Prevalence of Cardiovascular Disease Risk Factors among Qatari Patients with Type 2 Diabetes Mellitus, Attending Primary Health Care Centres, 2014

Anees Alyafei, S. Osman, Nagah Selim, Noora Alkubaisi, Rajvir Singh
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Abstract

Background: Patients with Type 2 diabetes mellitus experience a substantial risk of cardiovascular disease owing to modifiable risk factors. Objective: To estimate the prevalence of cardiovascular disease risk factors among Qatari patients with Type 2 diabetes mellitus attending primary health care centres 2014. Method: Cross sectional design was used. Total of 532 Qatari diabetic patients attending primary healthcare were enrolled. Data was collected using interview administered questionnaire, anthropometric & blood pressure measurement and medical records. Cardiovascular risk was assessed by using General Framingham Risk Prediction Score (GFRP). Results: GFRP score categorized (12.2%) of participants as low risk and (57.6%) as in high and very high risk for cardiovascular disease in 10-years. Lifestyle-related risk factors were dominant among participants. The majority of patients did not consume recommended daily fruit and vegetables (94.2%) and (91.2%) respectively. Additionally, they did not practice recommended frequency of physical activity and were currently smoking in (71.4%) and (4.1%) respectively. Metabolic factors were second common risk factors. The combined overweight and obesity were leading metabolic factors as calculated in (94%) of them. More than two thirds showed uncontrolled diabetes status and (27.6%) were within undesirable range for HDL. The third common cardiovascular disease risk factors were medical and family history. Three quarters of them found to have hyperlipidaemia and (72.7%) were with history of hypertension. The family history of premature cardiovascular disease occurrence in father and/or brother was reported in (16.9% and 13%) of participants respectively. Conclusion: Reduction of cardiovascular disease burden necessitate further focus on preventive interventions especially the lifestyle related risk factors.
2014年在初级保健中心就诊的卡塔尔2型糖尿病患者心血管疾病危险因素患病率
背景:由于可改变的危险因素,2型糖尿病患者发生心血管疾病的风险很大。目的:评估2014年在卡塔尔初级卫生保健中心就诊的2型糖尿病患者心血管疾病危险因素的患病率。方法:采用横断面设计。共有532名卡塔尔糖尿病患者参加了初级保健。通过访谈问卷、人体测量和血压测量以及医疗记录收集数据。采用通用弗雷明汉风险预测评分(GFRP)评估心血管风险。结果:GFRP评分将参与者分为10年内心血管疾病低风险(12.2%)和高风险(57.6%)。生活方式相关的风险因素在参与者中占主导地位。大多数患者分别没有摄入推荐的每日水果和蔬菜(94.2%)和(91.2%)。此外,他们没有实践建议的体育活动频率,目前分别吸烟(71.4%)和(4.1%)。代谢因素是第二常见的危险因素。超重和肥胖是主要的代谢因素(94%)。超过三分之二的人显示糖尿病状态不受控制,27.6%的人在HDL水平不理想的范围内。第三个常见的心血管疾病危险因素是病史和家族史。其中有高脂血症者占四分之三,有高血压病史者占72.7%。报告了父亲和/或兄弟早发心血管疾病的家族史(分别为16.9%和13%)。结论:减少心血管疾病负担需要进一步关注预防干预措施,特别是与生活方式相关的危险因素。
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