Naicker Ashika, Venter Christine S, MacIntyre Una E, Ellis Suria
Department of Food and Nutrition Consumer Sciences, Durban University of Technology, Durban, South Africa.
Centre of Excellence for Nutrition, North-West University, Potchefstroom, South Africa.
J Community Health. 2017 Feb;42(1):122-128. doi: 10.1007/s10900-016-0238-y.
South Africa, burdened with the emerging chronic diseases, is home to one of the largest migrant Indian population, however, little data exists on the risk factors for non-communicable diseases in this population. The aim of this study was to determine the prevalence of yet undiagnosed selected intermediate risk factors for non-communicable diseases among the Indian population in KwaZulu-Natal. We randomly selected 250 apparently healthy Indians, aged 35-55 years, living in KwaDukuza to participate in this study. Clinical and anthropometric measurements were taken under prescribed clinical conditions using Asian cut-off points. Pearson correlations was used to detect associations between anthropometric and clinical risk markers. A large percentage of participants' systolic blood pressure fell within the normal range. Diastolic blood pressure was >85 mmHg for 61 % of the participants and triglyceride levels were >1.69 mmol/L for 89 % of the participants'; 94 % of the women and 87 % of the men were classified as centrally obese. Raised fasting blood glucose was seen in 39 % of participants'. Waist circumference and body mass index showed statistically significant associations with all clinical risk markers except for diastolic blood pressure. Our findings suggest that the use of ethno specific strategies in the management of the disease profile of South African Indians, will enable the South African health system to respond more positively towards the current trend of increased metabolic and physiological risk factors in this community. Moreover, key modifiable behaviours such as increased physical activity and weight reduction may improve most of these metabolic abnormalities.
南非面临着不断出现的慢性病负担,这里是印度移民人口最多的地区之一,然而,关于该人群非传染性疾病风险因素的数据却很少。本研究的目的是确定夸祖鲁 - 纳塔尔省印度人群中尚未诊断出的选定非传染性疾病中间风险因素的患病率。我们随机选择了250名年龄在35 - 55岁之间、居住在夸杜库扎的看似健康的印度人参与本研究。在规定的临床条件下使用亚洲切点进行临床和人体测量。采用皮尔逊相关性分析来检测人体测量和临床风险标志物之间的关联。很大一部分参与者的收缩压处于正常范围内。61%的参与者舒张压>85 mmHg,89%的参与者甘油三酯水平>1.69 mmol/L;94%的女性和87%的男性被归类为中心性肥胖。39%的参与者空腹血糖升高。腰围和体重指数与除舒张压外的所有临床风险标志物均显示出统计学上的显著关联。我们的研究结果表明,在管理南非印度人的疾病状况时采用针对特定种族的策略,将使南非卫生系统能够更积极地应对该社区当前代谢和生理风险因素增加的趋势。此外,增加身体活动和减轻体重等关键的可改变行为可能会改善大多数这些代谢异常情况。