Cardiovascular (Framingham) and type II diabetes (Finnish Diabetes) risk scores: a qualitative study of local knowledge of diet, physical activity and body measurements in rural Rakai, Uganda.
Cardiovascular (Framingham) and type II diabetes (Finnish Diabetes) risk scores: a qualitative study of local knowledge of diet, physical activity and body measurements in rural Rakai, Uganda.
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DOI：
10.1186/s12889-022-14620-9
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发表时间：
2022-11-29
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
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作者：
在撒哈拉以南非洲，心血管疾病和糖尿病等非传染性疾病正在上升。减轻非传染性疾病的预防战略包括改善饮食、身体活动、早期诊断和长期管理。基于风险评分模型——如用于高收入环境的用于10年心血管疾病风险的Framingham风险评分（FRS）和用于2型糖尿病的芬兰2型糖尿病风险评分（FINDRISC）——早期识别有风险的个体——尚未在撒哈拉以南非洲得到很好的评估。本研究的目的是定性地评估乌干达农村环境中这些风险评分组成部分的当地知识。在Rakai社区队列研究中，有目的地选择了15名参与者，对FRS和FINDRISC问卷和程序进行了半结构化的定性深入访谈。在Atlas.ti的支持下，使用内容分析对数据进行汇总和分类。参与者描述了高血压（“pulessa”）和2型糖尿病（“sukaali”）的当地术语。大多数参与者将体力活动理解为休闲体力活动，但当被调查时，也包括与日常农场工作相关的体力活动。蔬菜通常被描述为“植物”、“绿叶蔬菜”和“配菜”。蔬菜和水果的消费量随季节变化而变化，雨季过后的12月是供应高峰。参与者认为自己对其家族成员的2型糖尿病和高血压病史有很好的了解。虽然FRS和FINDRISC的大多数项目已被普遍理解，但体育活动需要进一步澄清。重要的是要考虑水果和蔬菜的季节性，特别是在农村资源贫乏的环境中。目前的风险评分需要在当地进行调整，以估计在这种情况下心血管疾病和2型糖尿病的10年风险。在线版本包含补充材料，可在10.1186/s12889-022-14620-9获得。
Non-communicable diseases such as cardiovascular conditions and diabetes are rising in sub-Saharan Africa. Prevention strategies to mitigate non-communicable diseases include improving diet, physical activity, early diagnosis, and long-term management. Early identification of individuals at risk based on risk-score models – such as the Framingham Risk Score (FRS) for 10-year risk of cardiovascular disease and the Finnish type 2 Diabetes risk score (FINDRISC) for type 2 diabetes which are used in high-income settings – have not been well assessed in sub-Saharan Africa. The purpose of this study was to qualitatively assess local knowledge of components of these risk scores in a rural Ugandan setting. Semi-structured qualitative in-depth interviews were conducted with a purposively selected sample of 15 participants who had responded to the FRS and FINDRISC questionnaires and procedures embedded in the Rakai Community Cohort Study. Data were summarized and categorized using content analysis, with support of Atlas.ti. Participants described local terms for hypertension (“pulessa”) and type 2 diabetes (“sukaali”). Most participants understood physical activity as leisure physical activity, but when probed would also include physical activity linked to routine farm work. Vegetables were typically described as "plants", “leafy greens”, and “side dish”. Vegetable and fruit consumption was described as varying seasonally, with peak availability in December after the rainy season. Participants perceived themselves to have good knowledge about their family members’ history of type 2 diabetes and hypertension. While most items of the FRS and FINDRISC were generally well understood, physical activity needs further clarification. It is important to consider the seasonality of fruits and vegetables, especially in rural resource-poor settings. Current risk scores will need to be locally adapted to estimate the 10-year risk of cardiovascular diseases and type 2 diabetes in this setting. The online version contains supplementary material available at 10.1186/s12889-022-14620-9.
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影响因子：
105.7
作者：
Brindle, P;Emberson, J;Ebrahim, S
通讯作者：
Ebrahim, S
影响因子：
4.6
作者：
Li AL;Peng Q;Shao YQ;Fang X;Zhang YY
通讯作者：
Zhang YY
DOI：
10.1056/nejmoa1702150
发表时间：
2017-11-30
期刊：
The New England journal of medicine
影响因子：
--
作者：
Grabowski MK;Serwadda DM;Gray RH;Nakigozi G;Kigozi G;Kagaayi J;Ssekubugu R;Nalugoda F;Lessler J;Lutalo T;Galiwango RM;Makumbi F;Kong X;Kabatesi D;Alamo ST;Wiersma S;Sewankambo NK;Tobian AAR;Laeyendecker O;Quinn TC;Reynolds SJ;Wawer MJ;Chang LW;Rakai Health Sciences Program
通讯作者：
Rakai Health Sciences Program
影响因子：
3.7
作者：
Kalyesubula, Robert;Mutyaba, Innocent;Kamya, Moses R.
通讯作者：
Kamya, Moses R.
影响因子：
3.3
作者：
Kabwama, Steven Ndugwa;Bahendeka, Silver K.;Guwatudde, David
通讯作者：
Guwatudde, David