Mahfouz Ahmed A, Shatoor Abdullah S, Hassanein Mervat A, Mohamed Amani, Farheen Aesha
Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha.
J Saudi Heart Assoc. 2012 Apr;24(2):61-7. doi: 10.1016/j.jsha.2011.09.002. Epub 2011 Oct 19.
The objective of this study was to explore gender differences in the prevalence of silent and clinical apparent cardiovascular risk factors among adolescents in Aseer Region, southwestern Saudi Arabia.
A cross-sectional study on a stratified sample of 1869 adolescents was carried out. They were interviewed and examined for weight and height, systolic and diastolic blood pressure using standardized techniques.
The study revealed high prevalence of some potential behavioral and biological cardiovascular diseases (CVD) risk factors among adolescent males and females in the study area. Behavioral risk factors included inadequate low consumption of fruits and vegetables, physical inactivity, and smoking. Physical inactivity was significantly more prevalent among females than males (42.9% and 25.7%, respectively). Smoking was significantly more among females than males (11.8% and 1.3%, respectively). Biological risk factors found were family history of CVD, obesity and high blood pressure. Obesity was significantly prevalent among females (29.4%) compared to males (20.6%). Males had significantly more high blood pressure than females. In logistic regression analysis, being male (aOR = 2.992, 95% CI = 1.933-4.742) and obesity (aOR = 2.995, 95% CI = 2.342-3.991) were found to be significant risk factors in developing high blood pressure among adolescents in the region.
Presence of cardiovascular risk factors among adolescents is a public health problem in the region. There is a need for a national program in the country to prevent and control cardiovascular risk factors among adolescents.
本研究的目的是探讨沙特阿拉伯西南部阿西尔地区青少年中无症状和临床明显心血管危险因素患病率的性别差异。
对1869名青少年的分层样本进行了横断面研究。采用标准化技术对他们进行访谈,并检查体重、身高、收缩压和舒张压。
研究显示,该研究地区青少年男性和女性中存在一些潜在的行为和生物心血管疾病(CVD)危险因素。行为危险因素包括水果和蔬菜摄入量不足、缺乏体育活动和吸烟。女性缺乏体育活动的患病率显著高于男性(分别为42.9%和25.7%)。女性吸烟率显著高于男性(分别为11.8%和1.3%)。发现的生物危险因素有心血管疾病家族史、肥胖和高血压。与男性(20.6%)相比,女性肥胖患病率显著更高(29.4%)。男性高血压患者显著多于女性。在逻辑回归分析中,男性(调整后比值比[aOR]=2.992,95%置信区间[CI]=1.933-4.742)和肥胖(aOR=2.995,95%CI=2.342-3.991)被发现是该地区青少年患高血压的重要危险因素。
青少年中存在心血管危险因素是该地区的一个公共卫生问题。该国需要制定一项全国性计划来预防和控制青少年中的心血管危险因素。