热带沿海厄瓜多尔过渡性农村社区的心脏代谢疾病和相关风险因素
Monsermin Gualan1,2, Irina Chis Ster3, Tatiana Veloz1
1School of Medicine, Universidad Internacional del Ecuador, Quito, Ecuador.
PloS one
|July 18, 2024
概括
糖尿病和高血压等慢性非传染性疾病在厄瓜多尔农村令人惊地普遍存在. 这些发现凸显了过渡期农业社区急需初级卫生战略的迫切需要.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 慢性非传染性疾病 (NCD) 在低收入和中等收入国家正在上升,农村人口的数据有限.
- 人们经常提到城市化,但边缘化农村社区面临着独特的挑战.
- 这项研究研究了过渡性农村社区的心脏代谢疾病.
研究的目的:
- 估计厄瓜多尔农村成年人心脏代谢疾病 (糖尿病,高血压,代谢综合征) 的患病率.
- 为了确定这些条件的相关风险因素.
- 为有针对性的公共卫生干预提供信息.
主要方法:
- 在厄瓜多尔农村地区对1010名蒙图比奥成年人 (18至94岁) 进行横截面研究.
- 通过问卷,人体测量和禁食血液分析 (葡萄糖,HbA1c,脂质) 收集的数据.
- 使用了人口加权流行率和多层次回归分析.
主要成果:
- 流行率估计:糖尿病 (20.4%),高血压 (35.6%),代谢综合征 (54.2%).
- 女性患病率更高;高血压随年龄增长而增加.
- 肥胖指标与所有三种疾病都有显著的关联.
结论:
- 糖尿病,高血压和代谢综合征在边缘化农村社区的意外高患病率.
- 过渡性农村地区容易受到心脏代谢疾病的发展的影响.
- 有针对性的初级卫生战略对于减少疾病负担和死亡率至关重要.
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