Browsing by Author "Chandrasekara, A."

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    Dietary fat and fatty acid intake of Sri Lankan adult men
    (Faculty of Medicine, University of Kelaniya, Sri Lanka, 2021) Jayathillake, M.A.R.M.P.; Perera, U.L.D.S.; Sewwandi, M.G.N.; Madushani, K.B.M.; Chandrasekara, A.; Rathnayake, K.M.
    Introduction: Dietary fat composition is important in the aetiology of cardiovascular disease (CVD). A reduction in intakes of saturated fat <10% of total energy is a major dietary guideline recommended by the WHO. Objectives: To assess dietary fat composition and consumption pattern among healthy adult men as a part of ongoing research study. Methods: Study participants were 185 of healthy adult men aged between 30 to 60 years. Dietary fat intake was determined using a three-day diet diary covering two week days and one weekend day, food frequency questionnaire and a short in-depth questionnaire on dietary fat consumption pattern. Nutrient intake and fatty acid composition were analysed using FoodBase 2000 nutrient analysis software, modified for Sri Lankan foods. Results: Total daily mean fat intake was 56 g (25% of total Energy) while saturated fatty acid (SFA), poly unsaturated fatty acid (PUFA) and mono unsaturated fatty acid (MUFA) intake were 36.8 g (16.3%), 3.1g (1.4%), and 6.7 g (2.9%), respectively. The major contributor of SFA was coconut fat derived from coconut milk whereas peanuts and small fish were the highest contributors for PUFA and MUFA intake, respectively. The key added oil source was coconut oil. Only 5-7% used either sunflower or olive oil as added oil sources. One fourth of the study participants consumed added solid fat like butter or margarine, occasionally. Conclusions: Study participants consume a considerably higher proportion of SFA and a lower proportion of PUFA and MUFA compared with dietary guidelines recommended by the WHO for CVD risk reduction in adults.
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    Psychological morbidity and resilience associated with tinnitus in a Sri Lankan population
    (Sri Lanka Medical Association, 2017) Herath, T.C.K.A.; Chandrasekara, A.; Illeperuma, L.D.; Rodrigo, A.
    INTRODUCTION & OBJECTIVES: Tinnitus, the perception of noise or ringing in the ears, is a common and disabling condition. It often results in anxiety and depression. While it is believed to be common in Sri Lanka, no study has investigated this phenomena. This study aimed to describe the nature of tinnitus among patients attending the otorhinolaryngology (ENT) clinics in selected hospitals in Sri Lanka to determine the psychological morbidity associated with tinnitus and to investigate the factors influencing resilience among them. METHODS: This was a descriptive cross-sectional study. All the consenting adult patients with complaint of tinnitus who attended ENT clinics in Kandy, Kalubowila and Mathale hospitals were assessed using a self-administered questionnaire. Psychological morbidity was assessed using the validated GHQ-12 and Beck Depression Inventory (BDI). RESULTS: Of 93 patients included in the study, majority (56%) were females. Their average age was 55.1years and they have had tinnitus for 2.1years on average. While 63.5% reported tinnitus to be subjectively distressing, 63.4% noted it to be significantly interfering with daily activities. None of them had psychiatric illness prior to the onset of tinnitus. Yet, 62.4% reported psychiatric caseness and 47.3% had depression. Loudness of tinnitus, subjective distress, disturbance to sleep and daily activities due to tinnitus, had significant association with psychiatric caseness/depression. Constant pursuit of happiness was associated with resilience but religiosity and mindfulness were not. CONCLUSION: Tinnitus is a distressing illness associated with a significant functional impairment and psychiatric morbidity. Harnessing resilient factors would improve the quality of life for patients with tinnitus in Sri Lanka