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Malays J Med Sci. 2012 Apr;19(2):27-34.

The prevalence of cardiovascular risk factors in the young and middle-aged rural population in Sarawak, Malaysia.

The Malaysian journal of medical sciences : MJMS

Ching Thon Chang, Ping Yein Lee, Whye Lian Cheah

Affiliations

  1. Department of Nursing, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Lot 77, Section 22 KTLD, Jalan Tun Ahmad Zaidi Adruce, 93150 Kuching, Sarawak, Malaysia.

PMID: 22973135 PMCID: PMC3431746

Abstract

BACKGROUND: Coronary heart disease (CHD) was the second leading cause of death in Malaysia in 2006. CHD has known risk factors including hypertension, diabetes mellitus, and obesity.

METHODS: This cross-sectional study examined the prevalence of cardiovascular risk factors among 260 participants aged 20 to 65 years in a rural community in Sarawak.

RESULTS: The prevalences of overweight and obesity in this study were 39.6% and 11.9%, respectively. Approximately 13% of participants had hypertension, and 1.5% had a random blood sugar greater than 11.1 mmol/L. Chi-square tests showed significant associations between obesity and gender (P = 0.007), low high-density lipoprotein cholesterol and race (P = 0.05), high total cholesterol and age (P = 0.007), age and hypertension (P = 0.011), smoking and gender (P < 0.001), and smoking and income (P = 0.050). Age-adjusted logistic regression showed that women were 0.246 times more likely to be obese, that older participants (> 45 years) were 0.395 times more likely to have high cholesterol and that those with a higher monthly household income (> RM830) were 2.471 times more likely to smoke.

CONCLUSION: These findings indicate that we should be concerned about the high rates of overweight in this rural community to prevent obesity.

Keywords: adult; cardiovascular diseases; epidemiology; obesity; prevalence; risk factors

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