Distribution and characteristics of risk factors for cardiovascular–metabolic disease in a rural Kenyan community

摘要: Abstract Background The rising prevalence of non-communicable diseases and associated premature mortality in Sub-Saharan Africa contradicts the widely accepted premise that African countries are only dominated by infectious diseases, malnutrition, maternal child deaths. Among hypertension diabetes mellitus continue to be leading cause death worldwide, with 10–20million people estimated have 12million reported Africa. purpose this study was assess cardiovascular–metabolic characteristics individuals living one rural community Central Kenya propose interventions address their needs. Methods A convenience sample 262 screened/treated for disease (CVMD) risk factors at a government operated health center Kenya. Self-reported estimates physical activity, dietary intake, smoking perceived were obtained using questions drawn from validated Behavioral Risk Factor Surveillance Survey. Standardized protocols (Jackson Heart Study) directed collection physiologic measures (blood pressure, glucose, anthropometrics). Clinical data abstracted analyzed Stata©. USA/Kenyan IRB/ethics approval obtained. Results N =262, mean age 54 (SD±17.02) years; 81% women, 99% Kikuyu ethnicity. history 4%, overweight (BMI⩾25) 34%, 47%. Systolic blood pressure ⩾140mmHg increased [(12%, 39%, 52%) ( p ⩽.001)]. Glucose indicative (⩾126mg/dL fasting or ⩾200mg/dL non-fasting) 8.3%. Women more likely than men (39% vs 15%) = n =170) had moderate high cardiovascular on Gaziano Global Score Scale. Conclusions/recommendations CVMD but some usually not observed. There is need locally-tailored approaches treatment prevention local level.