Abstract

PREVALENCE OF DYSLIPIDEMIA IN GERIATRICS AND DRUG UTILIZATION EVALUATION IN GERIATRICS

Chinju K. Sabu*, Sharon Varghese, Arya O., Shara Abraham, Jayakumar K. S., Jiji Alfred

ABSTRACT

Background: Dyslipidemia is a lifestyle disease that are primarily based on the day to day habits of people. More than 60% of death globally are linked to lifestyle diseases such as cardiovascular diseases, stroke, dyslipidemia, cancer, diabetes, and are projected to account for 47 million deaths annually in the next 25 years. The main cause identified was substantial changes in people‟s diet along with the increased consumption of meat, dairy products, vegetable oils and alcoholic beverages. Method: A Prospective cross sectional study was carried out in Eraviperoor Grama Panchayath of Pathanamthitta district in Kerala on the topic prevalence of dyslipidemia and drug utilization evaluation in geriatrics. A structured questionnaire was used to collect information on demographic parameters, prevalence of lifestyle disease, risk factors, and co-morbidities, impact of social habits, prescribing and usage pattern of drugs. Adherance and reasons for non – adherence were measured. Result: Out of 500 patients the majority of subjects with dyslipidemia lies between the age group of 61-70.and it is common in females when compared to males. Dyslipidemia is more evident in unemployed patients, these unemployment is attributed to their sedentary lifestyle which can be correlated with the physical activity because out of 500 patients majority of them are not doing any physical activity which increases the risk of dyslipidemia. The correlation of social history with the dyslipidemia show that alcohol and smoking were the most prominent risk factors associated with the progression of dyslipidaemia. Most of the dyslipidemic patients were having cardiovascular disease as the individual co-morbidity and stroke and cardiovascular disease were the multiple co- morbidity. In order to measure the patients adherence to drug therapy we have provided fourteen questionnaires and out of 500 only 376 (75.3%) were medically adherant to their drug therapy while 57(11.5%) are having good knowledge about their medication and only 4% have poor knowledge about names of their medications. Conclusion: The study concluded that Geriatric patients with in the age group 61-70 were more affected with dyslipidemia. Considering gender, females are more affected with lifestyle disease than males. Lack of physical activity as well as sedentary lifestyle has become a major contributing factor for dyslipidemia. Social habits such as alcoholism, smoking and tobacco use has a positive impact in the development of dyslipidemia.

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