Publications by authors named "Gurudayal Toteja"
Structured Lifestyle Modification Interventions Involving Frontline Health Workers for Population-Level Blood Pressure Reduction: Results of a Cluster Randomized Controlled Trial in India (DISHA Study).
J Am Heart Assoc
March 2022
Background Population-wide reduction in mean blood pressure is proposed as a key strategy for primary prevention of cardiovascular disease. We evaluated the effectiveness of a task-sharing strategy involving frontline health workers in the primary prevention of elevated blood pressure. Methods and Results We conducted DISHA (Diet and lifestyle Interventions for Hypertension Risk reduction through Anganwadi Workers and Accredited Social Health Activists) study, a cluster randomized controlled trial involving 12 villages each from 4 states in India.
View Article and Find Full Text PDFThe Global Hunger Index (GHI) is calculated and disseminated annually. India, which is the 5 largest economy in the world and has a good ranking in many other indicators, has a poor ranking based on this index. After a critical review of the appropriateness of the indicators used in GHI, the Indian Council of Medical Research has the viewpoint that the indicators of undernourishment, stunting, wasting and child mortality do not measure hunger per se.
View Article and Find Full Text PDFBackground: Children with biliary atresia (BA) have impaired metabolism of trace elements (TEs) (i.e., zinc, copper, selenium, and manganese), leading to an alteration in the serum levels.
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- A study was conducted to estimate the seroprevalence of chikungunya virus (CHIKV) across different age groups in India, aiming to understand the infection rates in various regions since the virus re-emerged in 2005.
- The research involved a cross-sectional serosurvey with 17,930 randomly selected individuals, focusing on three age groups (5-8, 9-17, and 18-45 years) and testing for IgG antibodies against CHIKV.
- Findings showed an overall seroprevalence of 18.1%, with the highest prevalence in the southern region (43.1%) and the lowest in the northeast (0.3%), indicating significant age and regional differences in
Nutritional Status of Adolescent Girls in Tribal Blocks of Maharashtra.
Indian J Community Med
January 2019
Context: Undernutrition among adolescents in tribal areas is an area of concern in India.
Aims: This study aims to assess nutritional status of adolescent girls and to study their hygienic practices and awareness regarding adolescent programs.
Settings And Design: Two blocks (Palghar and Dahanu) in Palghar district of Maharashtra.
Article Synopsis
- The study examines how living with someone who has a chronic disease affects your own health, focusing on households in India during 2013-2014.
- Researchers analyzed data from over 7,500 adults and found that 44% had at least one chronic condition, with those living with others who had chronic diseases having a 29% higher chance of having their own conditions.
- Specific conditions like diabetes, mental disorders, and hypertension showed strong correlations with cohabiting individuals, suggesting that living arrangements may impact chronic disease prevalence and should be considered in health research.
Context: The relative recurrence risk ratio (λ ) for Hashimoto's thyroiditis (HT) has not been widely studied. The age at which thyroid function evaluation should be initiated for relatives of HT patients remains unclear.
Objective: To study λ and age-related prevalence of HT in first-degree relatives of HT patients.
Background & Objectives: Estimation of haemoglobin is the most widely used method to assess anaemia. Although direct cyanmethaemoglobin method is the recommended method for estimation of haemoglobin, but it may not be feasible under field conditions. Hence, the present study was undertaken to compare indirect cyanmethaemoglobin method against the conventional direct method for haemoglobin estimation.
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- Low birth weight (LBW) infants are highly susceptible to zinc deficiency, and this study aimed to assess their zinc status compared to normal birth weight (NBW) infants at birth and in early infancy.
- The study included 339 infants, measuring serum zinc levels through blood samples taken shortly after birth and again between 2 to 10 months of age.
- Results showed that a significant percentage of both LBW (51.0% at birth, 79.0% at follow-up) and NBW (42.4% at birth, 66.7% at follow-up) infants had zinc deficiency, with the condition worsening over time, especially in infants weighing less than 2,000 grams.
Objective: The existence of concurrent micronutrient deficiencies in Indian women of reproductive age has received little attention. This study aimed to comprehensively assess the micronutrient status of nonpregnant rural and tribal women 18-30 y from central India.
Methods: Participants (n = 109) were randomly selected using a stratified (rural-tribal) proportionate-to-population size cluster sampling method from 12 subcenters in Ramtek block, Nagpur.