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安哥拉一家私立三级医疗中心工作人员心血管危险因素的患病率。

Prevalence of cardiovascular risk factors among workers at a private tertiary center in Angola.

作者信息

Paquissi Feliciano Chanana, Manuel Valdano, Manuel Ana, Mateus Guiomar Lote, David Bruna, Béu Gertrudes, Castela Anselmo

机构信息

Department of Medicine.

Cardio-Thoracic Center.

出版信息

Vasc Health Risk Manag. 2016 Dec 14;12:497-503. doi: 10.2147/VHRM.S120735. eCollection 2016.

DOI:10.2147/VHRM.S120735
PMID:28008265
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5167297/
Abstract

BACKGROUND

The burden of cardiovascular diseases (CVD) is increasing in most countries of sub-Saharan Africa. However, as there is a scarcity of data, little is known about CVD in Angola. This study aimed to determine the prevalence of prehypertension, hypertension, prediabetes, diabetes, overweight, and obesity among workers at a private tertiary center in Angola.

METHODS

A cross-sectional study was conducted among 781 workers of Clínica Girassol, a tertiary health care center in Angola, during the month of November 2013. Demographic, anthropometric, and clinical variables were analyzed.

RESULTS

Of the 781 participants studied, 50.44% were males and 78.11% were under 40 years old. The prevalence of hypertension and prehypertension was 17.93% (95% confidence interval [CI]: 15.24%-20.74%) and 54.03% (95% CI: 50.58%-57.62%), respectively. Among hypertensive subjects, 83.57% (117) were unaware of the diagnosis. Hypertension was associated with age (≥40 years) (odds ratio [OR]: 6.21; 95% CI: 4.18-9.24; <0.001) and with overweight and obesity (OR: 2.32; 95% CI: 1.56-3.44; <0.001). The prevalence of diabetes and prediabetes was 2.69% (95% CI: 1.54%-3.97%) and 7.94% (95% CI: 6.02%-9.99%), respectively. The prevalence of overweight was 34.44% (95% CI: 31.11%-37.90%) and 19.85% (95% CI: 17.03%-22.79%) for obesity. There was an association between overweight and obesity and the female sex (OR: 1.71; 95% CI: 1.29-2.28; <0.001). The prevalence of family history of CVD, smoking, and alcoholism was 52.24%, 4.87%, and 45.33%, respectively.

CONCLUSION

There was a high prevalence of cardiovascular risk factors in apparently healthy workers at the private tertiary center in Angola.

摘要

背景

在撒哈拉以南非洲的大多数国家,心血管疾病(CVD)的负担正在增加。然而,由于数据匮乏,人们对安哥拉的心血管疾病知之甚少。本研究旨在确定安哥拉一家私立三级医疗中心工作人员中高血压前期、高血压、糖尿病前期、糖尿病、超重和肥胖的患病率。

方法

2013年11月,对安哥拉一家三级医疗中心吉拉索尔诊所的781名工作人员进行了一项横断面研究。分析了人口统计学、人体测量学和临床变量。

结果

在研究的781名参与者中,50.44%为男性,78.11%年龄在40岁以下。高血压和高血压前期的患病率分别为17.93%(95%置信区间[CI]:15.24%-20.74%)和54.03%(95%CI:50.58%-57.62%)。在高血压患者中,83.57%(117例)未意识到自己的诊断。高血压与年龄(≥40岁)相关(优势比[OR]:6.21;95%CI:4.18-9.24;<0.001),与超重和肥胖相关(OR:2.32;95%CI:1.56-3.44;<0.001)。糖尿病和糖尿病前期的患病率分别为2.69%(95%CI:1.54%-3.97%)和7.94%(95%CI:6.02%-9.99%)。超重的患病率为34.44%(95%CI:31.11%-37.90%),肥胖的患病率为19.85%(95%CI:17.03%-22.79%)。超重和肥胖与女性性别之间存在关联(OR:1.71;95%CI:1.29-2.28;<0.001)。心血管疾病家族史、吸烟和酗酒的患病率分别为52.24%、4.87%和45.33%。

结论

在安哥拉这家私立三级医疗中心表面健康的工作人员中,心血管危险因素的患病率很高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44a8/5167297/0e9997ad927d/vhrm-12-497Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44a8/5167297/4220f9cb8c66/vhrm-12-497Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44a8/5167297/33e6c6fa9bec/vhrm-12-497Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44a8/5167297/0169e4e7df75/vhrm-12-497Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44a8/5167297/0e9997ad927d/vhrm-12-497Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44a8/5167297/4220f9cb8c66/vhrm-12-497Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44a8/5167297/33e6c6fa9bec/vhrm-12-497Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44a8/5167297/0169e4e7df75/vhrm-12-497Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44a8/5167297/0e9997ad927d/vhrm-12-497Fig4.jpg

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