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The prevalence and distribution of non-communicable diseases and their risk factors in Kasese district, Uganda.

Mondo CK, Otim MA, Akol G, Musoke R, Orem J - Cardiovasc J Afr (2013)

Bottom Line: Thirty-one per cent of females had fasting blood sugar levels (FBS) ≥ 6.1 mmol/l while 10% of males had FBS > 6.1 mmol/l.This study presents evidence on the magnitude of NCDs, their risk factors and gender distribution in a rural population in Uganda, a poor country in east-central Africa.These data, when combined with urban population data, could be useful in the formulation and advocacy of NCD policy and plans of action in Uganda.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda. do2011@gmail.com

ABSTRACT

Background: To date there has been no population-based survey of the major risk factors for non-communicable diseases (NCD) in Uganda. Hospital-based data from urban centres report an increasing burden of NCDs in Uganda. This population-based survey aimed to describe the prevalence of risk factors for NCDs in a rural Ugandan district.

Methods: The survey was conducted using the WHO STEPwise approach to surveillance of non-communicable diseases (STEPS) methodology. Participants (n = 611) were residents of the Kasese district selected in a one-step, complete survey of a rural district. Standardised international protocols were used to record history of disease, and measure behavioural risk factors (smoking, alcohol consumption, fruit and vegetable consumption, physical activity), physical characteristics [weight, height, waist and hip circumferences, blood pressure (BP)], fasting blood glucose (BG) and total cholesterol (TC) levels. Data were analysed using simple descriptive analysis.

Results: In this sample, the prevalence of hypertension (systolic BP ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg) was 22.1% for men and 20.5% for women. Fifteen per cent of men and 16.8% of women were overweight [body mass index (BMI) ≥ 25 kg/m(2)] and 4.9% of men and 9.0% of women were obese (BMI ≥ 30 kg/m(2)). Nine per cent of participants were diabetic, 7.2% ate five or more combined servings of fruit per day while only 1.2% ate five or more combined servings of vegetables per day. Fifty-one per cent of the population were physically inactive and 9.6% were daily smokers. Thirty-one per cent of females had fasting blood sugar levels (FBS) ≥ 6.1 mmol/l while 10% of males had FBS > 6.1 mmol/l.

Conclusion: This study presents evidence on the magnitude of NCDs, their risk factors and gender distribution in a rural population in Uganda, a poor country in east-central Africa. These data, when combined with urban population data, could be useful in the formulation and advocacy of NCD policy and plans of action in Uganda.

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Systolic and diastolic BP; 21% of the population had SBP ≥ 140 mmHg; 18% had DBP ≥ 90 mmHg.
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Figure 3: Systolic and diastolic BP; 21% of the population had SBP ≥ 140 mmHg; 18% had DBP ≥ 90 mmHg.

Mentions: Sixteen per cent of females and 11% of males were told by the doctor that they had hypertension, while only 8% of females and 7% of males with diagnosed hypertension were currently on medication for hypertension (Fig. 2). Twenty per cent of females had SBP ≥ 140 mmHg and 20% had DBP ≥ 90 mmHg; while 22% of males had SBP ≥ 140 mmHg and 17% had DBP ≥ 90 mmHg (Fig. 3). There was no statistical difference between the genders (SBP, p = 0.758; DBP, p = 0.503).


The prevalence and distribution of non-communicable diseases and their risk factors in Kasese district, Uganda.

Mondo CK, Otim MA, Akol G, Musoke R, Orem J - Cardiovasc J Afr (2013)

Systolic and diastolic BP; 21% of the population had SBP ≥ 140 mmHg; 18% had DBP ≥ 90 mmHg.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3721879&req=5

Figure 3: Systolic and diastolic BP; 21% of the population had SBP ≥ 140 mmHg; 18% had DBP ≥ 90 mmHg.
Mentions: Sixteen per cent of females and 11% of males were told by the doctor that they had hypertension, while only 8% of females and 7% of males with diagnosed hypertension were currently on medication for hypertension (Fig. 2). Twenty per cent of females had SBP ≥ 140 mmHg and 20% had DBP ≥ 90 mmHg; while 22% of males had SBP ≥ 140 mmHg and 17% had DBP ≥ 90 mmHg (Fig. 3). There was no statistical difference between the genders (SBP, p = 0.758; DBP, p = 0.503).

Bottom Line: Thirty-one per cent of females had fasting blood sugar levels (FBS) ≥ 6.1 mmol/l while 10% of males had FBS > 6.1 mmol/l.This study presents evidence on the magnitude of NCDs, their risk factors and gender distribution in a rural population in Uganda, a poor country in east-central Africa.These data, when combined with urban population data, could be useful in the formulation and advocacy of NCD policy and plans of action in Uganda.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda. do2011@gmail.com

ABSTRACT

Background: To date there has been no population-based survey of the major risk factors for non-communicable diseases (NCD) in Uganda. Hospital-based data from urban centres report an increasing burden of NCDs in Uganda. This population-based survey aimed to describe the prevalence of risk factors for NCDs in a rural Ugandan district.

Methods: The survey was conducted using the WHO STEPwise approach to surveillance of non-communicable diseases (STEPS) methodology. Participants (n = 611) were residents of the Kasese district selected in a one-step, complete survey of a rural district. Standardised international protocols were used to record history of disease, and measure behavioural risk factors (smoking, alcohol consumption, fruit and vegetable consumption, physical activity), physical characteristics [weight, height, waist and hip circumferences, blood pressure (BP)], fasting blood glucose (BG) and total cholesterol (TC) levels. Data were analysed using simple descriptive analysis.

Results: In this sample, the prevalence of hypertension (systolic BP ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg) was 22.1% for men and 20.5% for women. Fifteen per cent of men and 16.8% of women were overweight [body mass index (BMI) ≥ 25 kg/m(2)] and 4.9% of men and 9.0% of women were obese (BMI ≥ 30 kg/m(2)). Nine per cent of participants were diabetic, 7.2% ate five or more combined servings of fruit per day while only 1.2% ate five or more combined servings of vegetables per day. Fifty-one per cent of the population were physically inactive and 9.6% were daily smokers. Thirty-one per cent of females had fasting blood sugar levels (FBS) ≥ 6.1 mmol/l while 10% of males had FBS > 6.1 mmol/l.

Conclusion: This study presents evidence on the magnitude of NCDs, their risk factors and gender distribution in a rural population in Uganda, a poor country in east-central Africa. These data, when combined with urban population data, could be useful in the formulation and advocacy of NCD policy and plans of action in Uganda.

Show MeSH
Related in: MedlinePlus