Methods for establishing a surveillance system for cardiovascular diseases in Indian industrial populations
Methods for establishing a surveillance system for cardiovascular diseases in Indian industrial populations
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DOI：
10.2471/blt.05.027037
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发表时间：
2006-06-01
期刊：
影响因子：
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通讯作者：
Jaison, TM
中科院分区：
文献类型：
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作者：
Reddy, KS;Prabhakaran, D;Jaison, TM
目的 建立工业环境中心血管疾病 (CVD) 危险因素的监测网络，并使用标准化工具估计危险因素负担。 方法 我们对印度各地 10 家公司的工业人群进行了基线横断面调查（作为 CVD 监测计划的一部分），这些公司位于作为研究中心的医学院附近。研究对象是员工（通过年龄和性别分层随机抽样选出）及其家庭成员。通过标准化方法（问卷、临床测量和生化分析）获得有关行为、临床和生化决定因素的信息。数据整理和分析在国家协调中心进行。 结果 我们报告了 20-69 岁人群中 CVD 危险因素的患病率（问卷调查 n = 19 973 人，生化调查 n = 10 442 人）；平均年龄为40岁。大多数危险因素的总体患病率较高，其中50.9%的男性和51.9%的女性超重，30.9%的男性和32.8%的女性出现中心性肥胖，40.2%的男性和14.9%的女性报告当前吸烟。自我报告的糖尿病（5.3%）和高血压（10.9%）患病率低于临床和生化检测（分别为10.1%和27.7%）。研究中心之间危险因素的患病率存在明显的异质性。结论 印度工业人口中心血管疾病危险因素的负担很高。该监控系统可以作为印度和其他发展中国家复制的模型。
Objective To establish a surveillance network for cardiovascular diseases (CVD) risk factors in industrial settings and estimate the risk factor burden using standardized tools.Methods We conducted a baseline cross-sectional survey (as part of a CVD surveillance programme) of industrial populations from 10 companies across India, situated in close proximity to medical colleges that served as study centres. The study subjects were employees (selected by age and sex stratified random sampling) and their family members. Information on behavioural, clinical and biochemical determinants was obtained through standardized methods (questionnaires, clinical measurements and biochemical analysis). Data collation and analyses were done at the national coordinating centre.Findings We report the prevalence of CVD risk factors among individuals aged 20-69 years (n = 19 973 for the questionnaire survey, n = 10 442 for biochemical investigations); mean age was 40 years. The overall prevalence of most risk factors was high, with 50.9% of men and 51.9% of women being overweight, central obesity was observed among 30.9% of men and 32.8% of women, and 40.2% of men and 14.9% of women reported current tobacco use. Self-reported prevalence of diabetes (5.3%) and hypertension (10.9%) was lower than when measured clinically and biochemically (10.1% and 27.7%, respectively). There was marked heterogeneity in the prevalence of risk factors among the study centres.Conclusion There is a high burden of CVD risk factors among industrial populations across India. The surveillance system can be used as a model for replication in India as well as other developing countries.