关键词: Cardiovascular disease adolescents children prevalence risk factors

Mesh : Humans Kenya / epidemiology Male Female Cross-Sectional Studies Prevalence Cardiovascular Diseases / epidemiology Adolescent Child Hypertension / epidemiology Body Mass Index Blood Pressure / physiology Risk Factors Exercise Sedentary Behavior Heart Disease Risk Factors Waist-Hip Ratio Schools Prehypertension / epidemiology Overweight / epidemiology

来  源:   DOI:10.11604/pamj.2024.47.100.42340   PDF(Pubmed)

Abstract:
UNASSIGNED: Cardiovascular disease (CVD) prevalence in Kenya is rising. Overweight, pre-hypertension and physical inactivity at younger ages is contributory. These risk factors are inadequately documented among Kenyan children and adolescents, hampering CVD prevention.
UNASSIGNED: this cross-sectional study randomly sampled 384 participants from Eldoret, Kenya. After ethical considerations, physical activity was assessed. Body mass index (BMI), Waist-Hip-Ratio (WHR) and Waist-Height-Ratio (WHtR) were determined, and blood pressure (BP) was measured.
UNASSIGNED: participants were 14.6±2.7 years, and 62.6% were female. Eight percent had BMI ≥25.0 kg/m2. Of these, 87% were in secondary schools. Using SBP, 27.9% had CVD risk (42.5% and 20% for males and females ≥13 years and 26.5% and 27% for those <13 years, respectively). For DBP, 12.8% had elevated-to-hypertensive BP (13.2% and 8.3% for males and females ≥13 years and 11.8% and 25.4% for those <13 years, respectively). Combining SBP and DBP, 8.1%, mostly males, had elevated-to-hypertensive BP. Using respective WHR cutoffs of 0.90 and 0.85, 31% (boys) and 15.6% (girls) were at CVD risk. For WHtR, 39.6% of boys were >0.463 cut-off (0.493±0.02) against 32.4% for girls >0.469 cut-off (0.517±0.05). Of these, 52.6% (boys) and 69.7% (girls) were in secondary schools. Overall, 45% of participants were sports-inactive and 77.2% did minimal physical activities.
UNASSIGNED: among school-going children and adolescents in Eldoret, Kenya, the prevalence of CVD risk factors was high, especially among boys and in high schools. Large proportions had elevated BP, BMI, WHR and WHtR, and, further, were sedentary, posing a high CVD risk. Lifestyle interventions to mitigate this are urgently needed.
摘要:
肯尼亚的心血管疾病(CVD)患病率正在上升。超重,高血压前期和年轻时缺乏体力活动是造成这种情况的原因。这些风险因素在肯尼亚儿童和青少年中没有得到充分记录,妨碍CVD预防。
这项横断面研究随机抽取了来自埃尔多雷特的384名参与者,肯尼亚。在伦理考虑之后,身体活动进行了评估。身体质量指数(BMI),测定腰臀比(WHR)和腰高比(WHtR),测量血压(BP)。
参与者为14.6±2.7年,62.6%为女性。8%的BMI≥25.0kg/m2。其中,87%在中学。使用SBP,27.9%有CVD风险(≥13岁的男性和女性为42.5%和20%,<13岁的女性为26.5%和27%,分别)。对于DBP,12.8%的人患有高血压血压升高(13岁以上的男性和女性分别为13.2%和8.3%,<13岁的男性和女性分别为11.8%和25.4%,分别)。结合SBP和DBP,8.1%,大多数是男性,血压升高至高血压。使用分别为0.90和0.85的WHR截止值,31%(男孩)和15.6%(女孩)具有CVD风险。对于WHtR,39.6%的男孩>0.463(0.493±0.02),而女孩>0.469(0.517±0.05)的女孩为32.4%。其中,52.6%(男孩)和69.7%(女孩)在中学。总的来说,45%的参与者不运动,77.2%的参与者进行了很少的体育活动。
在埃尔多雷特上学的儿童和青少年中,肯尼亚,CVD危险因素的患病率很高,尤其是在男生和高中。大部分人的血压升高,BMI,WHR和WHtR,and,进一步,久坐不动,构成高CVD风险。迫切需要采取生活方式干预措施来缓解这种情况。
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