TY - JOUR
T1 - Pre-morbid cardiometabolic risks among South Africans living in informal settlements
AU - Mokwena, Kebogile
AU - Modjadji, Perpetua
N1 - Publisher Copyright:
© 2023 Clinics Cardive Publishing (PTY)Ltd. All rights reserved.
PY - 2023/1/1
Y1 - 2023/1/1
N2 - Aim: Numerous studies have been conducted on cardiometabolic risk factors in South Africa. However, not much has been done in informal settlement populations faced with their own set of health risks. This study screened for pre-morbid cardiometabolic risks and associated factors among adults living in informal settlements in South Africa. Methods: A cross-sectional study used the WHO STEPwise questionnaire to collect data on demography, anthropometry, blood pressure, and glucose and cholesterol levels (n = 329). Cardiometabolic risks were based on the criteria considered by the International Diabetes Federation and the National Cholesterol Education Program Adult Treatment Panel III. Data were analysed using STATA 14. Results: The median age of the participants was 35 (25–42) years. Cardiometabolic risk factors among the participants were hypertension (66%), overweight/obesity (45%), abdominal obesity (46%), and elevated cholesterol (15%) and glucose levels (7%). The metabolic syndrome was found in 17% of the participants, with a high prevalence observed among participants aged 35–59 years (28%) and ≥ 60 years (40%). The metabolic syndrome was significantly associated with gender [males, adjusted odds ratio (AOR) = 0.4, 95% CI: 0.20–0.90] and age, 35–59 years (AOR = 5.07, 95% CI: 2.24–11.23) and ≥ 60 years (AOR = 6.57, 95% CI; 1.57–27.54). Conclusion: Prevalent cardiometabolic risk factors in informal settlements indicate the need for routine screening for all the components of the metabolic syndrome at the primary healthcare level.
AB - Aim: Numerous studies have been conducted on cardiometabolic risk factors in South Africa. However, not much has been done in informal settlement populations faced with their own set of health risks. This study screened for pre-morbid cardiometabolic risks and associated factors among adults living in informal settlements in South Africa. Methods: A cross-sectional study used the WHO STEPwise questionnaire to collect data on demography, anthropometry, blood pressure, and glucose and cholesterol levels (n = 329). Cardiometabolic risks were based on the criteria considered by the International Diabetes Federation and the National Cholesterol Education Program Adult Treatment Panel III. Data were analysed using STATA 14. Results: The median age of the participants was 35 (25–42) years. Cardiometabolic risk factors among the participants were hypertension (66%), overweight/obesity (45%), abdominal obesity (46%), and elevated cholesterol (15%) and glucose levels (7%). The metabolic syndrome was found in 17% of the participants, with a high prevalence observed among participants aged 35–59 years (28%) and ≥ 60 years (40%). The metabolic syndrome was significantly associated with gender [males, adjusted odds ratio (AOR) = 0.4, 95% CI: 0.20–0.90] and age, 35–59 years (AOR = 5.07, 95% CI: 2.24–11.23) and ≥ 60 years (AOR = 6.57, 95% CI; 1.57–27.54). Conclusion: Prevalent cardiometabolic risk factors in informal settlements indicate the need for routine screening for all the components of the metabolic syndrome at the primary healthcare level.
KW - South Africa
KW - cardiometabolic risks
KW - informal settlements
KW - metabolic syndrome
UR - http://www.scopus.com/inward/record.url?scp=85163233566&partnerID=8YFLogxK
U2 - 10.5830/CVJA-2022-021
DO - 10.5830/CVJA-2022-021
M3 - Article
C2 - 35687088
AN - SCOPUS:85163233566
SN - 1995-1892
VL - 34
SP - 23
EP - 29
JO - Cardiovascular Journal of Africa
JF - Cardiovascular Journal of Africa
IS - 1
ER -