The prevalence of depression among adult asthmatic patients in Jizan Region, Saudi Arabia

Background: Depression is an important issue in asthma. Uncover depression in asthmatic patients has important implications for identifying patients and suitable treatment of these patients this will improve quality of life, decrease medication intake and decrease hospitalization.Objective: The aim of this study was to determine the prevalence of depression among adult asthmatic patients in Jizan region, Saudi Arabia.Patients and methods: Cross-sectional study that was conducted in Jizan region at the chest diseases hospital. 270 (18-90 yrs.) asthmatic patients were recruited. The questionnaire including socio-demographic data, clinical risk factors of asthma, assessment of asthma by using asthma control test (ACT) and assessment of depression by using Patient Health Questionnaire-9 (PHQ-9).Results: Out of 270 adult asthmatic patients, 255 responded (94.4%). The mean age of patients was 41.03 ± 15.893 years. The prevalence of depression among adult asthmatic patients was 32.9%. By multivariate analysis the lower education level [elementary school or below (Odds ratio 3.219 (95% CI; 1.443-7.177)] and longer asthma duration (22 years and above) Odds ratio 2.065 (95% CI; 1.089-3.916) were independently associated with the development of depression in adult patients with asthma.Conclusion: The study showed that there was a high prevalence of depression among adult asthmatic patients in Jizan region, Saudi Arabia. The higher prevalence of depression was associated with lower education level, longer asthma duration, poor control of asthma and among married subjects. Screening for depression in adult asthmatic patients should be emphasized in primary health care centers, chest clinics and in hospitals. Adult asthmatic patients should be motivated to comply with asthma treatment

Foot care practices of diabetic patients in Saudi Arabia

Diabetic foot is a serious complication that causes lower extremity amputations. The aim of this study was to identify the patient’s awareness about risk factors for diabetic foot disease and to explore the knowledge and foot care practices among diabetic patients in a Saudi population. This cross-sectional study was conducted in King Khalid University Hospital (KKUH), King Abdulaziz University Hospital (KAUH), King Fahad Medical City, National Guard Hospital, Military Hospital, and Prince Salman Hospital capital city of Saudi Arabia. Patients were eligible if they had diabetes foot disease, signed the consent form, and completed the questionnaire. We selected 350 patients from different hospitals between November-2011 and April-2012. The majority of patients (68%) were selected from King Saud University hospitals. The mean age of patients was 50.87 ± 15.9 years with a range of 20–90 years. The majority of patients were male (64.3%) and had a family history of hypertension (55.4%), high total cholesterol (58.6%), and other diabetes (58.9%). A family history of smoking, a major risk factor for diabetic foot, was found in 20.3% of cases. Sixty percent of the patients were using oral medications, 27.1% were using insulin therapy, 10% were using both oral and insulin therapies, and 10% were on diet. In our study, 19.4% of participants were illiterate while 80.6% had a high school or university level education. Our findings also revealed that some patients had a lack of knowledge concerning diabetic foot disease and future complications. Patients are unaware of the risk factors for diabetes foot and practice poor foot care. Awareness programs should be mandatory in all hospitals and diabetes clinics to help compensate for the lack of awareness and lack of podiatric educational services. Such programs may decrease the risk of diabetes foot disease

Barriers to a healthy lifestyle among patients attending primary care clinics at a university hospital in Riyadh

<b>Background And Objectives: </b> The occurrence and progress of chronic non-communicable diseases (NCDs) is associated with unhealthy lifestyles and behaviors. Modification of barriers to healthy lifestyle can produce great benefits. The objective of this study was to identify barriers to physical activity and healthy eating among patients attending primary health care clinics in Riyadh city. <b> Patients and Methods: </b> A cross-sectional study was conducted at King Khalid University Hospital (KKUH) in Riyadh city. Four hundred and fifty participants attending primary health care clinics (PHCC) from 1 March to 30 April 2007 were randomly selected. A questionnaire about barriers to physical activity and healthy eating was adapted from the CDC web site. <b> Results: </b> The prevalence of physical inactivity among the Saudi population in the study was 82.4&#x0025; (371/450). Females were more physically inactive (87.6&#x0025;, 268/306) compared to males (71.5&#x0025;, 103/144) (P&#60; .001). The most common barrier to physical activity was lack of resources (80.5&#x0025;, 326/405), which was significantly higher among females than males and among the lower income versus the higher income group. The most common barrier to healthy diet was lack of willpower. More than four-fifths (80.3&#x0025;, 354/441) of the study group stated that they did not have enough will to stick to a diet. <b> Conclusion: </b> Lack of resources was the most important barrier for physical activity, while lack of willpower and social support were both barriers for adherence to physical activity and a healthy diet