Department of Nursing, Kobe University Graduate School of Health Sciences, Kobe, Japan.
City Health Department of Muntinlupa, Manila, Philippines.
Medicine (Baltimore). 2021 Apr 9;100(14):e25082. doi: 10.1097/MD.0000000000025082.
Noncommunicable diseases (NCDs) are an important cause of disability and death in Muntinlupa, Manila, Philippines. However, there is little community-based research on lifestyle behaviors that affect the progression of NCDs or on the hindrances to NCD prevention.This cross-sectional study investigated the lifestyle behaviors associated with the progression and prevalence of NCDs and clarified factors associated with health promotion for the NCDs prevention among 168 Filipino adults aged 50 years and above in the community setting.The prevalence of diabetes, cardiovascular disease, cancer, chronic respiratory disease, hypertension, and overweight/obesity found 13.1%, 8.9%, 1.8%, 4.2%, 59.5%, and 36.9%, respectively. Of 63 adults who underwent blood tests, high blood glucose and abnormal lipids found 20.6% and 80.9%, respectively. Filipino adults ate breakfast, lunch, and dinner more than 5 days a week, Merienda 4.2 days a week, and a midnight snack 1.7 days a week. The mean frequencies of physical activity at vigorous, moderate, and light intensity levels were 2.6 times a week, 1.9 times a week, and 3.8 times a week, respectively. Men were more likely to be smokers than women. Mean frequencies of alcohol consumption were 0.6 days a week. Filipino adults who practiced diet control, regular physical activities, no smoking, limited alcohol intake, stress control, and regular health checkups were 68.3%, 34.1%, 35.9%, 35.3%, 32.9%, and 24.6%, respectively. Hypertension was positively associated with the duration of tobacco use and frequency of salt intake. Overweight/obesity was positively associated with the frequency of Merienda. Diet control was positively related with internal Multidimensional Health Locus of Control scale. Smoking and alcohol control were significantly related with income level.Community-dwelling Filipino adults in this study had a high prevalence of NCD progression and insufficient awareness of preventative behaviors. Diet control is associated with self-awareness of health and smoking and alcohol control are associated with economic status. These findings ought to contribute to develop the effective strategies for NCD prevention in community-dwelling Filipino adults.
在菲律宾马尼拉的蒙廷卢帕,非传染性疾病(NCD)是导致残疾和死亡的一个重要原因。然而,针对影响 NCD 进展的生活方式行为或针对 NCD 预防障碍的社区为基础的研究甚少。本横断面研究调查了与 NCD 进展和流行相关的生活方式行为,并阐明了与社区中老年菲律宾成年人 NCD 预防健康促进相关的因素。在社区环境中,共有 168 名年龄在 50 岁及以上的菲律宾成年人参与了这项研究。研究发现,糖尿病、心血管疾病、癌症、慢性呼吸道疾病、高血压和超重/肥胖的患病率分别为 13.1%、8.9%、1.8%、4.2%、59.5%和 36.9%。在接受血液检查的 63 名成年人中,高血糖和异常血脂的检出率分别为 20.6%和 80.9%。菲律宾成年人每周超过 5 天吃早餐、午餐和晚餐,每周 4.2 天吃午后点心,每周 1.7 天吃夜宵。剧烈、适度和轻度运动的平均频率分别为每周 2.6 次、每周 1.9 次和每周 3.8 次。男性比女性更有可能吸烟。每周饮酒的平均频率为 0.6 天。菲律宾成年人中,进行饮食控制、定期进行体育活动、不吸烟、限制饮酒、控制压力和定期进行健康检查的比例分别为 68.3%、34.1%、35.9%、35.3%、32.9%和 24.6%。高血压与吸烟时间和盐摄入量的频率呈正相关。超重/肥胖与午后点心的频率呈正相关。饮食控制与内部多维健康控制源量表呈正相关。吸烟和饮酒控制与收入水平显著相关。本研究中,社区居住的菲律宾成年人 NCD 进展患病率较高,对预防行为的认识不足。饮食控制与对健康的自我意识有关,而吸烟和饮酒控制与经济状况有关。这些发现应该有助于为社区居住的菲律宾成年人制定有效的 NCD 预防策略。