期刊论文详细信息
BMC Public Health
Sociodemographic factors associated with multiple cardiovascular risk factors among Malaysian adults
Amal Nasir Mustafa1  Feisul Idzwan Mustafa3  Ahmad Faudzi Yusoff1  Lim Kuang Kuay2  Mala Manickam2  Lim Kuang Hock2  Kee Chee Cheong1  Zamtira Seman1  Sumarni Mohd Ghazali1 
[1] Institute for Medical Research, Kuala Lumpur, Malaysia;Institute for Public Health, Kuala Lumpur, Malaysia;Disease Control Division, Ministry of Health, Kuala Lumpur, Malaysia
关键词: Lifestyle;    Sociodemographic correlates;    Cardiovascular disease;    Prevalence;    Adult;   
Others  :  1121573
DOI  :  10.1186/s12889-015-1432-z
 received in 2014-03-19, accepted in 2015-01-15,  发布年份 2015
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【 摘 要 】

Background

To determine the prevalence and sociodemographic correlates of multiple risk factors for cardiovascular disease (CVD) among Malaysian adults.

Methods

We analysed data on 1044 men and 1528 women, aged 24–64 years, participants in the Non Communicable Disease Surveillance 2005/2006, a nationally representative, population-based, cross-sectional study. Prevalence of obesity, high blood pressure, dyslipidaemia, hyperglycemia, physical inactivity, smoking, risky drinking, low vegetable and fruit intake were determined and multivariable logistic regression was used to identify sociodemographic factors associated with having ≥3 of these cardiovascular disease risk factors.

Results

The response rate was 84.6% (2572/3040). Overall, 68.4% (95% CI: 63.2, 73.1) had at least three risk factors. Among men, older age and Indian ethnicity were independently associated with having ≥3 CVD risk factors; while among women, older age, low education, and housewives were more likely to have ≥3 CVD risk factors.

Conclusion

The prevalence of cardiovascular risk factors clustering among Malaysian adults is high, raising concerns that cardiovascular disease incidence will rise steeply in the near future if no immediate preventive measures are taken. The current national health education and promotion programmes pertaining to modifiable risk factors can be further improved by taking into account the sociodemographic variation in CVD risk factors clustering.

【 授权许可】

   
2015 Ghazali et al.; licensee BioMed Central.

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【 参考文献 】
  • [1]World Health Organization: Global atlas on cardiovascular disease prevention and control: Policies, strategies and interventions. WHO, Geneva; 2011.
  • [2]World Health Organization: World Health Report 2003 - Shaping the future. WHO, Geneva; 2003.
  • [3]Ministry of Health Malaysia: Annual Report 2010. Ministry of Health Malaysia, Putrajaya; 2011.
  • [4]Carlsson AC, Wändell PE, Gigante B, Leander K, Hellenius ML, de Faire U: Seven modifiable lifestyle factors predict reduced risk for ischemic cardiovascular disease and all-cause mortality regardless of body mass index: A cohort study. Int J Cardiol 2013, 168(2):946-52.
  • [5]Pearson TA, Blair SN, Daniels SR, Eckel RH, Fair JM, Fortmann SP, Franklin BA, Goldstein LB, Greenland P, Grundy SM, Hong Y, Miller NH, Lauer RM, Ockene IS, Sacco RL, Sallis JF Jr, Smith SC Jr, Stone NJ, Taubert KA: AHA Guidelines for Primary Prevention of Cardiovascular Disease and Stroke: 2002 Update: Consensus Panel Guide to Comprehensive Risk Reduction for Adult Patients Without Coronary or Other Atherosclerotic Vascular Diseases. American Heart Association Science Advisory and Coordinating Committee. Circulation 2002, 106(3):388-91.
  • [6]Ebrahim S, Montaner D, Lawlor DA: Clustering of risk factors and social class in childhood and adulthood in British women’s heart and health study: cross sectional analysis. BMJ 2004, 328(7444):861.
  • [7]Selvarajah S, Haniff J, Kaur G, Guat Hiong T, Chee Cheong K, Lim CM, Bots ML: Clustering of cardiovascular risk factors in a middle-income country: a call for urgency. Eur J Prev Cardiol 2013, 20(2):368-75.
  • [8]Schuit AJ, van Loon AJ, Tijhuis M, Ocké M: Clustering of lifestyle risk factors in a general adult population. Prev Med 2002, 35(3):219-24.
  • [9]Disease Control Division, Ministry of Health: NCD risk factors in Malaysia. Ministry of Health Malaysia, Putrajaya; 2006.
  • [10]World Health Organization/International Association for the Study of Obesity/International Obesity Task Force: The Asia-Pacific perspective: redefining obesity and its treatment. Available at URL: http://www.wpro.who.int/nutrition/documents/Redefining_obesity/en/ 2000. Accessed: November 1, 2013.
  • [11]O'Brien E, Asmar R, Beilin L, Imai Y, Mallion JM, Mancia G, Bots ML: European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure measurement. J Hypertens 2003, 21(5):821-48.
  • [12]Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, Jones DW, Materson BJ, Oparil S, Wright JT, Roccella EJ: National High Blood Pressure Education Program Coordinating Committee: Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension 2003, 42:1206-52.
  • [13]World Health Organization: The WHO STEPwise approach to chronic disease risk factor surveillance. WHO, Geneva; 2001.
  • [14]Ministry of Health Malaysia: Clinical Practice Guidelines: Management of Dyslipidemia (4th Edition). Ministry of Health Malaysia, Putrajaya; 2011.
  • [15]World Health Organization: Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications: Report of a WHO Consultation. Part 1: Diagnosis and Classification of Diabetes Mellitus. WHO, Geneva; 1999.
  • [16]Global Physical Activity Questionnaire (GPAQ) Analysis Guide. Available at URL: http://www.who.int/chp/steps/resources/GPAQ_Analysis_Guide.pdf. Accessed November 20, 2014.
  • [17]World Health Organization: Guidelines for controlling and monitoring the tobacco epidemic. WHO, Geneva; 1998.
  • [18]Fine LJ, Philogene GS, Gramling R, Coups EJ, Sinha S: Prevalence of multiple chronic disease risk factors: 2001 National Health Interview Survey. Am J Prev Med 2004, 27(Suppl 2):18-24.
  • [19]Gu D, Gupta A, Muntner P, Hu S, Duan X, Chen J, Reynolds RF, Whelton PK, He J: Prevalence of cardiovascular disease risk factor clustering among the adult population of China: Results from the International Collaborative Study of Cardiovascular Disease in Asia (Inter Asia). Circulation 2005, 112(5):658-65.
  • [20]Lim TO, Ding LM, Zaki M, Merican I, Kew ST, Maimunah AH, Rozita HH, Rugayah B: Clustering of hypertension, abnormal glucose tolerance, hypercholesterolaemia and obesity in Malaysian adult population. Med J Malaysia 2000, 55(2):196-208.
  • [21]Lim HK, Ghazali SM, Kee CC, Lim KK, Chan YY, Teh HC, et al. Epidemiology of smoking among Malaysian adult males: prevalence and associated factors. BMC Public Health 2013. [http://www.biomedcentral.com/1471-2458/13/8]
  • [22]Institute for Public Health: The Third National Health and Morbidity Survey (NHMS III) 2006, Vol II. Ministry of Health Malaysia, Kuala Lumpur; 2008.
  • [23]Kee CC, Jamaiyah H, Noor Safiza MN, Khor GL, Suzana S, Jamalludin AR, Rahmah R, Ahmad AZ, Ruzita AT, Wong NF, Ahmad Faudzi Y: Abdominal obesity in Malaysian adults: National Health and Morbidity Survey III (NHMS III, 2006). Malays J Nutr 2008, 14(2):125-35.
  • [24]Mohamud WN, Ismail AA, Sharifuddin A, Ismail IS, Musa KI, Kadir KA, Kamaruddin NA, Yaacob NA, Mustafa N, Ali O, Harnida S, Bebakar WM: Prevalence of metabolic syndrome and its risk factors in adult Malaysians: results of a nationwide survey. Diabetes Res Clin Pract 2011, 91(2):239-45.
  • [25]Misra A, Vikram NK, Gupta R, Pandey RM, Wasir JS, Gupta VP: Waist circumference cutoff points and action levels for Asian Indians for identification of abdominal obesity. Int J Obes 2006, 30(1):106-11.
  • [26]Misra A, Khurana L: Obesity-related non-communicable diseases: South Asians vs White Caucasians. Int J Obes 2011, 35(2):167-87.
  • [27]Jan Mohamed HJ, Mitra AK, Zainuddin LR, Leng SK, Wan Muda WM: Women are at a higher risk of metabolic syndrome in rural Malaysia. Women Health 2013, 53(4):335-48.
  • [28]Kavanagh A, Bentley RJ, Turrell G, Shaw J, Dunstan D, Subramanian SV: Socioeconomic position, gender, health behaviours and biomarkers of cardiovascular disease and diabetes. Soc Sci Med 2010, 71(6):1150-60.
  • [29]Disease Control Division, Ministry of Health: National strategic plan for non communicable diseases: Medium term strategic plan to further strengthen the cardiovascular diseases & diabetes prevention & control program in Malaysia (2010–2014). Ministry of Health Malaysia, Putrajaya; 2010.
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