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Prevalence of hypertension, diabetes and obesity: baseline findings of a population based survey in four provinces in Sri Lanka.

Abstract

OBJECTIVE

To determine the prevalence of selected cardiovascular risk factors in adult Sri Lankan population in four provinces.

DESIGN

Cross-sectional, based on a stratified cluster sampling method.

SETTINGS

Four provinces, namely the Western, North Central, Southern and Uva.

PATIENTS

Six thousand and forty seven participants (2692 men) between the age of 30 and 65 years were surveyed.

MEASUREMENTS

Risk factors measured included height, weight, waist and hip circumference. Waist to hip ratio and body mass index were calculated, and overweight (23 kg/m2) and obesity (> or = 25 kg/m2) determined. Hypertension (systolic blood pressure > or = 140 mmHg or diastolic blood pressure > or = 90 mmHg or use of anti-hypertensive medications), and diabetes mellitus (fasting serum plasma glucose level > or = 7 mmol/L or use of anti-diabetic medications) and impaired fasting glycaemia (> or = 6.1 to < 7 mmol/L) were also determined.

RESULTS

The prevalence of hypertension as defined was 18.8% (CI 14.5-23.1) for men and 19.3% (CI 12.2-26.4) for women. The prevalence of diabetes was 14.2% (CI 11.9-16.5) for men and 13.5% (CI 6.9-20.1) for women while impaired fasting glycaemia was 14.2% for men and 14.1% for women. The mean body mass index was 21.5 kg/m2 (SD = 3.7) in men. It was lower than that in women, 23.3 kg/m2 (SD = 4.5). The prevalence of obesity was 20.3% in men and 36.5 % in women. Regional differences were seen in the mean fasting blood glucose and prevalence of diabetes, and mean BMI and prevalence of obesity were highest in Western province. Mean blood pressure and prevalence of hypertension were highest in the Uva Province. Southern Province had the lowest prevalence of hypertension and diabetes, and North Central Province had lowest anthropometric measures of obesity.

CONCLUSIONS

The prevalence of the selected cardiovascular risk factors is common in the adult Sri Lankan population surveyed. Regional differences exist in the prevalence of these risk factors. The prevalence of high level of risk factors requires urgent public health action.

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Authors+Show Affiliations

,

Department of Community Medicine, Faculty of Medicine, University of Sri Jayewardenepura, Nugegoda, Sri Lanka. rashmid@sltnet.lk

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Source

The Ceylon medical journal 50:2 2005 Jun pg 62-70

MeSH

Adult
Age Distribution
Aged
Cardiovascular Diseases
Cross-Sectional Studies
Diabetes Mellitus
Female
Humans
Hypertension
Male
Middle Aged
Obesity
Prevalence
Risk Factors
Socioeconomic Factors
Sri Lanka

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16114771

Citation

Wijewardene, K, et al. "Prevalence of Hypertension, Diabetes and Obesity: Baseline Findings of a Population Based Survey in Four Provinces in Sri Lanka." The Ceylon Medical Journal, vol. 50, no. 2, 2005, pp. 62-70.
Wijewardene K, Mohideen MR, Mendis S, et al. Prevalence of hypertension, diabetes and obesity: baseline findings of a population based survey in four provinces in Sri Lanka. Ceylon Med J. 2005;50(2):62-70.
Wijewardene, K., Mohideen, M. R., Mendis, S., Fernando, D. S., Kulathilaka, T., Weerasekara, D., & Uluwitta, P. (2005). Prevalence of hypertension, diabetes and obesity: baseline findings of a population based survey in four provinces in Sri Lanka. The Ceylon Medical Journal, 50(2), pp. 62-70.
Wijewardene K, et al. Prevalence of Hypertension, Diabetes and Obesity: Baseline Findings of a Population Based Survey in Four Provinces in Sri Lanka. Ceylon Med J. 2005;50(2):62-70. PubMed PMID: 16114771.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of hypertension, diabetes and obesity: baseline findings of a population based survey in four provinces in Sri Lanka. AU - Wijewardene,K, AU - Mohideen,M R, AU - Mendis,S, AU - Fernando,D S, AU - Kulathilaka,T, AU - Weerasekara,D, AU - Uluwitta,P, PY - 2005/8/24/pubmed PY - 2005/9/15/medline PY - 2005/8/24/entrez SP - 62 EP - 70 JF - The Ceylon medical journal JO - Ceylon Med J VL - 50 IS - 2 N2 - OBJECTIVE: To determine the prevalence of selected cardiovascular risk factors in adult Sri Lankan population in four provinces. DESIGN: Cross-sectional, based on a stratified cluster sampling method. SETTINGS: Four provinces, namely the Western, North Central, Southern and Uva. PATIENTS: Six thousand and forty seven participants (2692 men) between the age of 30 and 65 years were surveyed. MEASUREMENTS: Risk factors measured included height, weight, waist and hip circumference. Waist to hip ratio and body mass index were calculated, and overweight (23 kg/m2) and obesity (> or = 25 kg/m2) determined. Hypertension (systolic blood pressure > or = 140 mmHg or diastolic blood pressure > or = 90 mmHg or use of anti-hypertensive medications), and diabetes mellitus (fasting serum plasma glucose level > or = 7 mmol/L or use of anti-diabetic medications) and impaired fasting glycaemia (> or = 6.1 to < 7 mmol/L) were also determined. RESULTS: The prevalence of hypertension as defined was 18.8% (CI 14.5-23.1) for men and 19.3% (CI 12.2-26.4) for women. The prevalence of diabetes was 14.2% (CI 11.9-16.5) for men and 13.5% (CI 6.9-20.1) for women while impaired fasting glycaemia was 14.2% for men and 14.1% for women. The mean body mass index was 21.5 kg/m2 (SD = 3.7) in men. It was lower than that in women, 23.3 kg/m2 (SD = 4.5). The prevalence of obesity was 20.3% in men and 36.5 % in women. Regional differences were seen in the mean fasting blood glucose and prevalence of diabetes, and mean BMI and prevalence of obesity were highest in Western province. Mean blood pressure and prevalence of hypertension were highest in the Uva Province. Southern Province had the lowest prevalence of hypertension and diabetes, and North Central Province had lowest anthropometric measures of obesity. CONCLUSIONS: The prevalence of the selected cardiovascular risk factors is common in the adult Sri Lankan population surveyed. Regional differences exist in the prevalence of these risk factors. The prevalence of high level of risk factors requires urgent public health action. SN - 0009-0875 UR - https://www.unboundmedicine.com/medline/citation/16114771/Prevalence_of_hypertension_diabetes_and_obesity:_baseline_findings_of_a_population_based_survey_in_four_provinces_in_Sri_Lanka_ L2 - http://www.diseaseinfosearch.org/result/2236 DB - PRIME DP - Unbound Medicine ER -