Dietary fat Intake Had a Different Influence on Body Mass Index in Active and Inactive Subjects: a Cross-Sectional Study

The understanding of cardiovascular disease (CVD) risk factors and their association with food and physical activity is not yet completely clear. This study aimed to evaluate the association between CVD risk factors with dietary intake, according to the physical activity level. A cross-sectional study was conducted with Brazilian individuals attended by the Public Health System. Demographic, blood pressure, physical activity practice, anthropometry and food intake data were collected and evaluated. Of the 83 participants, 61.4% were active. No difference were observed in the frequency of CVD risk factors, anthropometric data, blood pressure, estimated energy requirement, energy and nutrient intake between the active and inactive subjects (p ≥ .05). There was also no difference in the frequency of energy and nutrient intake adequacy between groups (p ≥ .05). Among the inactive subjects, it was found that the consumption of total (OR: 1.021, p = .035) and saturated (OR: 1.060, p = .033) fat was predictor of being overweight, with no relationship between food intake and the risk factors for CVD when the total participants or active individuals were considered (p ≥ .05). No difference was observed in the frequency of CVD risk factors between active and inactive individuals, however, total and saturated fat consumption increased the chance of being overweight among the inactive individuals. Keywords: Cardiovascular Diseases. Food Consumption. Exercise. Body Weight. Health Systems. Resumo O conhecimento da associação entre os fatores de risco para doenças cardiovasculares com a alimentação e atividade física ainda não está totalmente elucidada. Este estudo teve como objetivo avaliar a associação entre os fatores de risco cardiovascular e o consumo alimentar, segundo o nível de atividade física. Foi realizado um estudo transversal com individuos brasileiros atendidos pelo Sistema Único de Saúde. Foram coletados e avaliados dados demográficos, pressão arterial, prática de atividade física, antropometría e consumo alimentar. Dos 83 participantes, 61,4% eram ativos. Não foi observado diferença na frequência dos fatores de risco cardiovascular, dados antropométricos, pressão arterial, estimativa da necessidade energética, consumo de energía e nutrientes entre os individuos ativos e inativos (p ≥ 0,05). Também não houve diferença na frequência de adequação no consumo de energia e nutrientes entre os grupos (p ≥ 0,05). Entre os participantes inativos, observou-se que o consumo de gordura total (OR: 1,021; p = 0,035) e saturada (OR: 1,060; p = 0,033) foram preditores do sobrepeso, sem relação entre o consumo alimentar e os fatores de risco cardiovascular quando se considerou todos os participantes ou apenas os indivíduos ativos (p ≥ 0,05). Não foi observado diferença na frequência dos fatores de risco cardiovascular entre os sujeitos ativos e inativos, entretanto o consumo de gordura total e saturada aumentou a chance de sobrepeso entre os indivíduos inativos. Palavras-chave: Doenças Cardiovasculares. Consumo de Alimentos. Exercício Físico. Peso Corporal. Sistemas de Saúde.

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Law enforcement and cardiovascular risk: Findings of a cross-sectional study from Rural Karnataka

Asian Journal of Medical Sciences ◽

10.3126/ajms.v8i3.16582 ◽

2017 ◽

Vol 8 (3) ◽

pp. 49-54

Author(s):

Carolin Elizabeth George ◽

Norman Gift ◽

Devashri Mukherjee ◽

Tatarao Maddipati

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Heart Disease ◽

Cross Sectional Study ◽

Sectional Study ◽

Cvd Risk Factors ◽

Cvd Risk ◽

Cross Sectional ◽

Framingham Risk ◽

Police Personnel

Background: Police personnel experience job-related factors that put them at risk of heart disease. Close encounter with difficult situations and unpredictability of working hours posethem with high stress which can increase the chance of heart disease. Aims and Objective: The current study aims to find out the prevalence of individual and aggregated cardiovascular disease (CVD) risk factors and a10 year risk prediction of a fatal or non-fatal cardiac events using the Framingham risk score.Materials and Methods: A cross sectional study was conducted among 60 police personnel of Devanahalli Taluk in Bangalore rural district. The study comprised a pre tested semi structured questionnaire; body mass index, waist circumference, waist hip ratio systolic and diastolic blood pressure measurements, and random plasma glucose estimation. Pearson’s correlation coefficients were calculated for Framingham risk score with individual CVD risk factors. Multivariate logistic regression was done to measure the association of CVD risk factors with Framingham risk score.Results: The prevalence of aggregated cardiovascular risk was high, 85% of them had a combination of 2 or more risk factors. Greater age (> 50 years), smoking, waist circumference, waist hip ratio and presence of hypertension were significantly associate with high 10 year CVD risk categories. Age and systolic blood pressure showed a significant positive correlation with CVD risk.Conclusion: An alarming 40% of the police personnel had a high risk of a fatal or non-fatal cardiac event in the next 10 years. This warrants the need for regular CVD risk factor screening and targeted health education programs along with lifestyle modification counselling.Asian Journal of Medical Sciences Vol.8(3) 2017 49-54

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The Prevalence of Cardiovascular Disease Risk Factors among Employees in the Kingdom of Bahrain between October 2010 and March 2011: A Cross-Sectional Study from a Workplace Health Campaign

Cardiology Research and Practice ◽

10.1155/2014/832421 ◽

2014 ◽

Vol 2014 ◽

pp. 1-9 ◽

Cited By ~ 3

Author(s):

Ameera Ali AL-Nooh ◽

Abdulhussain Abdulabbas Abdulla Alajmi ◽

David Wood

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Disease Risk ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

Sectional Study ◽

Cvd Risk Factors ◽

Cvd Risk ◽

Cross Sectional ◽

Physical Measurements

Background. High prevalence of CVD risk factors has been reported in Bahrain.Objective. This study aims to estimate the CVD risk factors prevalence among government employees in Bahrain.Design. A cross-sectional study design.Setting. Different government workplaces in Bahrain.Method. Data was collected from 1139 employees between October 2010 and March 2011 through interviews, including physical measurements, patient blood testing, and expired carbon monoxide (CO) levels as particles per million (ppm) for smokers. A summary of composite CVD risk factors was identified.Results. The following overall prevalence rates were reported: overweight and obesity 78.4% and reported hypertension 36.9% (included both those who were on and not on treatments), with an estimated prevalence of 21.6% for measured systolic blood pressure (Sbp) ≥ 140 mmHg and 23.3% for diastolic blood pressure (dbp) ≥90 mmHg. The prevalence of total cholesterol levels ≥5.2 mmol/dl was 24.2% and LDL levels >3.3 mmol/dl 10.8%. Prevalence of HDL-C levels (≤1.03 mmol/dl) was 47.55% and (≥1.5 mmol/dl) in 12.31%. The low HDL level (<1.03 mmol/dl) among males was 64.1%, while it was 26.6% among females. Half the participants (50.8%) do not engage in any type of physical activity. Moreover, 24.3% were not eating daily servings of fruits and vegetables. About 16.1% of them were current smokers. The majority of the participants (95.35%) had either no or less than 3 CVD risk factors. Only 4.65% had 3–5 risk factors.Conclusions. Among the employees in Bahrain, the high CVD risk factors prevalence is evident. CVD risk factors prevention and control are a priority.

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Cross-sectional Study of Cardiovascular Risk Factors among Male and Female Medical Students in Qassim University – College of Medicine Saudi Arabia

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2020.4501 ◽

2020 ◽

Vol 8 (E) ◽

pp. 439-445

Author(s):

Sultan ALNohair ◽

Nahla Babiker ◽

Dalal Al-Ahmari ◽

Dalal Al-Mutairi ◽

Khozama Al-Matroudi ◽

...

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Medical Students ◽

Cross Sectional Study ◽

Sectional Study ◽

Cvd Risk Factors ◽

Cvd Risk ◽

Cross Sectional ◽

Male And Female ◽

Stress Scale

BACKGROUND: Cardiovascular diseases (CVDs) are a major cause of mortality around the world. At present, almost half of the non-communicable diseases are CVDs. According to the literature review, CVD disease and the associated risk factors are high among Saudi adults. It has not been studied to determine at which age the majority of adults acquire the risk factors. We hypothesized and planned to assess CVD risk factors among medical students. AIM: The main objective of this study is to determine the prevalence of CVD risk factors among male and female medical students in Qassim University. METHODS: A cross-sectional study surveyed 188 males and female medical students in Qassim University. They were selected by random sampling technique. The data were collected by using a questionnaire included (age, gender, height, weight, waist circumference, blood pressure, random blood glucose, smoking habits, physical activity, and stress scale). After the data collection, it was entered and analyzed by SPSS. RESULTS: About 9.6% of male students were smokers, while there is no history of smoking among female students. About 18.2% of males were found obese, while obesity was lower among females (4.2%). The random blood glucose for males and females was within normal limits, but the measured blood pressure showed a higher percentage of elevated blood pressure among males (47.8%) in comparison to females (25.4%). Perceived stress scale exhibited that females were getting a greater percentage of high stress (34.3%), while in males, it was 14.4%. CONCLUSION: Many risk factors were greater among males, including elevated blood pressure 47.8%, obesity 18.2%, and smoking 9.6%. On the other hand, these risk factors were lower in females, but they have a higher stress scale 34.3% in comparison to males.

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Association between physical activity level and cardiovascular risk factors in adolescents living with type 1 diabetes mellitus: a cross-sectional study

Cardiovascular Diabetology ◽

10.1186/s12933-021-01255-0 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Nana Wu ◽

Shannon S. D. Bredin ◽

Veronica K. Jamnik ◽

Michael S. Koehle ◽

Yanfei Guan ◽

...

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Density Lipoprotein ◽

Cross Sectional Study ◽

Sectional Study ◽

Cvd Risk Factors ◽

Cvd Risk ◽

Cross Sectional ◽

Chinese Youth

Abstract Background Type 1 diabetes mellitus (T1DM) is associated with an increased risk for cardiovascular disease (CVD) related morbidity and premature mortality. Regular physical activity plays an important role in the primary and secondary prevention of CVD, improving overall health and wellbeing. Previous observational studies have examined the associations between self-reported physical activity and CVD risk factors in largely adult Caucasian populations. However, limited work has evaluated the relationship between objectively measured physical activity and CVD risk factors in other ethnicities, particularly Chinese youth living with T1DM. Methods This cross-sectional study assessed CVD risk factors, physical activity, and aerobic fitness (and their associations) in Chinese youth living with T1DM (n = 48) and peers (n = 19) without T1DM. Primary outcomes included blood pressure, lipid profiles, and physical activity (accelerometry). Statistical differences between groups were determined with chi-square, independent-samples t-tests, or analysis of covariance. The associations between aerobic fitness, daily physical activity variables, and CVD risk factors were assessed with univariate and multivariate linear regression analyses. Results Results were summarized using means and standard deviation (SD) for normally distributed variables and medians and 25–75th quartile for non-normally distributed variables. In comparison to peers without diabetes, youth living with T1DM showed higher levels of total cholesterol (3.14 ± 0.67 vs. 4.03 ± 0.81 mmol·L-1, p = 0.001), low-density lipoprotein cholesterol (1.74 ± 0.38 vs. 2.31 ± 0.72 mmol·L-1, p = 0.005), and triglycerides (0.60 ± 0.40 vs. 0.89 ± 0.31 mmol·L-1p = 0.012), and lower maximal oxygen power (44.43 ± 8.29 vs. 35.48 ± 8.72 mL·kg-1·min-1, p = 0.003), total physical activity counts (451.01 ± 133.52 vs. 346.87 ± 101.97 counts·min-1, p = 0.004), metabolic equivalents (METs) (2.41 ± 0.60 vs. 2.09 ± 0.41 METs, p = 0.033), moderate-to-vigorous intensity physical activity [MVPA: 89.57 (61.00–124.14) vs (53.19 (35.68–63.16) min, p = 0.001], and the percentage of time spent in MVPA [11.91 (7.74–16.22) vs 8.56 (6.18–10.12) %, p = 0.038]. The level of high-density lipoprotein cholesterol was positively associated with METs (β = 0.29, p = 0.030, model R2 = 0.168), and the level of triglycerides was negatively associated with physical activity counts (β = − 0.001, p = 0.018, model R2 = 0.205) and METs (β = − 0.359, p = 0.015, model R2 = 0.208), and positively associated with time spent in sedentary behaviour (β = 0.002, p = 0.041, model R2 = 0.156) in persons living with T1DM. Conclusions Chinese youth with T1DM, despite their young age and short duration of diabetes, present early signs of CVD risk, as well as low physical activity levels and cardiorespiratory fitness compared to apparently healthy peers without diabetes. Regular physical activity is associated with a beneficial cardiovascular profile in T1DM, including improvements in lipid profile. Thus, physical activity participation should be widely promoted in youth living with T1DM.

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Neck circumference and clustered cardiovascular risk factors in children and adolescents: cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2017-016048 ◽

2017 ◽

Vol 7 (9) ◽

pp. e016048 ◽

Cited By ~ 10

Author(s):

José Castro-Piñero ◽

Alvaro Delgado-Alfonso ◽

Luis Gracia-Marco ◽

Sonia Gómez-Martínez ◽

Irene Esteban-Cornejo ◽

...

Keyword(s):

Risk Factors ◽

Body Composition ◽

Children And Adolescents ◽

Screening Tool ◽

Density Lipoprotein ◽

Cross Sectional Study ◽

Sectional Study ◽

Cvd Risk Factors ◽

Cvd Risk ◽

Cross Sectional

ObjectiveEarly detection of cardiovascular disease (CVD) risk factors, such as obesity, is crucial to prevent adverse long-term effects on individuals’ health. Therefore, the aims were: (1) to explore the robustness of neck circumference (NC) as a predictor of CVD and examine its association with numerous anthropometric and body composition indices and (2) to release sex and age-specific NC cut-off values to classify youths as overweight/obese.DesignCross-sectional study.Setting23 primary schools and 17 secondary schools from Spain.Participants2198 students (1060 girls), grades 1–4 and 7–10.MeasuresPubertal development, anthropometric and body composition indices, systolic and diastolic blood pressure (SBP and DBP, respectively), cardiorespiratory fitness, blood sampling triglycerides (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-c), low-density lipoprotein cholesterol (LDL-c), glucose and inflammatory markers. Homoeostasis model assessment (HOMA-IR) and cluster of CVD risk factors were calculated.ResultsNC was positively correlated with all anthropometric and body composition indices. NC was negatively associated with maximum oxygen consumption (R2=0.231, p<0.001 for boys; R2=0.018, p<0.001 for girls) and positively associated with SBP, DBP, TC/HDL-c, TG, HOMA, complement factors C-3 and C-4, leptin, adiponectin and clustered CVD risk factor in both sexes (R2from 0.035 to 0.353, p<0.01 for boys; R2from 0.024 to 0.215, p<0.001 for girls). Moreover, NC was positively associated with serum C reactive protein, LDL-c and visfatin only in boys (R2from 0.013 to 0.107, p<0.05).ConclusionNC is a simple, low-cost and practical screening tool of excess of upper body obesity and CVD risk factors in children and adolescents. Paediatricians can easily use it as a screening tool for overweight/obesity in children and adolescents. For this purpose, sex and age-specific thresholds to classify children and adolescents as normal weight or overweight/obese are provided.

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Trends in socioeconomic inequalities in five major risk factors for cardiovascular disease in the Korean population: a cross-sectional study using data from the Korea National Health and Nutrition Examination Survey, 2001–2014

BMJ Open ◽

10.1136/bmjopen-2016-014070 ◽

2017 ◽

Vol 7 (5) ◽

pp. e014070 ◽

Cited By ~ 12

Author(s):

Yoon Jung Kim ◽

Ji Sung Lee ◽

Juri Park ◽

Dong Seop Choi ◽

Doo Man Kim ◽

...

Keyword(s):

Risk Factors ◽

Cross Sectional Study ◽

Socioeconomic Inequalities ◽

Korean Women ◽

Sectional Study ◽

Cvd Risk Factors ◽

Cvd Risk ◽

Cross Sectional ◽

Health And Nutrition ◽

Obesity And Diabetes

ObjectivesTo examine trends in socioeconomic inequalities in major cardiovascular disease (CVD) risk factors among the Korean population.DesignCross-sectional study.SettingA nationally representative population survey database.ParticipantsA total of 42 725 Koreans, aged 25–64 years, who participated in the Korean National Health and Nutrition Examination Survey (KNHANES) II (2001) to VI (2013–2014).Main outcome measuresTrends in socioeconomic inequalities in five major CVD risk factors (smoking, obesity, diabetes, hypertension and hypercholesterolaemia).ResultsGender differences were noted in the time trends in socioeconomic inequalities in smoking, obesity, diabetes and hypertension. Among men, low socioeconomic status (SES) was associated with higher prevalence of smoking, but not with obesity, diabetes or hypertension. The magnitudes of socioeconomic inequalities in smoking, obesity and diabetes remained unchanged, and the magnitude of the inequality in hypertension decreased over time. However, among women, low SES was associated with higher prevalence of smoking, obesity, diabetes and hypertension. Time trends towards increasing socioeconomic inequalities, measured by income, in smoking, obesity and diabetes were found in women. Unlike the other CVD risk factors, hypercholesterolaemia was not associated with socioeconomic inequality.ConclusionsSES had a stronger impact on major CVD risk factors among Korean women than men. Moreover, socioeconomic inequalities in smoking, obesity and diabetes worsened among Korean women over time. Public policies to prevent smoking, obesity and diabetes in women with lower SES are needed to address inequalities.

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Prevalence and correlates of traditional risk factors for cardiovascular disease in a Nigerian ART-naive HIV population: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2017-019664 ◽

2018 ◽

Vol 8 (7) ◽

pp. e019664 ◽

Cited By ~ 5

Author(s):

Udeme E Ekrikpo ◽

Effiong E Akpan ◽

John U Ekott ◽

Aminu K Bello ◽

Ikechi G Okpechi ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Disease ◽

Density Lipoprotein ◽

Integrated Approach ◽

Cross Sectional Study ◽

Sub Saharan Africa ◽

Sectional Study ◽

Cvd Risk Factors ◽

Cvd Risk ◽

Cross Sectional

ObjectivesHIV infection environment presents a classic example of the interplay between infectious diseases and non-communicable diseases (NCDs). Traditional cardiovascular disease (CVD) risk factors abound in the HIV population even before initiation of antiretrovirals (ARVs) and predispose them to the development of stroke and myocardial infarction. This work focuses on determining the prevalence of traditional CVD risk factors among ARV-naive HIV individuals in southern Nigeria.MethodsThis was a cross-sectional study of ARV-naive patients initiating care at the University of Uyo Teaching Hospital HIV clinic cohort to determine the prevalence and correlates of hypertension, diabetes mellitus (DM), obesity and dyslipidaemia.ResultsThe sample consisted of 4925 assessed for hypertension, 5223 for obesity, 1818 for DM and 926 for dyslipidaemia. Hypertension prevalence was 26.7% (95% CI 25.5% to 28.0%) with a male preponderance (p=0.02). DM was found in 5.6% (95% CI 4.5% to 6.7%), obesity in 8.3% (95% CI 7.6% to 9.1%) and dyslipidaemia in 29.1% (95% CI 26.1% to 32.1%) with a high prevalence of low high-density lipoprotein-c (42.6%). Hypertension was independently associated with age (OR 1.04 (95% CI 1.03 to 1.05), p<0.001) and body mass index (BMI) (OR 1.06 (95% CI 1.03 to 1.08), p<0.001), obesity with age (OR 1.02 (95% CI 1.01 to 1.03), p<0.001), male gender (OR 0.38 (95% CI 0.29 to 0.49), p<0.001) and CD4 count (OR 2.63 (95% CI 1.96 to 3.53), p<0.001) while dyslipidaemia was associated with BMI (OR 1.05 (95% CI 1.01 to 1.10), p=0.03).ConclusionThe prevalence of traditional CVD risk factors is high in this ART-naive HIV population. An integrated approach of HIV and NCD screening/treatment may be relevant for centres in sub-Saharan Africa.

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Assessment of Cardiovascular Risk for Prevention and Control of Cardiovascular Disease in Ghana’s Northern Region A Cross-sectional Study of 4 Rural Districts using World Health Organization / International Society of Hypertension (WHO/ISH) Risk Prediction Charts

Global Journal of Health Science ◽

10.5539/gjhs.v13n6p1 ◽

2021 ◽

Vol 13 (6) ◽

pp. 1

Author(s):

Sandra M. Skerratt ◽

Olivia G. Wilson

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Risk Prediction ◽

Cardiovascular Event ◽

Cross Sectional Study ◽

Northern Region ◽

Sectional Study ◽

Cvd Risk Factors ◽

Cvd Risk ◽

Cross Sectional

Ghana is experiencing an increase in cardiovascular (CVD) -related mortality with poor rural communities suffering greater complications and premature deaths. The point of this exploratory research is to evaluate the prevalence of CVD risk factors and to calculate the cardiovascular risk among adults aged > 40 years in Ghana’s Northern Region. A cross-sectional study was performed with 536 subjects. A pre-tested questionnaire, anthropometric measurements, and standardized WHO/ISH risk prediction charts assessed for 10-year risk of a fatal or non-fatal major cardiovascular event according to age, sex, blood pressure, smoking status, and diabetes mellitus status. Low, moderate and high CVD prevalence risk in females was 88.4%, 7.1%, and 4.5% while in males the prevalence was 91.3%, 5.8%, and 2.9%, respectively. Hypertension was noted as a clinically significant risk factor with females at 37.3% versus males at 32%. The 10-year risk of a fatal or non-fatal cardiovascular event was statistically significant for females according to age group. A moderate to high CVD risk of a fatal or non-fatal cardiovascular event was found in 10.4% of subjects. Notable CVD risk factors included a high prevalence of hypertension. Decentralizing care to local village healthcare facilities is one way to tackle cardiovascular risk reduction. Task shifting of primary care duties from physicians to nurses in terms of cardiovascular (CV) risk assessment and management of uncomplicated CV risk factors is a potential solution to the acute shortage of trained health staffs for the control and prevention of CVD in Northern Ghana.

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High Occupational Physical Activity and cardiovascular risk factors in employees of Fomento de Construcciones y Contratas S.A. Company: a cross-sectional study

10.21203/rs.3.rs-35037/v1 ◽

2020 ◽

Author(s):

Montse Gómez-Recasens ◽

Silvana Alfaro-Barrio ◽

Lucia Tarro ◽

Elisabet Llauradó ◽

Rosa Solà

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Blood Pressure ◽

Cardiovascular Risk ◽

Cardiovascular Risk Factors ◽

High Intensity ◽

Cross Sectional Study ◽

Occupational Physical Activity ◽

Sectional Study ◽

Cross Sectional

Abstract BackgroundThe impact of occupational physical activity (OPA) intensity, considering adults work many hours a day, on health is unknown. The present study aims to evaluate the association between the high intensity of OPA and cardiovascular risk factors of employees.MethodsA cross-sectional study was carried out in the “Fomento de Construcciones y Contratas S.A. Company” (FCC S.A. Delegation) in 2017, Spain. The intensity of OPA of each employee was classified by work categories in low (≤ 3 METs) or high (> 3 METs). Health and lifestyle data of employees were collected on medical consultation in the workplace.ResultsAssociations were analyzed between the high intensity of OPA and cardiovascular risk factors of employees. 751 employees, 55.5% (n = 417) with high intensity of OPA. An 82.2% (n = 245) of employees with low intensity of OPA presented overweight/obesity compared with 69.0% (n = 171) with high intensity of OPA employees (p < 0.001). In men, high intensity of OPA is negatively associated with Body Mass Index (BMI) (B: -0.042, p = 0.003), waist circumference (B: -0.027, p < 0.001) waist-hip ratio (B: -5.484, p < 0.001), cholesterol (B: -0.007, p = 0.001) and triglycerides (B= -0.003, p = 0.025). In women, high intensity of OPA was positively associated with blood pressure (BP) (systolic BP: B = 0.036, p = 0.005 and diastolic BP: B = 0.040, p = 0.021).ConclusionsIn conclusion, the high intensity of OPA is associated with less cardiovascular risk factors in men, whereas women are associated with high levels of blood pressure, suggesting an influence of gender and work categories.

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Prevalence and determinants of hypertension among pastoralists in Monduli District, Arusha region in Tanzania: a cross-sectional study

Archives of Public Health ◽

10.1186/s13690-020-00485-0 ◽

2020 ◽

Vol 78 (1) ◽

Author(s):

Ahmed Gharib Khamis ◽

Mbazi Senkoro ◽

Akwilina Wendelin Mwanri ◽

Katharina Kreppel ◽

Sayoki Godfrey Mfinanga ◽

...

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Blood Pressure ◽

Cross Sectional Study ◽

Older Age ◽

Sectional Study ◽

Cross Sectional ◽

Monduli District ◽

Study Population ◽

Arusha Region

Abstract Background Hypertension is among the growing non-communicable diseases (NCDs) in developing countries and the leading cause of death worldwide. Pastoral areas have been identified to be at a higher risk of diseases due to challenges in their daily food production, livelihoods or mobility. Unfortunately, the prevalence of hypertension and the risk factors particularly affecting rural and pastoral populations are not fully understood, making intervention efforts challenging. The aim of this study was to determine the prevalence of hypertension and identify the risk factors among adults living in Monduli district in Tanzania. The findings will be useful for the provision of tailored interventions focused on community-specific nutritional and behavioral practices. Methods We conducted a community based cross-sectional study involving a sample of 510 adults aged above 18 years selected using a multistage cluster sampling in the Monduli district of Arusha region, Tanzania. Data were collected by using interviewer-administered questionnaires containing socio-demographic, physical activity, smoking and alcohol consumption. Anthropometry, systolic (SBP) and diastolic blood pressure (DBP) levels were measured. A one-day 24 h diet recall was conducted to evaluate the dietary habits of all participants. Both linear and logistic regression analysis were used to identify the independent predictors for hypertension and blood pressure levels. Results The prevalence of hypertension in this study was 25.7% (n = 131, 95% CI; 22.1–29.7). The odds of hypertension increased with being male (AOR = 1.75, 95%CI, 1.06–2.88), belonging to the older age group of 30–39 year olds (AOR = 3.3, 95%CI, 1.76–6.38), 40–59 year olds (AOR = 3.34, 95%CI, 1.75–6.37) and ≥ 60 year olds (AOR = 4.2, 95%CI, 2.02–8.87), being overweight or obese (AOR = 3.37, 95%CI, 1.18–9.62), have more hours spent sedentary (AOR = 3.19, 95%CI, 1.61–6.32), and consumption of fatty foods (AOR = 2.23, 95%CI, 1.27–3.93). The odds for hypertension was significantly reduced among participants who reported higher income (AOR = 0.47, 95% CI, 0.25–0.91), high level of physical activity (AOR = 0.55, 95%CI, 0.31–0.96) and those reported to consume fruit (AOR = 0.37, 95% CI, 0.18–0.77). Consumption of cereals was negatively associated with levels of SBP (β = − 17.4, 95% CI, − 23.8; − 11.0) and DBP (β = − 6.6, 95% CI, − 11.5,-1.79). Conclusion About one in every four adults living in pastoral communities have been found to have hypertension in this study. Our findings suggest that older age, obesity or overweight, low physical activity, low income, and consumption of fatty foods increase the risk of hypertension among study population. Their diet was dominated by cereals with moderate intake of meat and milk and low fruits. There is a need to promote physical activities and consumption of fruits in the study population in order to fight against hypertension. Further research should be done to confirm the associations.

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