Joseph-Shehu Elizabeth M, Ncama Busisiwe P
School of Nursing and Public Health, Postgraduate Office, Ground Floor, George Campbell Building, Howard College Campus, University of KwaZulu-Natal, Durban, South Africa.
Department of Nursing Science, Faculty of Health Sciences, National Open University of Nigeria, Abuja, Nigeria.
BMC Cardiovasc Disord. 2018 Sep 20;18(1):183. doi: 10.1186/s12872-018-0918-x.
Hypertension, diabetes mellitus and obesity share some characteristics in relation to diagnosis, management, and prevention. Overweight, obesity and waist-hip ratio (WHR) are associated with increased risk for development of diabetes and hypertension. Surveillance and regular screening exercises are essential in control and prevention of overweight, obesity, diabetes and hypertension. There is limited literature that reported on these health status parameters among university staff in low- and middle-income countries such as Nigeria. It is currently unclear whether Nigerian have a high or low proportion of metabolic risk factors. Therefore, the study aims to examine health status parameters and their predictors among university staff in Nigeria.
The study used a cross-sectional descriptive design. Data were collected from 280 university staff in Nigeria. A self-administered questionnaire with sections for sociodemographic data and physical assessment was used to gather information from the participants. Data were analysed using the Statistical Package for Social Science (IBM-SPSS version 25). Univariable and multivariable logistic regression was conducted to explore the association between predictors and health status parameters of the participants.
The response rate was 87.5%. University staff had mean systolic blood pressure of 132.04 mmHg ± 19.20 mmHg, diastolic blood pressure of 78.11 mmHg ± 10.81 mmHg, body mass index of 27.74 ± 5.22, waist-hip ratio of 0.88 ± 0.68 and random blood sugar of 98.65 ± 21.30 mg/dL. Predictors of high blood pressure were age (adjusted odds ratio [aOR] = 1.10, CI 95%: [1.05-1.14]) and gender (aOR = 0.5, CI 95%: [0.8-0.9]) and predictors of body mass index were gender (aOR = 2.3, CI 95%: [1.3-4.2]) and religion (aOR = 0.3, CI 95%: [0.2-0.7]). Gender and age had statistically significant association with waist-hip ratio and random blood sugar respectively.
The prevalence rates of high blood pressure and random blood sugar; overweight, obesity and risk WHR are on the increase compared to previous studies. Lifestyle modification, organized and explicit health campaigns coupled with regular screening and surveillance will contribute to the prevention and control of noncommunicable diseases.
高血压、糖尿病和肥胖在诊断、管理及预防方面存在一些共同特征。超重、肥胖及腰臀比(WHR)与患糖尿病和高血压风险增加相关。监测和定期筛查对于控制和预防超重、肥胖、糖尿病及高血压至关重要。在尼日利亚等低收入和中等收入国家,关于大学教职工这些健康状况参数的文献报道有限。目前尚不清楚尼日利亚人代谢危险因素的比例是高还是低。因此,本研究旨在调查尼日利亚大学教职工的健康状况参数及其预测因素。
本研究采用横断面描述性设计。从尼日利亚的280名大学教职工收集数据。使用一份包含社会人口学数据和身体评估部分的自填式问卷从参与者中收集信息。数据使用社会科学统计软件包(IBM-SPSS 25版)进行分析。进行单变量和多变量逻辑回归以探讨预测因素与参与者健康状况参数之间的关联。
应答率为87.5%。大学教职工的平均收缩压为132.04 mmHg ± 19.20 mmHg,舒张压为78.11 mmHg ± 10.81 mmHg,体重指数为27.74 ± 5.22,腰臀比为0.88 ± 0.68,随机血糖为98.65 ± 21.30 mg/dL。高血压的预测因素为年龄(调整优势比[aOR]=1.10,95%置信区间[CI]:[1.05 - 1.14])和性别(aOR = 0.5,95% CI:[0.8 - 0.9]),体重指数的预测因素为性别(aOR = 2.3,95% CI:[1.3 - 4.2])和宗教信仰(aOR = 0.3,95% CI:[0.2 - 0.7])。性别和年龄分别与腰臀比和随机血糖存在统计学显著关联。
与以往研究相比,高血压和随机血糖、超重、肥胖及风险腰臀比的患病率呈上升趋势。改变生活方式、开展有组织且明确的健康宣传活动以及定期筛查和监测将有助于预防和控制非传染性疾病。