Nurse Scientist, Veterans Affairs Long Beach Healthcare System, Tibor Rubin VA Medical Center, 5901 East 7th St., Long Beach, CA 90822, USA.
School of Nursing, University of Texas Medical Branch, Galveston, TX, USA.
Eur J Cardiovasc Nurs. 2021 Aug 20;20(6):565-571. doi: 10.1093/eurjcn/zvaa039.
Lifestyle modifications and healthy behavioural regimens are critical in preventing coronary artery disease (CAD) and other important health conditions. Little is known about the risk for CAD and health behaviour among older adults (>60 years) living in rural areas in the Philippines. Compare risk profiles and health behaviours of Filipinos at low- vs. moderate-to-high-risk for CAD and examine the association between demographic variables, risk profiles, and health behaviours.
A comparative, cross-sectional study was conducted using a convenient sample of 427 Filipinos (≥60 years old). Data on sociodemographic characteristics, risk profiles, and health behaviours (e.g. diet, physical activity, smoking status, and alcohol use) were collected. Ten-year CAD risk was estimated using the non-laboratory-based Framingham algorithm. Of the 427 participants [mean age was 69.2 ± 6.7 years, primarily women (65%), married (52.8%)], 319 (75%) were at low risk, and 108 (25%) were at moderate-to-high-risk for CAD. Filipinos at moderate to high risk were more likely to have cardiometabolic diseases (e.g. hypertension, hyperlipidaemia, diabetes, and obesity, all P's < 0.001). Health behaviours did not differ between the two groups except for the consumption of ≥5 servings of fruit, higher in the low-risk group.
Data showed highly consistent and convergent evidence among older Filipinos living in rural areas at high risk for CAD and other health conditions. These findings underscore the need for culturally sensitive guidance to improve CAD outcomes for moderate to high-risk older adults living in rural areas, including education and counselling on risk and risk-reducing strategies.
生活方式的改变和健康的行为习惯对于预防冠状动脉疾病（CAD）和其他重要健康问题至关重要。然而，对于生活在菲律宾农村地区的老年人（>60 岁），他们患 CAD 的风险以及健康行为的相关信息知之甚少。本研究旨在比较菲律宾低危和中高危 CAD 人群的风险特征和健康行为，并探讨人口统计学变量、风险特征和健康行为之间的关系。
本研究采用便利抽样方法，对 427 名（≥60 岁）菲律宾人进行了一项比较性横断面研究。收集了社会人口统计学特征、风险特征和健康行为（如饮食、体育活动、吸烟状况和饮酒）的数据。使用基于非实验室的 Framingham 算法估算了 10 年 CAD 风险。在 427 名参与者中（平均年龄为 69.2±6.7 岁，主要为女性[65%]，已婚[52.8%]），319 名（75%）为低危人群，108 名（25%）为中高危 CAD 人群。中高危 CAD 人群更有可能患有心血管代谢疾病（如高血压、高脂血症、糖尿病和肥胖症，所有 P 值均<0.001）。两组人群的健康行为没有差异，除了低危组人群摄入≥5 份水果的比例较高。
数据表明，生活在农村地区的高 CAD 风险和其他健康问题的菲律宾老年人具有高度一致和一致的证据。这些发现强调了需要针对中高危农村老年人进行文化敏感性指导，以改善 CAD 结局，包括风险和降低风险策略的教育和咨询。
