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埃塞俄比亚北部一个地区城市的公务员中的非传染性疾病风险因素概况。

Non-communicable disease risk factor profile among public employees in a regional city in northern Ethiopia.

机构信息

Department of Public Health and Health Systems, Nagoya University School of Medicine, Nagoya, Japan.

Department of Public Health, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.

出版信息

Sci Rep. 2018 Jun 18;8(1):9298. doi: 10.1038/s41598-018-27519-6.

Abstract

The burden of non-communicable diseases (NCDs) is increasing in Ethiopia. This study aims to describe the prevalence of NCD risk factors of public employees in a regional city in northern Ethiopia. We conducted a cross-sectional epidemiological study targeting men and women aged 25-64 years employed by public offices in Mekelle. The prevalence was age-standardized to the Ethiopian 2007 population. Among the 1380 subjects (823 men and 557 women), 68.7% had less than 1 serving of fruits and vegetables per day, 41.0% were physically inactive, and 57.3% observed religious fast. The age-standardised prevalence of abdominal obesity was 29.3% in men and 58.5% in women, but that of metabolic syndrome was comparable between men (39.2%) and women (39.0%). The prevalence of diabetes was underestimated if only fasting blood glucose (FBG) was used for the diagnosis compared to combination of FBG and glycated haemoglobin (HbA1c) (6.7% in men and 3.8% in women vs. 12.1% in men and 5.6% in women). More than a quarter (26.1%) of men and 8.7% of women had estimated 10-year risk of cardiovascular disease of 10% or more. This study revealed the high prevalence of NCD metabolic risk factors among the urban public employees in the highland of Ethiopia.

摘要

在埃塞俄比亚,非传染性疾病(NCD)的负担正在增加。本研究旨在描述埃塞俄比亚北部一个地区城市的公共部门雇员的 NCD 风险因素的流行情况。我们对年龄在 25-64 岁之间的公共部门男女雇员进行了一项横断面的流行病学研究。流行率按埃塞俄比亚 2007 年人口进行了年龄标准化。在 1380 名受试者(823 名男性和 557 名女性)中,68.7%的人每天食用不到 1 份水果和蔬菜,41.0%的人身体活动不足,57.3%的人遵守宗教斋戒。男性的腹型肥胖的年龄标准化患病率为 29.3%,女性为 58.5%,但男性和女性的代谢综合征患病率相当(男性为 39.2%,女性为 39.0%)。如果仅使用空腹血糖(FBG)进行诊断,那么糖尿病的患病率会被低估,与 FBG 和糖化血红蛋白(HbA1c)相结合的诊断方法(男性为 6.7%,女性为 3.8%;男性为 12.1%,女性为 5.6%)相比。超过四分之一(26.1%)的男性和 8.7%的女性估计 10 年内发生心血管疾病的风险为 10%或更高。本研究揭示了埃塞俄比亚高地城市公共部门雇员中 NCD 代谢风险因素的高流行率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd82/6006379/2d5c26702b9d/41598_2018_27519_Fig1_HTML.jpg

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