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  • 1
    Online Resource
    Online Resource
    Prevalence, Treatment, and Control of Metabolic Risk Factors by BMI Status in Thai Adults: National Health Examination Survey III
    SAGE Publications ; 2011
    In:  Asia Pacific Journal of Public Health Vol. 23, No. 3 ( 2011-05), p. 298-306
    Details
    In: Asia Pacific Journal of Public Health, SAGE Publications, Vol. 23, No. 3 ( 2011-05), p. 298-306
    Abstract: The objective of this study was to determine the prevalence, awareness, treatment, and control of hypertension, diabetes, and high total cholesterol (TC) by BMI categories. Data from the National Health Examination Survey III of Thai adults aged ≥18 years were used. Age and sex-adjusted prevalence and awareness of the 3 risk factors increased with increases in BMI categories. Proportions of awareness of hypertension, diabetes, and high TC were 27.9%, 33.4%, and 13.6%, respectively, in the BMI ≥ 30 kg/m 2 group. The highest treatment rates of 19.0% for hypertension and 10.1% for high TC were found in the BMI ≥ 30 kg/m 2 group and the highest treatment rate of 33.6% for diabetes in the 25 to 30 kg/m 2 BMI group. There were no significant differences in the control rates of these risk factors across BMI groups. Improvement in detection, treatment, and control of these metabolic risk factors in all BMI subgroups is critical.
    Type of Medium: Online Resource
    ISSN: 1010-5395 , 1941-2479
    URL: Article
    DOI: 10.1177/1010539509340690
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2011
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  • 2
    Online Resource
    Online Resource
    Changes in Active Life Expectancy Among Older Thais : Results From the 1997 and 2004 National Health Examination Surveys
    SAGE Publications ; 2012
    In:  Asia Pacific Journal of Public Health Vol. 24, No. 6 ( 2012-11), p. 915-922
    Details
    In: Asia Pacific Journal of Public Health, SAGE Publications, Vol. 24, No. 6 ( 2012-11), p. 915-922
    Abstract: This study aims to determine the disability prevalence and changes in active life expectancy of the Thai older people between 1997 and 2004. Data on disability of older people aged ≥60 years were obtained from the National Health Examination Surveys. Disability refers to one or more restrictions on the activities of daily living. The Sullivan method was used to calculate active life expectancy. A total of 4048 older people in 1997 and 19 372 older people in 2004 were included in the analysis. Active life expectancy at age 60 of men was 16.5 years in 1997 and 17.6 years in 2004, whereas that of women was 17.9 and 19.9 years, respectively. Women spent a greater proportion of the remaining life with disability. The proportion of active life for both genders also increased during the 7-year period suggesting an evidence of the compression of morbidity in Thai older people.
    Type of Medium: Online Resource
    ISSN: 1010-5395 , 1941-2479
    URL: Article
    DOI: 10.1177/1010539511409923
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2012
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  • 3
    Online Resource
    Online Resource
    Effectiveness of Self-Monitoring Blood Pressure in Primary Care : A Randomized Controlled Trial
    SAGE Publications ; 2016
    In:  Journal of Primary Care & Community Health Vol. 7, No. 2 ( 2016-04), p. 58-64
    Details
    In: Journal of Primary Care & Community Health, SAGE Publications, Vol. 7, No. 2 ( 2016-04), p. 58-64
    Abstract: Objective: To examine the effectiveness of self-monitoring blood pressure (SMBP) in a randomized controlled trial with 12 months of follow-up in a community hospital. Methods: A total of 224 eligible patients with hypertension were randomly allocated to the SMBP (n = 111) and usual care groups (n = 113). Each patient in the SMBP group was provided with a blood pressure (BP) monitor for home BP measurement. Mixed model regression was used to compare changes in BP at months 6 and 12 and compare between groups. Results: At month 12, compared with usual care, the SMBP group had average systolic BP decreased by 2.5 mm Hg. The benefit of the SMBP was found in those aged ≥60 years, which significantly decreased by −8.9 mm Hg (95%CI = −15.1 to −2.7) compared with those in the usual care. For individuals aged 60 years and older in the SMBP group, the proportion of those with uncontrolled BP decreased from 90.9% at baseline to 38.2% at month 12 ( P 〈 .05). However, among those aged 〈 60 years, SMBP did not perform better than the usual care group. Conclusion: For primary care setting in urban area, the SMBP resulted in lower BP in the older persons with hypertension at 12 months. Further study on effectiveness of SMBP in other settings may be warranted.
    Type of Medium: Online Resource
    ISSN: 2150-1327 , 2150-1327
    URL: Article
    DOI: 10.1177/2150131915614069
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2016
    detail.hit.zdb_id: 2550221-9
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  • 4
    Online Resource
    Online Resource
    Prevalence of Metabolic Syndrome Defined by the International Diabetes Federation and National Cholesterol Education Program Criteria Among Thai Adults
    SAGE Publications ; 2011
    In:  Asia Pacific Journal of Public Health Vol. 23, No. 5 ( 2011-09), p. 792-800
    Details
    In: Asia Pacific Journal of Public Health, SAGE Publications, Vol. 23, No. 5 ( 2011-09), p. 792-800
    Abstract: This study determines the prevalence of metabolic syndrome (MetS) according to the International Diabetes Federation (IDF) and National Cholesterol Education Program III (NCEP) criteria in Thai adults. Data from a national representative sample, InterASIA study, including a total of 5305 Thai adults 35 years and older were analyzed. Overall, the age-standardized prevalence of MetS by IDF and NCEP criteria were 24.0% (men 16.4%, women 31.6%) and 32.6% (men 28.7%, women 36.4%), respectively. The difference in prevalence of MetS between genders was much greater for the IDF compared with the NCEP definition. The age-standardized prevalence rates distributed by geographic region were relatively uniform with a lowest prevalence in the northeast. Among all possible sets of components for MetS, the most common combinations were a set of low high-density lipoprotein cholesterol, high triglyceride, and hyperglycemia in men (3.9%) and a set of abdominal obesity, low high-density lipoprotein cholesterol, and high triglycerides in women (6.7%). MetS is common in Thai adults and NCEP definition captures more cases of MetS compared with the IDF definition. Implementation of programs to prevent obesity and metabolic factors along with future periodic survey to monitor the problem is crucial.
    Type of Medium: Online Resource
    ISSN: 1010-5395 , 1941-2479
    URL: Article
    DOI: 10.1177/1010539511424482
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2011
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  • 5
    Online Resource
    Online Resource
    Joint Prevalence and Control of Hypercholesterolemia and Hypertension in Thailand : Third National Health Examination Survey
    SAGE Publications ; 2012
    In:  Asia Pacific Journal of Public Health Vol. 24, No. 1 ( 2012-01), p. 185-194
    Details
    In: Asia Pacific Journal of Public Health, SAGE Publications, Vol. 24, No. 1 ( 2012-01), p. 185-194
    Abstract: The prevalence, diagnosis, treatment, and control of hypercholesterolemia and/or hypertension were estimated for Thailand using data from a recent, nationally representative health examination survey. Multivariate logistic regression was used to assess factors associated with diagnosis, treatment, and control. In all, 14% of men and 17% of women had hypercholesterolemia, 23% and 21% had hypertension, and 5% and 6%, respectively, had both. A large proportion of individuals with these risk factors is neither diagnosed nor treated, let alone adequately controlled; 30% of people with hypertension had been diagnosed and 24% treated, and 9% had their blood pressure controlled. The figures for hypercholesterolemia were 13%, 9%, and 6%, respectively. Those for both risk factors combined were below 15% and did not differ by sex, urbanicity, age, or marital status. Among men, education correlated with diagnosis and treatment odds. There is great scope for improved prevention of cardiovascular disease in Thailand.
    Type of Medium: Online Resource
    ISSN: 1010-5395 , 1941-2479
    URL: Article
    DOI: 10.1177/1010539510377651
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2012
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  • 6
    Online Resource
    Online Resource
    Evaluation of a Community-Based Diabetes Prevention Program in Thailand: A Cluster Randomized Controlled Trial
    SAGE Publications ; 2019
    In:  Journal of Primary Care & Community Health Vol. 10 ( 2019-01), p. 215013271984737-
    Details
    In: Journal of Primary Care & Community Health, SAGE Publications, Vol. 10 ( 2019-01), p. 215013271984737-
    Abstract: Objectives: Lifestyle interventions have been shown to effectively reduce the incidence of diabetes, but evidence from middle-income countries is scarce. We evaluated the effectiveness of a lifestyle program to prevent diabetes in primary-care settings in Thailand. Methods: A matched-pair cluster randomized controlled trial was conducted in 68 primary care units in 8 provinces. The primary care units were randomly assigned to intervention or control arms. Individuals aged 30 to 65 years with impaired oral glucose tolerance were recruited and followed up for 2 years. The intervention included periodic group-based activities on healthy lifestyle behaviors; the control group received a one-time education program. The primary outcome was the incidence rate of type 2 diabetes at 24 months after the intervention. Results: A total of 1903 individuals participated (873 in the control group and 1030 in the intervention group). At baseline, participants’ characteristics did not differ between groups. After 24 months, the incidence rates (per 100 person-year) of diabetes was 12.1% (95% CI 10.7% to 13.8%) in the intervention group, and 16.6% (95% CI 14.6 to 18.8%) in the control group ( P 〈 .001). Overall, the adjusted hazard ratio for diabetes incidence was 0.72 (95% CI 0.60 to 0.86). A mean body weight reduction of 1.5 kg was observed in the intervention group, whereas, an increase of 0.4 kg was observed in the control group ( P 〈 .001). Conclusion: A community-based lifestyle modification through participatory group activities can prevent or delay the incidence of diabetes among Thai populations with impaired glucose tolerance.
    Type of Medium: Online Resource
    ISSN: 2150-1327 , 2150-1327
    URL: Article
    DOI: 10.1177/2150132719847374
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2019
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  • 7
    Online Resource
    Online Resource
    Waist-to-Height Ratio Is a Good Predictor of Metabolic Syndrome in Adolescents: A Report From the Thai National Health Examination Survey V, 2014
    SAGE Publications ; 2022
    In:  Asia Pacific Journal of Public Health Vol. 34, No. 1 ( 2022-01), p. 36-43
    Details
    In: Asia Pacific Journal of Public Health, SAGE Publications, Vol. 34, No. 1 ( 2022-01), p. 36-43
    Abstract: This study aimed to assess the performance of waist-to-height ratio (WHtR) in the prediction of metabolic syndrome and to determine the appropriate cutoff value in Thai adolescents. Demographic data, blood pressure, fasting blood glucose, and lipid profile were obtained from the Thai National Health Examination Survey V database. The performances of WHtR, waist circumference, body mass index (BMI), and BMI z-score were analyzed by the receiver operating characteristics. Among 2644 adolescents, metabolic syndrome was identified in 4.27%. The areas under the receiver operating characteristic curves of WHtR, waist circumference, BMI, and BMI z-score were comparable (0.924-0.960). Performance of WHtR was more constant across age groups compared with other parameters. Using the cutoff value of WHtR at 0.5 resulted in the sensitivity and specificity of 98.5%/83.4% and 88.9%/86.0% in males and females, respectively. In conclusion, the cutoff value of WHtR at 0.5 provided good sensitivity and specificity for identifying metabolic syndrome in both genders. However, the other clinical risk factors or more definite scores should be considered when further assessment.
    Type of Medium: Online Resource
    ISSN: 1010-5395 , 1941-2479
    URL: Article
    DOI: 10.1177/10105395211046474
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2394975-2
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