9% (n=34) serving over
8,000 people. On average, each center employed 5±2 physicians and nurses. A clinical pathologist was employed at 50.0%
(n=23) of the centers, of which 26.1% (n=6) were full-time and 73.9% (n=17) were contract-based. Availability of labo
ratory equipment was as follows: Complete blood count (CBC) analyzers: 60.9% (n=28) Biochemistry analyzers: 50.0%
(n=23) Urinalysis equipment: 97.8% (n=45) The availability of laboratory equipment was not significantly associated
with the size of the population served (p=0.54; p=0.63; p=0.74). Among FHCs with laboratory equipment: 82.1% (n=23)
performed CBC tests 87.0% (n=20) performed biochemistry tests 97.8% (n=44) conducted urinalysis tests. Participation
in internal and external quality control programs was significantly higher among centers with specialized laboratory staff
compared to those without (p=0.008; p=0.08). The number of tests and biochemistry parameters performed was also sig
nificantly higher in centers with specialized laboratory personnel (p=0.001, p=0.001). However, the availability and use of
rapid diagnostic tests did not differ based on population size or the presence of specialized laboratory staff (p=0.8; p=0.6).
Conclusion
1. In Ulaanbaatar, only half of the family health centers have specialized laboratory personnel.
2. Laboratory equipment availability was between 50.0% and 60.9%. Centers with specialized laboratory staff showed
significantly better performance in internal and external quality control and broader diagnostic testing services.
3. Differences in diagnostic services were associated with both the population size served and the availability of spe
cialized laboratory staff, indicating the need to strengthen primary health care accessibility and capacity.