Browsing by Author "Harsoda, JM"
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Publication Prevalence of Obesity in Medical students and its correlation with cardiovascular risk factors: Emergency Alarm for Today?(Kathmandu University, 2015) Purohit, G; Shah, T; Harsoda, JMABSTRACT Background It is predicted that the prevalence of overweight and obesity will rise significantly by 2015 in young population. Problem of overweight and obesity has been recognized as public health problem worldwide due to the fact that it increases the risk of chronic diseases such as Cardiovascular Diseases (CVD), stroke, diabetes, sleep apnoea, osteoarthritis etc. Objective To assess the body mass index in medical students and its association with various cardiovascular risk factors like blood pressure, dietary habits, and family history of cardiovascular diseases. Method A university based cross-sectional analytical study was conducted in Department of Physiology, Smt. B.K. Shah Medical Institute & Research Center, Vadodara, Gujarat. Data was collected through convenient sampling technique by using self- administered questionnaire followed by anthropometric measurement. Body Mass Index (BMI) of 138 first year medical students was assessed. Systolic blood pressure, diastolic blood pressure, pulse pressure, mean blood pressure, pulse rate and arterial oxygen saturation were measured. Result Data was compiled in excel sheet, analyzed for percentage and proportion. Chi square and Pearson correlation test were also applied and alpha error was set at 5% level. In comparison to the students with normal BMI, students with BMI >25 kg/m2 (N=49) showed significantly high blood pressure indices. Dietary habits and family history of cardiovascular diseases were also noted. Highly significant association of high BMI was found with elevated blood pressure (X2=7.4042***, p<0.001) and presence of family history of cardiovascular diseases X2=9.8625***, p<0.001). BMI is negatively correlated with SpO2 (r= -0.0504, p<0.05) and pulse rate, while positively correlated with systolic blood pressure (r=0.2736) and diastolic blood pressure (r=0.0275). Conclusion In conclusion, majority (more than 35%) of medical students were overweight, high prevalence of cardiovascular risk factors like family history, elevated blood pressure and less SpO2. KEY WORDS Body mass index, fast food, oxygen saturationPublication Relationship between Resting Systemic Arterial Blood Pressure and Pain Sensitivity Parameters in Young Healthy Indian Medical Students(Kathmandu University, 2019) Mendpara, SJ; Akhani, PN; Palan, BM; Harsoda, JMABSTRACT Background Pain interests clinicians and researchers alike. Several animal and human studies have attempted to establish and explain the relationship between blood pressure and nociception. Many studies have reported sex differences in pain perception in humans. However, there is no consistent evidence that authoritatively explains the relationship between resting systemic arterial blood pressure and pain sensitivity parameters in human subjects. Objective To investigate the relationship between resting systemic arterial blood pressure and pain sensitivity parameters. Secondary objectives were to investigate blood pressure response to cold pain and sex differences in response to cold pain and pain perception. Method Out of a total of 331 volunteers, 200 students (100 males and 100 females) were selected for study as per the inclusion and exclusion criteria. Cold Pressor Test was used to apply experimental pain. To study response, cardiovascular parameters (systolic blood pressure and diastolic blood pressure) and pain sensitivity parameters (pain threshold, pain tolerance and pain rating) were measured. Result Rise in resting systolic and diastolic blood pressure following Cold Pressor Test was similar between both the sexes (p > 0.05). Pain rating was found to be significantly higher in females whereas pain threshold and pain tolerance were significantly higher in males (p < 0.05). Resting blood pressure showed a positive relationship with pain threshold and pain tolerance whereas a negative relationship with pain rating. Conclusion Resting systemic arterial blood pressure and pain sensitivity are inversely correlated. Females are more sensitive to pain than males. KEY WORDS Blood pressure, Pain, Pain threshold, Sex