Prevalence of cardiovascular diseases and associated risk factors in a rural black population of South Africa

Prevalence of cardiovascular diseases and associated risk factors in a rural black population of South Africa
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DOI:
10.1097/01.hjr.0000174792.24188.8e
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发表时间:
2005-08-01
影响因子:
--
通讯作者:
Steyn, NP
Steyn, NP
中科院分区:
其他
文献类型:
--
作者:
Alberts, M;Urdal, P;Steyn, NP

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背景要确定心血管疾病的患病率和相关的危险因素在农村成年黑人人口从Limpopo Province in SouthAfrica.Design A cross-sectional study.Methods一个样本的1608名妇女和498名男子年龄在30岁及以上参加了这项研究。测量了社会人口学数据、人体测量指标(体重指数、腰臀比)、血压和生化危险因素。一个全球性的心血管疾病(CVD)的风险profiles.Results有烟草使用的男性(57%)和女性(35.4%),女性(28.1%)主要使用无烟烟草的高患病率。饮酒在男性中非常普遍(57.2%)。女性的体重比男性重得多,51.7%的人超重或肥胖。诊断出糖尿病的男女比例分别为8.8%和8.5%。高密度脂蛋白胆固醇相对较高,而42.3%的女性和28.5%的男性的低密度脂蛋白胆固醇水平为3 mmol/l或更高。25.5%的妇女和21.6%的男子患有高血压(血压>= 140/90 mm/Hg)。根据Frachial公式,18.9%的女性和32.1%的男性有20%或更高的机会有一个心血管疾病事件在未来10 years.Conclusions有一个高患病率的慢性疾病的危险因素在农村,贫困的黑人社区在林波波省,南非。因此,与在非洲黑人中进行的类似研究相比,该人群在接下来的10年中发生CVD事件的风险高于预期。
Background To determine the prevalence and associated risk factors of cardiovascular diseases in a rural adult black population from Limpopo Province in South Africa.Design A cross-sectional study.Methods A sample of 1608 women and 498 men aged 30 years and above participated in the study. Sociodemographic data, anthropometric measures (body mass index, waist/hip ratio), blood pressure and biochemical risk factors were measured. A global cardiovascular disease (CVD) risk profile was developed.Results There was a high prevalence of tobacco use for men (57%) and women (35.4%), with women (28.1%) predominantly using smokeless tobacco. Alcohol use was very common in men (57.2%). Women weighed a great deal more than men, and 51.7% were either overweight or obese. Diabetes was diagnosed in 8.8 and 8.5% of women and men, respectively. High-density lipoprotein-cholesterol was relatively high, whereas 42.3% of women and 28.5% of men had low-density lipoprotein-cholesterol levels of 3 mmol/l or more. Hypertension (blood pressure;>= 140/90 mm/Hg) was found in 25.5% of women and 21.6% of men. According to the Framingham formulae, 18.9% of women and 32.1 % of men had a 20% or higher chance of having a CVD event in the next 10 years.Conclusions There was a high prevalence of chronic disease risk factors in the rural, poor black community in Limpopo, South Africa. Consequently, the population had a higher than expected risk of developing a CVD event in the following 10 years when compared with similar studies in black Africans.