Distribution of diabetes, hypertension and non-communicable disease risk factors among adults in rural Bangladesh: a cross-sectional survey.
Distribution of diabetes, hypertension and non-communicable disease risk factors among adults in rural Bangladesh: a cross-sectional survey.
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DOI：
10.1136/bmjgh-2018-000787
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发表时间：
2018
影响因子：
8.1
通讯作者：
Azad K
中科院分区：
文献类型：
--
作者：
Fottrell E;Ahmed N;Shaha SK;Jennings H;Kuddus A;Morrison J;Akter K;Nahar B;Nahar T;Haghparast-Bidgoli H;Khan AKA;Costello A;Azad K
在低收入环境中，非传染性疾病(NCDs)正在增加。我们对孟加拉国农村地区的风险因素、血压和血糖进行了调查，并评估了年龄、性别和财富的差异。我们对孟加拉国农村地区96个村庄的12280名30岁成年人进行了随机抽样调查。现场工作人员测量血糖，并进行葡萄糖耐量试验，并在摄入葡萄糖120分钟后进行重复的血液测试。还收集了血压、人体测量、社会经济、生活方式和行为危险因素数据。对数据进行分析，按年龄、性别和财富描述糖尿病、中度高血糖、高血压和非传染性疾病危险因素的患病率。与男性相比，女性超重或肥胖的程度更高，而体力活动和水果蔬菜的消费水平更低；63%的男性吸烟，而女性的这一比例为41.3%。超重或肥胖和腹型肥胖(腰臀比)随着社会经济地位的提高而增加(或(95%CI)：男性3.21(2.51比4.11)，女性2.83(2.28比3.52))。在两性中，烟草使用、被动吸烟暴露和食盐消费随着社会经济地位的提高而下降。风险因素分类显示，超过70%的男性和女性报告了至少三个风险因素。与最贫穷组的妇女相比，最不贫穷组的妇女有三个或更多危险因素的可能性高33%(95%可信区间1.17至1.58)。空腹血糖受损、糖耐量受损和糖尿病的综合患病率男性为26.1%，女性为34.9%，且随年龄增长而增加。男性高血压前期和高血压患病率分别为30.7%和15.9%，女性分别为27.2%和22.5%，随年龄增长患病率上升趋势相似。非传染性疾病风险因素、高血糖和血压升高是孟加拉国农村地区的直接健康威胁。需要采取主动行动，改进检测、治疗和预防战略。
Non-communicable diseases (NCDs) are increasing in low-income settings. We conducted a survey of risk factors, blood pressure and blood glucose in rural Bangladesh and assessed variations by age, sex and wealth. We surveyed a random sample of 12 280 adults aged >30 years in 96 villages in rural Bangladesh. Fieldworkers measured blood glucose and conducted an glucose tolerance test with a repeat blood test 120 min post glucose ingestion. Blood pressure, anthropometric, socioeconomic, lifestyle and behavioural risk factors data were also collected. Data were analysed to describe the prevalence of diabetes, intermediate hyperglycaemia, hypertension and NCD risk factors by age, sex and wealth. Women had higher levels of overweight or obesity and lower levels of physical activity and fruit and vegetable consumption than men; 63% of men used tobacco compared with 41.3% of women. Overweight or obesity and abdominal obesity (waist to hip ratio) increased with socioeconomic status (least poor vs most poor: OR (95% CI) 3.21 (2.51 to 4.11) for men and 2.83 (2.28 to 3.52) for women). Tobacco use, passive smoke exposure and salt consumption fell with increasing socioeconomic status in both sexes. Clustering of risk factors showed more than 70% of men and women reported at least three risk factors. Women in the least poor group were 33% more likely to have three or more risk factors compared with women in the most poor group (1.33 (95% CI 1.17 to 1.58)). The combined prevalence of impaired fasting glucose, impaired glucose tolerance and diabetes was 26.1% among men and 34.9% among women, and increased with age. The prevalence of prehypertension and hypertension was 30.7% and 15.9% among men and 27.2% and 22.5% among women, with similar rising prevalence with age. NCD risk factors, hyperglycaemia and raised blood pressure are an immediate health threat in rural Bangladesh. Initiatives to improve detection, treatment and prevention strategies are needed.
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影响因子：
3.5
作者：
Hussain, A;Rahim, MA;Vaaler, S
通讯作者：
Vaaler, S
影响因子：
3.7
作者：
Biswas T;Islam MS;Linton N;Rawal LB
通讯作者：
Rawal LB
DOI：
10.1186/s41043-015-0022-0
发表时间：
2015-07-10
期刊：
Journal of health, population, and nutrition
影响因子：
--
作者：
Harris-Fry H;Azad K;Kuddus A;Shaha S;Nahar B;Hossen M;Younes L;Costello A;Fottrell E
通讯作者：
Fottrell E
影响因子：
3.7
作者：
Fatema K;Zwar NA;Milton AH;Ali L;Rahman B
通讯作者：
Rahman B
影响因子：
2.1
作者：
Chowdhury, Muhammad Abdul Baker;Uddin, Md. Jamal;Ibrahimou, Boubakari
通讯作者：
Ibrahimou, Boubakari