Nelson F, Nyarko K M, Binka F N
Pharmacy Department, Korle Bu Teaching Hospital, P. O. Box KB 77, Korle-Bu, Accra, Ghana.
Department of Epidemiology and Disease Control, School of Public Health, P. O. Box 13, Legon, Accra, Accra, Ghana.
Ghana Med J. 2015 Mar;49(1):12-8. doi: 10.4314/gmj.v49i1.3.
The risk factors of Noncommunicable diseases (NCDs) are not routinely monitored, especially among populace reporting to hospitals to detect and also advise on preventive measures, a key strategy to reducing the impact of NCDs on the Health Care System and population.
A cross-sectional survey was carried out between the months of May and June, 2010 among a sample representative of the medical and surgical out-patients population to determine the prevalence of certain risk factors of non-communicable diseases (NCDs). Participants (n = 230) were selected by systematic random sampling. Standardised international protocols were used to measure the prevalence of smoking, alcohol consumption, physical inactivity, obesity, raised blood pressure, raised blood glucose and total cholesterol.
The obesity level of the study population was 40.4% with 54% being overweight. Tobacco use among the respondents was 4.8%. Alcohol consumption was 64.8%, with 54.3% of the study population being physically inactive. Almost 48%and 70.9% of the participants consumed fruits and vegetables respectively, at least three days in a week. The prevalence of hypertension was 33.6% for men and 35.2% for women. The prevalence of raised glucose and total blood cholesterol level among the study population was 6.5%. Almost 62% of the participants had a combination of three or more risk factors.
The prevalence of the significant risk factors in this study were physical inactivity (54.3%), alcohol consumption (64.8%), overweight (54%), obesity (40.4%) and raised blood pressure (34.3%). Hospitals should therefore include NCD risk factor monitoring as part of routine services.
非传染性疾病(NCDs)的风险因素未得到常规监测,尤其是在前往医院就诊以进行检测并获取预防措施建议的人群中,而这是减少非传染性疾病对医疗保健系统和人群影响的关键策略。
于2010年5月至6月期间,对具有内外科门诊患者代表性的样本进行了一项横断面调查,以确定某些非传染性疾病风险因素的患病率。通过系统随机抽样选取了230名参与者。采用标准化国际方案来测量吸烟、饮酒、身体活动不足、肥胖、血压升高、血糖升高和总胆固醇的患病率。
研究人群的肥胖率为40.4%,超重率为54%。受访者中的吸烟率为4.8%。饮酒率为64.8%,54.3%的研究人群身体活动不足。近48%和70.9%的参与者分别每周至少有三天食用水果和蔬菜。男性高血压患病率为33.6%,女性为35.2%。研究人群中血糖升高和总胆固醇水平升高的患病率为6.5%。近62%的参与者存在三种或更多风险因素的组合。
本研究中显著风险因素的患病率依次为身体活动不足(54.3%)、饮酒(64.8%)、超重(54%)、肥胖(40.4%)和血压升高(34.3%)。因此,医院应将非传染性疾病风险因素监测纳入常规服务的一部分。