摩洛哥东部地区贝尔坎省慢性病(高血压和 2 型糖尿病)可改变风险因素研究

Saliha Mharchi, A. Maamri
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摘要

背景:在摩洛哥,慢性病死亡率相当高(80%),其中高血压和 2 型糖尿病只是冰山一角。目的:本研究旨在估算慢性病的发病率:2型糖尿病(T2DM)、高血压以及摩洛哥东部地区(Berkane)可改变风险因素的概况。研究方法这是一项横断面研究,研究对象是在初级保健设施的保健中心就诊的成年人(≥ 18 岁)。共有 404 人参与。使用的调查问卷包括咨询者的社会人口学、临床和生物学信息,并使用多元逻辑回归法估算与慢性病(CD)相关的因素。结果显示在总体人群中发现的危险因素(RF)包括:缺乏运动 74%、腹部肥胖 61%、久坐不动 57.42%、超重 40%、外周肥胖 31%、压力 47.27%、吸烟 7%、酗酒 3%。在 T2DM 和高血压的发病机制中,常见的 RF 是一般超重(p= 0.014)vs(p= 0.014)或内脏超重(p= 0.016)vs(p= 0.0001)。结论从长远来看,糖尿病患者和高血压患者有可能出现多种并发症,这些并发症会损害他们的健康状况,并给医疗系统带来高昂的成本。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Study of Modifiable Risk Factors of Chronic Diseases (hypertension and diabetes type 2) in the Province of Berkane: Eastern Region of Morocco
Background: The prevalence of mortality due to chronic diseases is quite high in Morocco (80%), where hypertension and type 2 diabetes are the tip of the iceberg. Aims: This study aimed to estimate the prevalence of chronic disease: Type 2 Diabetes Mellitus (T2DM), hypertension, and the profile of modifiable risk factors in the eastern region of Morocco (Berkane). Methods: This was a cross-sectional study of adults (≥ 18 years) consulting at health centers in primary care facilities. It involved a total of 404 participants. The questionnaire used includes socio-demographic, clinical and biological information of the consultants, Multiple logistic regression was used to estimate the factors associated with chronic disease (CD). Results: The prevalence of T2DM was 21% and that of hypertension was 16.58%, undiagnosed T2DM constituted 12.12% and unknown hypertension 5.44%.The risk factors (RF) detected in the overall population were physical inactivity 74%, abdominal obesity 61%, sedentary lifestyle 57.42%, overweight 40%, peripheral obesity 31%, stress 47.27%, smoking 7% and alcohol use 3%. While the common RF incriminated in the pathogenesis of T2DM and hypertension were general overweight (p= 0.014) vs (p= 0.014), or visceral overweight (p= 0.016) vs (p= 0.0001). Conclusion: In the long term, diabetics and hypertensives are at risk of developing several complications that are detrimental to their health status and costly to the health system.
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