RESEARCH PROPOSAL



RESEARCH PROPOSAL

A CROSS-SECTIONAL STUDY TO FIND OUT THE CORRELATION BETWEEN PHYSICAL ACTIVITY AND METABOLIC SYNDROME AMONG RELIGIOUS PRIESTS AND NUNS OF MANGALORE DIOCESE.

MPT ( CARDIO RESPIRATORY DISORDERS )

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MS. ANEESHA DHANRAJ

DEPARTMENT OF PHYSIOTHERAPY

FR. MULLER MEDICAL COLLEGE, MANGALORE-575002

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

KARNATAKA, BANGALORE

ANNEXURE II

PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION

| | | |

|1. |NAME OF THE CANDIDATE AND ADDRESS |MS.ANEESHA DHANRAJ |

| | |DEPARTMENT OF PHYSIOTHERAPY |

| | |FATHER MULLER MEDICAL COLLEGE |

| | |MANGALORE-575002 |

| | | |

|2. |NAME OF THE INSTITUTION |FATHER MULLER MEDICAL COLLEGE |

| | |(PHYSIOTHERAPY COURSE) MANGALORE. |

| | | |

|3. |COURSE OF THE STUDY |MASTER OF PHYSIOTHERAPY IN CARDIO RESPIRATORY DISORDERS |

| | | |

|4. |DATE OF ADMISSION TO THE COURSE |30.07.2011 |

| | |A CROSS – SECTIONAL STUDY TO FIND OUT THE CORRELATION BETWEEN PHYSICAL |

|5. |TITLE OF THE TOPIC |ACTIVITY AND METABOLIC SYNDROME AMONG RELIGIOUS PRIESTS AND NUNS OF |

| | |MANGALORE DIOCESE. |

| | |

|6[pic] |BRIEF RESUME OF THE INTENDED WORK. |

| | |

| |6.1 NEED FOR THE STUDY: |

| |The “metabolic syndrome” (MetS) is a clustering of components that reflects over nutrition, sedentary lifestyles, and resultant |

| |excess adiposity. It includes combination of abdominal obesity, insulin resistance, dyslipidemia, and elevated blood pressure |

| |and is associated with other co-morbidities including the pro-thrombotic state, pro-inflammatory state, non alcoholic fatty liver|

| |disease and reproductive disorders.1 |

| |The prevalence of the metabolic syndrome is increasing rapidly not only in the developed world but also in the developing |

| |nations2. There is a high prevalence of metabolic syndrome in future as increase in the prevalence of obesity, increases other |

| |risk factors. The recent 2- fold increased risk of atherosclerotic cardiovascular disease (CVD) and a 5- to 6- fold increased |

| |risk of developing type 2 diabetes have implications for public health and also for healthcare costs. 3,4 |

| |The goals of the clinical management of metabolic syndrome are to reduce the risk of clinical atherosclerotic disease and type 2 |

| |diabetes. Effective treatment strategies include weight reduction, life style modification, exercise, diet modification and the |

| |use of pharmacological agents to control individual risk factors in some individuals.3 |

| |Studies have highlighted that life style modification and weight reduction are the first line of intervention to prevent and |

| |overcome metabolic syndrome and its ill effects. 5,6 Therefore, all patients with metabolic syndrome or those who have the risk |

| |factors, should be encouraged to lose weight (if overweight or obese), modify their diets, and increase physical activities as |

| |primary therapy to reduce metabolic risk factors (eg: lower blood pressure, improve lipid levels, and improve insulin |

| |resistance.) 3,6,7 |

| |Physical fitness is one of the major components to a good and healthy living. The physical activity patterns determine the level |

| |of physical fitness. Having a sedentary lifestyle reduces the physical activity to a great extent and is a reason for poor cardio|

| |respiratory fitness. Therefore it is of prime importance to know the fitness level of this |

| | |

| |Sedentary population and also correlate it with the presence of the parameters of metabolic syndrome. |

| |This study mainly focuses on this population as religious priests and nuns who mainly are restricted or assigned to perform |

| |household or community rituals usually, are less active and lack leisure time physical activities. It is seen that religious |

| |people usually follow a sedentary life 5 yrs post ordination as their work is restricted to community living and spiritual |

| |activities. Studies done in the past have proven incidence of diabetes and disturbed parameters of lipid profile among religious |

| |priests and nuns. Stress also is another evident factor present in this population.10,11 Also, religious people play a major |

| |role in public awareness and welfare. Considering them as the subject for study would intend to educate them, firstly, about |

| |metabolic syndrome and its risk factors and this would in return, is hypothesized to be a media of community education. |

| |Hence this study will take into account primarily their physical activity level and correlate it with the occurrence of metabolic|

| |syndrome. This correlation would help to improve quality of life and reduce risk factors leading to cardiovascular disease. |

| | |

| |RESEARCH QUESTION: |

| |Does lack of physical activity correlate with the prevalence of metabolic syndrome? |

| | |

| |HYPOTHESIS: |

| |There is a positive correlation between physical activity and health related risk |

| |factors. |

| |Religious people have reduced physical activity, therefore increased risk for metabolic syndrome. |

| | |

| |NULL HYPOTHESIS: |

| |There is no correlation between the health related risk factors and reduced physical activity, which may be a cause of MetS among|

| |religious priests and nuns. |

| | |

| | |

| | |

| |OPERATIONAL DEFINITION: |

| |Mangalore Diocese: The diocese of Mangalore comprises of the civil districts of South Kannada and Udupi in Karnataka and Kasargod|

| |in Kerala. |

| |Statistics: |

| |Diocesan clergy: 278 |

| |Religious priests: 123 |

| |Religious brothers: 15 |

| |Religious women: 1,595 |

| |No. of parishes: 149 |

| |Houses of women Religious: 160 |

| |Houses of men Religious: 21 |

| | |

| |Physical activity: physical activity is defined as any bodily movements produced by skeletal muscles that require energy |

| |expenditure. (WHO) |

| | |

| |Priests: are the co-workers, who have as their first task “to preach the gospel of God to all men” in keeping with Lord’s faith.|

| |They are “heralds of faith” who draw new disciples to Christ. (Catechism of |

| |the Catholic Church) |

| | |

| |Nuns: are the sacred people, who establish living in the world through prayer, penance, service of her brethren and apostolic |

| |activities, according to the state of life and spiritual gifts given to them. |

| |(Catechism of the Catholic Church) |

| | |

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| |Metabolic syndrome: The prevalence of metabolic syndrome in the proposed study would be performed according to the IDF criteria |

| |(2005). The parameters used to define IDF criterion are as follows: |

| |Clinical measure International Diabetes Federation (IDF)2 |

| |Body weight waist circumference ≥94 cm (men) or ≥80 cm (women), with ethnicity-specific values, plus any 2 of the |

| |following |

| |Lipids Triglycerides ≥150 mg/dl or triglycerides treatment HDL-C ................
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