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喀麦隆雅温得一项基于人群的横断面研究:一组撒哈拉以南非洲年轻成年人主要心血管疾病危险因素的流行情况。

Prevalence of major cardiovascular disease risk factors among a group of sub-Saharan African young adults: a population-based cross-sectional study in Yaoundé, Cameroon.

机构信息

Department of Public Health, Faculty of Medicine and Biomedical Sciences of the University of Yaoundé I, Yaoundé, Cameroon

Department for the Control of Disease, Epidemics and Pandemics, Ministry of Public Health, Yaoundé, Cameroon.

出版信息

BMJ Open. 2019 Oct 7;9(10):e029858. doi: 10.1136/bmjopen-2019-029858.

DOI:10.1136/bmjopen-2019-029858
PMID:31594879
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6797357/
Abstract

OBJECTIVE

To determine the prevalence estimates of some major risk factors for cardiovascular disease (CVD) in a young adult-aged population living in Yaoundé, Cameroon.

DESIGN

A cross-sectional study held from May to July 2017.

SETTING

PARTICIPANTS: Students aged 18-35 years, with no known history of CVD, found at the campus during recruitment and who voluntarily agreed to be included in the study.

PRIMARY AND SECONDARY OUTCOME MEASURES

Data were collected on personal and family history as well as lifestyle and nutritional habits; anthropometric parameters and blood pressure were also measured. Prevalence rates were calculated with their respective 95% CI.

RESULTS

Overall, 931 participants (53.8% males) were included, with a median age of 23 years (IQR 21-25). The prevalence estimates for some major CVD risk factors were: 3.1% (95% CI 2.0 to 4.2) for family history of heart attack, 6.3% (95% CI 4.7 to 7.9) for family history of stroke, 26.7% (95% CI 23.9 to 29.5) for hazardous alcohol consumption, 0.9% (95% 0.3 to 1.5) for current tobacco smoking, 27.6% (95% CI 24.7 to 30.5) for secondhand smoking, 88.9% (95% CI 86.9 to 90.9) for physical inactivity, 99.0% (95% CI 98.4 to 99.6) for inadequate fruits and/or vegetables consumption, 39.8% (95% CI 36.7 to 42.9) for self-reported anxiety, 49.2% (95% CI 46.0 to 52.4) for self-reported depression, 22.1% (95% CI 19.4 to 24.8) for overweight, 3.9% (95% CI 2.7 to 5.1) for obesity, 14.4% (95% CI 12.1 to 16.7) for abdominal obesity, 14.5% (95% CI 12.2 to 16.8) for excess body fat mass, 30.0% (95% CI 27.1 to 32.9) for suspected prehypertension and 2.8% (95% CI 1.7 to 3.9) for suspected hypertension.

CONCLUSION

The prevalence of some major CVD risk factors is high among young adults living in Yaoundé, Cameroon. Therefore, specific actions should be undertaken in this population to mitigate the upcoming burden of CVD. Accordingly, younger-aged adult populations should be encouraged and accompanied to practice physical activity, eat healthily, and stop or avoid smoking and/or hazardous alcohol consumption.

摘要

目的

确定喀麦隆雅温得年轻成年人中一些主要心血管疾病(CVD)危险因素的流行率估计值。

设计

2017 年 5 月至 7 月进行的横断面研究。

地点

参与者:在校园内招募的年龄在 18-35 岁之间、无已知 CVD 病史且自愿同意纳入研究的学生。

主要和次要结果

收集了个人和家族史以及生活方式和营养习惯的数据;还测量了人体测量参数和血压。用各自的 95%置信区间计算了患病率。

结果

共有 931 名(53.8%为男性)参与者被纳入研究,中位数年龄为 23 岁(IQR 21-25)。一些主要 CVD 危险因素的患病率估计值如下:心脏病家族史为 3.1%(95%CI 2.0 至 4.2),中风家族史为 6.3%(95%CI 4.7 至 7.9),危险饮酒为 26.7%(95%CI 23.9 至 29.5),当前吸烟为 0.9%(95%CI 0.3 至 1.5),二手烟暴露为 27.6%(95%CI 24.7 至 30.5),身体活动不足为 88.9%(95%CI 86.9 至 90.9),水果和/或蔬菜摄入不足为 99.0%(95%CI 98.4 至 99.6),焦虑自评报告率为 39.8%(95%CI 36.7 至 42.9),抑郁自评报告率为 49.2%(95%CI 46.0 至 52.4),超重率为 22.1%(95%CI 19.4 至 24.8),肥胖率为 3.9%(95%CI 2.7 至 5.1),腹型肥胖率为 14.4%(95%CI 12.1 至 16.7),体脂肪过多率为 14.5%(95%CI 12.2 至 16.8),疑似高血压前期率为 30.0%(95%CI 27.1 至 32.9),疑似高血压率为 2.8%(95%CI 1.7 至 3.9)。

结论

喀麦隆雅温得年轻成年人中一些主要 CVD 危险因素的流行率较高。因此,应在该人群中采取具体行动,减轻即将到来的 CVD 负担。相应地,应鼓励和陪伴年轻成年人进行体育锻炼、健康饮食,并戒烟和/或避免危险饮酒。

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