Browsing by Author "Karki, Kshitij"
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Publication Prevalence and Risk Factors of High Blood Pressure among Elderly People(Nepal Health Research Council, 2025) Parajuli, Keshab; Sharma, Mahendra Prasad; Ghimire, Raju; Karki, KshitijBackground: High Blood Pressure, a prevalent condition exacerbated by population growth, disproportionately affects the elderly, with over two-thirds of individuals aged 65 and above affected. This study aimed to evaluate the prevalence and risk factors of high blood pressure among elderly residents of Chandragiri Municipality in Kathmandu. Methodology: A cross-sectional was applied, and the respondents were selected from randomly chosen wards of Chandragiri Municipality. Elderly individuals aged over 60 years residing in the area, regardless of permanency, were included. Data analysis was conducted using SPSS software, with the Chi-square test employed to assess associations between high blood pressure and various risk factors at a significance level of 5%. Results: The study included 418 individuals, of whom 48.8% were currently suffering from high blood pressure. The majority was male 55.5% and married 73.7%, with Chhetri 45.2% and Brahmin 40.7% being the most prevalent ethnic groups. Most respondents were illiterate 44.3% and resided in joint families 68.4%. Reported risk factors for high blood pressure included tobacco smoking 37.3%, alcohol consumption 36.1%, and non-vegetarian diets 85.9%. Conclusion: Significant relationships were observed between blood pressure and age, sex, marital status, tobacco smoking, and alcohol consumption. Conversely, religion, ethnicity, education level, family type, BMI, diet type, and physical activity did not exhibit noteworthy associations with high blood pressure in this sample. These findings underscore the multifactorial nature of high blood pressure and its diverse risk factors. Keywords: Elderly people; high blood pressure; prevalence; Risk factors.Publication Socioeconomic, Behavioural, and Health-related Characteristics of Older Adults(Nepal Health Research Council, 2024) Suvedi, Bal Krishna; Karmacharya, Isha; Karkee, Shiba Bahadur; Myia, Salau Din; Ghimire, Saruna; Karki, Kshitij; Singh, Devendra Raj; Paudel, Shishir; Marasine, Nirmal Raj; Pandey, Saloni; Adhikari, Raksha; Kafle, Bhawana; Shrestha, NaveenBackground: The global aging population is growing rapidly, and Nepal is no exception. This increase is driven by changes in socioeconomic conditions, health behaviours, and advancements in the health system. In Nepal, almost a quarter of the national population are older adults (≥45 years), whose health status is rarely elaborated. This study was carried out to assess the socioeconomic, behavioural, and health-related characteristics of older adults in Nepal. Methods: A community-based cross-sectional study was conducted among 4,179 randomly selected older adults residing in Bagmati Province from July 2022 to June 2023, via a multi-stage sampling technique. A semi-structured questionnaire including Geriatric Depression Scale, Activity of Daily Living, and Instrumental Activity of Daily Living along with sociodemographic and health profiles were used for the data collection through face-to-face interviews. The data were described in frequency and percentage across the local levels (urban/rural) and gender. Chi-square tests were done for bivariate analyses. Results: The mean age of the population was 61.66±11.1 years. The prevalence of multimorbidity, disability, and depression was found to be 27.6%, 23.3%, and 35.1% respectively. There was no significant difference between multimorbidity and depression across local levels, while there was a significant difference across disability status. There was a significant difference between multimorbidity and depression across genders. Conclusions: This study provides comprehensive insights into the socioeconomic status, behavioural factors, and health status of older adults in Nepal. Study findings can inform interventions and policies at local levels to consider the unique needs of the older population in Nepal. Keywords: Chronic diseases; depression; disability; Nepal; older adults.