KNOWLEDGE, ¾ of CVD deaths take place in middle



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diseases (CVD) is the disorders of  heart
and blood vessels and include coronary artery disease, cerebrovascular disease,
rheumatic heart disease, and other condition .(WHO introduction of
cardiovascular Cardiovascular
disease (CVD) is the number one cause of death globally.  Annually more people died from CVDs then from
any other causes. Over ¾ of CVD deaths take place in middle and low income
countries. In the developed countries CVD is the 1st or 2nd
leading cause of death in men and women2 (k.park). Ischaemic heart disease and stroke are
the world’s leading causes of death. 3( World Health Organization. The Top Ten Causes
of Death Fact Sheet. Availableat:

An estimated 17.7 million people
died from CVD in 2015, Representing 31% of all global death. So in that 7.4
million were due to CVD and 6.7 million were due to the stroke .(WHO-2017
data). On the other hand, the highest rate of heart disease in the world
fluctuates a bit from year to year, but every year the leading countries seem
to rotate around Eastern European populations Ukraine 384.18 per one lakh
population, Bulgaria 188.45per one lakh population, Russia 320.40 and Latvia
215.40per one lakh population. Those Ukrainians, with heart attacks per
100,000 populations, are hard to beat on dietary risk factors alone. According to the United Nations, in their report called UN Chronicle: The Atlas
of Heart Disease & Stroke, Japan 30.36, France 29.97,
South Korea 26.39 has one of the lowest rates of coronary heart disease in the world
(Heart sister on 06 jan 2018).  South
Asians have higher prevalence of CVD as compared to other ethnic groups. The study
of global burden of diseases estimates that 52% of CVD deaths below the age of
17 years are in India as compared to 23% in countries with established market
economics37.yusuf.sreddy). It is estimated that 23.3 million people
will die by 2030, because of cardiovascular disease. High blood pressure, high
cholesterol level, high Blood glucose level, smoking, obesity and physical
inactivity which are the major conventional risk factors.4 (article)

Indian scenario.

have assumed epidemic proportion in India as well according to the world health
report 2002. CVD will be the largest cause of death and disability in India by
2020. Death due to chronic heart disease (CHD) in India has increased from 1.17
million in 1991 to 1.5 million in 2002 and 2.03 million in 2010.21(article)
According to recent data CVD cases may increase from about 2.9 crore in 2000 to
as many as 6.4 crore in 2015 the number is likely to be doubled. So, Indian
population is facing a “double burden of disease”.(article 23) In
Karnataka 82% of teachers are aware about risk factors of CVD and 18% unaware
about it.5(6 no article in laptop) School Teachers face high amount
of stress during teaching and handling young students. Teachers face intensive verbal
communication, prolonged standing, high volume of workload studies have shown
high incidence of cancer, vehicular accidents and heart disease.(artecle30)
The school teachers profession is teaching to the student by standing or
sitting on the chair. So there is lack of physical activity leading to
sedentary life style the teachers may get obesity, hypertension (HTN), diabetes
mellitus (DM), coronary artery disease (CAD), etc… Some teachers have habit
of smoking consumption of alcohol and tobacco due to stress.

Andhra Pradesh 28% teachers were found to have undergone Coronary artery bypass
graft(CABG) in recent years as on-going retrospective study of 6000 CABG
patient in Apollo hospital.7(in laptop article no 7) Knowledge of
the predisposing risk factors is an important step in the modification of life
style behaviour among primary school teachers conducive to optimal
cardiovascular health. However data on the knowledge attitude and practice of
CVD among Indian primary school teachers is limited.

Needs of the study

profession comes under the category of sedentary work. Sedentary life style is risk
factors of CVD in primary school teachers. Most of them also have habit of
smoking, tobacco consumption, consumption of alcohol. Due to these risk factors
the teachers have increased risk of development of HTN, DM, obesity and stroke
thus due to these risk factors.  Teachers
have good knowledge of CVD and develop good healthy practices and life style.

from teaching profession the teachers are involved in many governments worker
like immunization schedule, election, census work and many other works.


the knowledge attitude and practice of risk factors for the cardiovascular
diseases among both government and private primary school teachers, in