尼日利亚一个大城市市内商业机动车驾驶员中可改变的心血管疾病危险因素的患病率及聚集情况。

Prevalence and clusters of modifiable cardiovascular disease risk factors among intra-city commercial motor vehicle drivers in a Nigerian metropolitan city.

作者信息

Showande Segun J, Odukoya Ibimolade O

机构信息

Department of Clinical Pharmacy and Pharmacy Administration, Faculty of Pharmacy, University of Ibadan, Ibadan, Nigeria.

出版信息

Ghana Med J. 2020 Jun;54(2):100-109. doi: 10.4314/gmj.v54i2.8.

DOI:10.4314/gmj.v54i2.8

PMID:33536680

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7829044/

Abstract

BACKGROUND

Commercial motor vehicle drivers (CMVDs) have worst health profiles among different occupations, yet the presence of clusters of cardiovascular disease (CVD) risk factors in this group have not been described in a resource-limited setting.

OBJECTIVES

The prevalence of CVD risk factors and the clusters among CMVDs was evaluated.

DESIGN

A cross-sectional descriptive study.

SETTING

Four motor parks in three local government areas of Ibadan city, Nigeria.

PARTICIPANTS

Consented and conveniently sampled 152 intra-city CMVDs aged ≥ 18 years.

MAIN OUTCOME MEASURES

Prevalence of CVD risk factors (hypertension, diabetes, high triglyceride, low HDLc, high waist-hip ratio, central obesity, physical inactivity, smoking, alcohol, and overweight/obesity) and their clusters were determined.

RESULTS

All participants were male from 20 - 77 years old. Most of the CMVDs were physically inactive (80, 52.6%), take alcohol (78, 51.3%), and few smokes (35, 12.4%). The prevalence of hypertension, diabetes, hypertriglyceridemia, obesity, and central obesity were 36.2%, 5.9%, 23.7%, 4.6%, and 5.3%, respectively. Four clusters of CVD risk factors in the CMVDs with the prevalence of 36.2%. 33.5%, 17.1% and 13.2% were identified with significant differences (p<0.05) in the risk factors.

CONCLUSION

The prevalence of diabetes, obesity, central obesity, and smoking was low while the prevalence of hypertension and hypertriglyceridemia was moderate among the CMVDs, but the prevalence of alcohol intake and physical inactivity were high. Four distinct clusters of CVD risk factors were observed among the drivers.

FUNDING

The study was self-funded.

摘要

背景

商用机动车驾驶员（CMVDs）在不同职业中健康状况最差，但在资源有限的环境中，该群体中心血管疾病（CVD）风险因素聚集的情况尚未得到描述。

目的

评估CMVDs中CVD风险因素及其聚集情况的患病率。

设计

一项横断面描述性研究。

地点

尼日利亚伊巴丹市三个地方政府区域的四个汽车停车场。

参与者

152名年龄≥18岁的城内CMVDs，经同意并方便抽样。

主要观察指标

确定CVD风险因素（高血压、糖尿病、高甘油三酯、低高密度脂蛋白胆固醇、高腰臀比、中心性肥胖、身体活动不足、吸烟、饮酒以及超重/肥胖）的患病率及其聚集情况。

结果

所有参与者均为20至77岁的男性。大多数CMVDs身体活动不足（80人，52.6%）、饮酒（78人，51.3%），少数吸烟（35人，12.4%）。高血压、糖尿病、高甘油三酯血症、肥胖和中心性肥胖的患病率分别为36.2%、5.9%、23.7%、4.6%和5.3%。在CMVDs中识别出四组CVD风险因素聚集，患病率分别为36.2%、33.5%、17.1%和13.2%，各风险因素存在显著差异（p<0.05）。