Sison Olivia, Castillo-Carandang Nina, Ann Ladia Mary, Sy Rody, Eduardo Punzalan Felix, Jasper Llanes Elmer, Ferdinand Reganit Paul, Velandria Felicidad, Allan Gumatay Wilbert
Institute of Clinical Epidemiology, National Institutes of Health, University of the Philippines Manila.
Department of Clinical Epidemiology, College of Medicine, University of the Philippines Manila.
J ASEAN Fed Endocr Soc. 2019;34(2):171-179. doi: 10.15605/jafes.034.02.08. Epub 2019 Nov 10.
This study aimed to estimate the prevalence of cardiovascular risk factors and metabolic syndrome among community health workers (CHWs) in selected villages in the Philippines. It also determined the association of urbanization and socio-demographic characteristics with hypertension, diabetes mellitus and metabolic syndrome among CHWs.
A cross-sectional study was conducted among CHWs who were actively rendering service from selected communities at the time of the study. Standardized interviews were conducted and clinical measurements were collected.
Of the total of 457 CHWs who participated, 96% were females with a median age of 50 years. The prevalence of hypertension in this population was 32.4%. Hypertension was found to be associated with older age [adjusted odds ratio (aOR) 5.3, 95% CI: 3.2 to 8.8, p<0.001], obesity (aOR 2.4, 95% CI: 1.4 to 4.0, =0.002) and alcohol consumption (aOR 1.7, 95% CI: 1.0 to 3.0, <0.040). The prevalence of diabetes mellitus (DM) was 13.6%. It was found to be more prevalent among CHWs who were at least 50 years old (aOR 2.7, 95% CI: 1.4 to 5.1, =0.002), and those who spent at least 5 hours a day in sedentary activities (aOR 3.8, 95% CI: 1.1 to 12.7, <0.033). Borderline to high total cholesterol, low density lipoprotein cholesterol (LDL-c) and triglycerides (TG) were seen in 41%, 37% and 20%, respectively. Sixty percent had low high density lipoprotein cholesterol (LDL-c). The overall prevalence of metabolic syndrome was 52.3%.
Metabolic syndrome is prevalent among CHW participants, with obesity, hypertension and low LDL-c as the most common components present. The prevalence of cardiovascular risk factors in this population was not found to be significantly different between rural and urban areas after adjusting for other factors.
本研究旨在估计菲律宾部分村庄社区卫生工作者（CHW）中心血管危险因素和代谢综合征的患病率。研究还确定了城市化及社会人口学特征与CHW中高血压、糖尿病和代谢综合征之间的关联。
对研究期间在选定社区积极提供服务的CHW进行横断面研究。进行标准化访谈并收集临床测量数据。
在参与研究的457名CHW中，96%为女性，中位年龄为50岁。该人群中高血压患病率为32.4%。发现高血压与年龄较大[调整优势比（aOR）5.3，95%可信区间（CI）：3.2至8.8，p<0.001]、肥胖（aOR 2.4，95%CI：1.4至4.0，p=0.002）和饮酒（aOR 1.7，95%CI：1.0至3.0，p<0.040）相关。糖尿病（DM）患病率为13.6%。发现其在年龄至少50岁（aOR 2.7，95%CI：1.4至5.1，p=0.002）以及每天至少有5小时久坐活动（aOR 3.8，95%CI：1.1至12.7，p<0.033）的CHW中更为普遍。分别有41%、37%和20%的人总胆固醇、低密度脂蛋白胆固醇（LDL-c）和甘油三酯（TG）处于临界至高水平。60%的人高密度脂蛋白胆固醇（HDL-c）水平较低。代谢综合征的总体患病率为52.3%。
代谢综合征在CHW参与者中普遍存在，肥胖、高血压和低LDL-c是最常见的组成部分。在调整其他因素后，该人群中心血管危险因素的患病率在农村和城市地区未发现显著差异。
