Shubair Mamdouh M, Gagne Anthony L
School of Health Sciences, University of Northern British Columbia (UNBC), Prince George, BC, Canada.
Glob J Health Sci. 2012 Jun 7;4(4):90-106. doi: 10.5539/gjhs.v4n4p90.
Type 2 diabetes (T2D) is a well-established risk factor for cardiovascular disease (CVD). Higher rates of T2D are attributable to unhealthy lifestyle factors and a number of clinical and metabolic risk factors. There is paucity of research which investigated the association of lifestyle risk factors and metabolic markers amongst adult men in northern British Columbia (BC). Using a face-to-face screening questionnaire, we assessed the relationships between age, body mass index (BMI), and a number of CVD risk factors in a convenience sample of 123 eligible men recruited from communities across northern BC in February of 2011. In regards to the metabolic risk factors measured through screening blood tests (lipid profiles; blood glucose) responses to the questionnaire were dichotomized into high and low risk categories. These dichotomized variables were subsequently used to determine if significant associations existed with each of the age category variable and a standard BMI categorical variable. There were significant linear relationships between the categorical BMI variable and a number of metabolic risk factors, as well as smoking history. Older age (40+ years) was associated with higher BMI status (overweight/obese). Our findings provide compelling evidence that northern BC men possess a number of clinical, metabolic, and lifestyle risk factors associated with high CV risk. Future studies should examine other sociodemographic variables including occupation status, education attainment, and ethnicity, and other psychosocial determinants which include knowledge, attitudes, and perceptions (KAP) related to T2D and CV risk profile in adult men working and living in northern BC, Canada.
2型糖尿病（T2D）是心血管疾病（CVD）公认的危险因素。T2D发病率较高归因于不健康的生活方式因素以及一些临床和代谢危险因素。在不列颠哥伦比亚省北部（BC），针对成年男性中生活方式危险因素与代谢标志物之间关联的研究较少。通过面对面筛查问卷，我们在2011年2月从BC省北部各社区招募的123名符合条件的男性便利样本中，评估了年龄、体重指数（BMI）与一些CVD危险因素之间的关系。对于通过筛查血液检测（血脂谱；血糖）测得的代谢危险因素，问卷的回答被分为高风险和低风险两类。随后，这些二分变量被用于确定与每个年龄类别变量和标准BMI分类变量之间是否存在显著关联。BMI分类变量与一些代谢危险因素以及吸烟史之间存在显著的线性关系。年龄较大（40岁及以上）与较高的BMI状态（超重/肥胖）相关。我们的研究结果提供了令人信服的证据，表明BC省北部男性存在一些与心血管高风险相关的临床、代谢和生活方式危险因素。未来的研究应考察其他社会人口学变量，包括职业状况、教育程度和种族，以及其他心理社会决定因素，包括与加拿大BC省北部成年男性工作和生活中与T2D和心血管风险状况相关的知识、态度和认知（KAP）。
