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埃塞俄比亚东部成年糖尿病患者的心血管疾病风险因素

Cardiovascular diseases risk factors among adult diabetic patients in eastern Ethiopia.

作者信息

Abdosh Tekabe, Weldegebreal Fitsum, Teklemariam Zelalem, Mitiku Habtamu

机构信息

School of Medicine, Haramaya University, College of Health and Medical Sciences, Harar, Ethiopia.

Department of Medical Laboratory Sciences, Haramaya University, College of Health and Medical Sciences, Harar, Ethiopia.

出版信息

JRSM Cardiovasc Dis. 2019 Sep 4;8:2048004019874989. doi: 10.1177/2048004019874989. eCollection 2019 Jan-Dec.

Abstract

OBJECTIVE

The aim of this study was to determine the magnitude of cardiovascular disease risk factors among adult diabetic patients at Hiwot Fana Specialized University Hospital and Jugal Hospital, eastern Ethiopia.

METHODS

An institutional based cross sectional study was conducted on a total of 416 study participants (age ≥18 years) from February to March 2017. Data were collected using: structured questionnaires, measurements of weight, height, and blood pressure, and laboratory examination of blood lipids (total cholesterol, triglycerides, low-density lipoprotein, and high-density lipoprotein cholesterol) and fasting blood glucose. Data were analyzed using SPSS version 16.0 software packages. The association of cardiovascular disease risk factors with diabetes type, age, and sex was assessed by chi-square test.

RESULT

The mean age of study participants was 52 years and 44% were male. Dyslipidemia (90.6%), physical inactivity (76%), and hypertension (62.7%) were the most common cardiovascular disease risks factors identified among diabetic patients. It was also observed that 68.5% of the study participants had uncontrolled blood glucose level. Hypertension was significant in patients over 65 compared to those ≤65 years of age (p < 0.023). Females were considered to be significantly physically inactive compared to males (p < 0.001).

CONCLUSION

Dyslipidemia is the most common risk factor of CVD in individuals with Types 1 and 2 diabetes mellitus. Identification and treatment of lipid abnormalities is very important. Controlling hypertension among older patients and lifestyle modification among female diabetic patients are also recommended.

摘要

目的

本研究旨在确定埃塞俄比亚东部希沃特·法纳专科医院和朱加尔医院成年糖尿病患者心血管疾病风险因素的程度。

方法

2017年2月至3月,对416名研究参与者(年龄≥18岁)进行了一项基于机构的横断面研究。使用以下方法收集数据:结构化问卷、体重、身高和血压测量,以及血脂(总胆固醇、甘油三酯、低密度脂蛋白和高密度脂蛋白胆固醇)和空腹血糖的实验室检查。使用SPSS 16.0软件包对数据进行分析。通过卡方检验评估心血管疾病风险因素与糖尿病类型、年龄和性别的关联。

结果

研究参与者的平均年龄为52岁,44%为男性。血脂异常(90.6%)、身体活动不足(76%)和高血压(62.7%)是糖尿病患者中最常见的心血管疾病风险因素。还观察到68.5%的研究参与者血糖水平未得到控制。与65岁及以下患者相比,65岁以上患者的高血压更为显著(p < 0.023)。与男性相比,女性被认为身体活动明显不足(p < 0.001)。

结论

血脂异常是1型和2型糖尿病患者心血管疾病最常见的风险因素。识别和治疗脂质异常非常重要。还建议控制老年患者的高血压,并对女性糖尿病患者进行生活方式干预。

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