伊莫州Njaba L.G.A.Amucha自治社区30-60岁成年妇女的食物消费模式、人体测量指数和健康状况

Nkeiruka Mary‐Assumpta Oly‐Alawuba, Okwuchi Charles
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引用次数: 0

摘要

该研究评估了30-60岁成年女性的人体测量指数和健康状况与其食物消费模式的关系。测定了被调查者的血糖水平、血压和体重指数。本研究采用了横断面调查,采用了聚类和简单的随机抽样选择技术来选择样本。体重和身高的人体测量指数用于评估体重指数(BMI),而腰臀比(WHR)用于检查腹部肥胖。根据世界卫生组织标准(BMI等于或高于25)或WHR高于0.85,女性被认为超重。通过检查血压和血糖水平来评估健康状况。使用合适袖带尺寸的Omron血压计测量两次血压,如果女性平均血压高于120/80mmHg,则将其归类为高血压。Evolve血糖仪用于检查随机血糖(RBS)水平,如果受访者的随机血糖高于140 mg/dL,则被视为糖尿病患者。食物频率表用于评估食物消费模式。如果受访者每周食用1-3次食物,或者很少食用或从未食用,那么他们的食用量就会很低。如果每周摄入4-6次,则为中度;如果每周摄入7次,或每天摄入,则为重度。调查问卷涵盖了个人数据、人口统计数据等相关数据。结果表明,女性体重指数(BMI)、腰臀比(WHR)、随机血糖(RBS)、收缩压(SBP)和舒张压(DBP)的平均标准差分别为26.29±4.1、0.86±0.34、112.51±23.0、115.4±23.0和88.45±4.3。BMI的平均值在超重区域。双变量相关分析显示,SBP、DBP、RBS和WHR与BMI呈正相关,置信水平设定为0.05%(分别为0.206,p=0.005;0.16,p=0.031;0.081,p=0.0021和0.148,p=0.000)。WHR与RBS(0.90,p=0.278)、收缩压(0.272,p=0.002)、舒张压(0.21,p=0.045)也有更强的相关性。这证实了WHR应作为心血管疾病而非BMI的指标的说法。调查还显示,3.6%的人体重不足。49.0%正常,29.9%超重和17.5%肥胖。血压水平为边缘水平,分别为30.04%、35.4%、34.3%为正常、高血压前期和高血压。大多数受访者血糖正常,91.2%的人血糖正常。如本研究所观察到的,超重、高血压和糖尿病在农村社区普遍存在。在临床实践和流行病学调查中,有必要对妇女的WHR进行常规检查,以降低心血管疾病的发病率。有必要提倡健康的生活方式、定期锻炼和适当的营养。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Food Consumption Pattern, Anthropometric Indices and Health Status of Adult Women Aged 30-60 Years in Amucha Autonomous Community, Njaba L.G.A., Imo State
The study assessed the anthropometric indices and health status of adult women, aged 30-60 years in relation to their food consumption pattern. The blood sugar level, blood pressure and body mass index of the respondents were determined. A cross sectional survey was used for this study, a clustered and simple random sampling selection technique was used in selecting the samples. Anthropometric indices of weight and height were used to assess the body mass index (BMI), while waist hip ratio (WHR) was used to check for abdominal obesity. Women were considered overweight using world health organization standard (BMI at or above 25), or WHR above 0.85. Health status was assessed by checking blood pressure and blood sugar levels. Blood pressure was taken twice using Omron sphygmomanometer with appropriate cuff off size and women were classified hypertensive if having a mean blood pressure above 120/80 mmHg. Evolve glucometer was used to check for random blood sugar (RBS) levels, respondents were considered diabetics if they have a random sugar above 140 mg/dL. Food frequency table was used to assess food consumption pattern. Respondents were said to have low consumption if consumed the food 1-3 times per week or if rarely or never consumed. It is moderate if consumed 4-6 times per week and high, if consumed 7 times per week, or daily. Questionnaire covered relevant data such as personal data, demographic data. Result showed that the women mean standard deviations for body mass index (BMI), waist hip ratio (WHR), random blood sugar (RBS), systolic blood pressure (SBP) and diastolic blood pressure (DBP) were 26.29 ± 4.1, 0.86 ± 0.34, 112.51 ± 23.0, 115.4 ± 23.0 and 88.45 ± 4.3 respectively. The mean value for BMI was on the overweight region. Bivariate correlation analysis showed that SBP, DBP, RBS and WHR had positive correlation with BMI with confidence level set at 0.05% (0.206, p = 0.005; 0.16, p = 0.031; 0.081, p = 0.0021 and 0.148, p = 0.000 respectively). WHR also had stronger correlation with RBS (0.90, p = 0.278), systolic (0.272, p = 0.002), diastolic (0.21, p = 0.045). This confirms the assertion that WHR should be used as an indicator of cardiovascular disease not BMI. The survey also reveals that 3.6% were underweight. 49.0% normal, 29.9% overweight and 17.5% obese. Blood pressure levels were marginal as 30.04%, 35.4%, 34.3% are normal, pre hypertensive and hypertensive respectively. Most of the respondents had normal blood sugar as 91.2% were normal. Overweight, hypertension and diabetes were prevalent in rural communities as observed in this study. There is a need for routine check of WHR among women in clinical practice and epidemiological surveys, to reduce incidence of cardiovascular diseases. There is a need for promotion of a healthy life style, regular exercise and proper nutrition.
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