Résumé
Background: Insufficient physical activity is one of the ten leading risk factors for death among patients with Non- Communicable Diseases (NCDs) such as cardiovascular diseases, cancer, and diabetes mellitus worldwide. Globally, one in four adults is not physically active. More than 80% of the world's adolescent population is insufficiently physically active. Physical inactivity is very common in India with a prevalence of 54.4%. Lack of knowledge regarding physical activity leads to non-communicable diseases (NCDs) such as cardiovascular diseases, cancer, and diabetes which in turn can lead to death and disability.Methods: The cross sectional study was conducted on patients diagnosed to be diabetic visiting the Out Patient Department of Rural Health Centre Marappadi. Convenient sampling was used and the study was conducted from January 2017 to June 2018 using a pre-tested, semi-structured questionnaire.Results: The mean age of the patients was 57.00±8.747 years. Patients aged 60 years and above had a lower physical activity level. In the older age group, low physical activity was associated with obesity. Adequate motivation was found to be reason for high physical activity level in patients (60.0%).Conclusions: The physical activity levels of the diabetic patients were unsatisfactory especially in the elderly. Low physical activity was associated with poor glycaemic control in the older age group. There is a need to encourage diabetic patients to undertake regular physical activity in order to achieve good health and well-being, optimal glycaemic control and to prevent diabetic
Résumé
Background: Currently adolescents mortality and morbidity in rural areas is featured by many causes such as communicable as well as non-communicable diseases apart from accidents, suicides etc which lead to illness or premature death later in their life and their usage of rural health centre services is also emerging to be a new issue. That’s why it is important to study this area critically. Aims & Objective: To study the rural health centre services utilization by adolescents. Materials and Methods: This was prospective study carried out from 1st January 2013 to 31st December 2013. The study was carried out at the rural health and training center (RHTC), Bilaspur of Muzaffarnagar Medical College, Muzaffarnagar (UP) which covers 6 villages. All adolescents attending OPD in year 2013 according to the WHO defined criteria of adolescents (10-19 years) and who gave consent were included and enrolled in this study. Adolescents who did not attend OPD and those who did not give consent for participation in study at RHTC Bilaspur were excluded. Results: The study found that the majority of female patients utilized OPD services of RHTC (53.3%) but main health care service utilized among adolescents was Medical Problem (20.5%) whereas Obstetrical & Gynaecology problems were least (13.8%). Among the other services; most common utilized were dressing for injuries (11.3%) and least utilized were, immunization services (0.8%). Conclusion: The usage of health services utilization of RHTC suggests that there are emerging problems in different health specialties among adolescents, so this area needs further research in future studies.