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
复制标题
DOI:
10.1097/01.hjr.0000174792.24188.8e
复制
发表时间:
2005-08-01
影响因子:
--
通讯作者:
Steyn, NP
中科院分区:
文献类型:
--
作者:
Alberts, M;Urdal, P;Steyn, NP
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.