Clustering of Elevated Blood Pressure, Elevated Blood Glucose, and Abdominal Obesity Among Adults in Dire Dawa: A Community-Based Cross-Sectional Study

Melkamu Merid Mengesha,1 Behailu Hawulte Ayele,2 Addisu Shunu Beyene,3 Hirbo Shore Roba1 1Haramaya University, College of Health and Medical Sciences, School of Public Health, Department of Epidemiology and Biostatistics, Harar, Ethiopia; 2Haramaya University, College of Health and Medical Sciences,...

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Autores principales:	Mengesha MM, Ayele BH, Beyene AS, Roba HS
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	abdominal obesity elevated blood pressure elevated blood glucose physical activity and metabolic syndrome components Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/6cb580f1d2bb4fc68f17986485ed5862
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spelling	oai:doaj.org-article:6cb580f1d2bb4fc68f17986485ed58622021-12-02T10:27:07ZClustering of Elevated Blood Pressure, Elevated Blood Glucose, and Abdominal Obesity Among Adults in Dire Dawa: A Community-Based Cross-Sectional Study1178-7007https://doaj.org/article/6cb580f1d2bb4fc68f17986485ed58622020-06-01T00:00:00Zhttps://www.dovepress.com/clustering-of-elevated-blood-pressure-elevated-blood-glucose-and-abdom-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Melkamu Merid Mengesha,1 Behailu Hawulte Ayele,2 Addisu Shunu Beyene,3 Hirbo Shore Roba1 1Haramaya University, College of Health and Medical Sciences, School of Public Health, Department of Epidemiology and Biostatistics, Harar, Ethiopia; 2Haramaya University, College of Health and Medical Sciences, School of Public Health, Department of Public Health and Health Policy, Harar, Ethiopia; 3Haramaya University, College of Health and Medical Sciences, Department of Environmental Health Sciences, Harar, EthiopiaCorrespondence: Melkamu Merid MengeshaCollege of Health and Medical Sciences, Harar, EthiopiaTel +251912094941Email survivalepi@gmail.comBackground: Evidence shows that the presence of a single component of the metabolic syndrome (MetS) increases the risk of developing the MetS later in life. This study estimated the prevalence and associated factors of abdominal obesity, elevated blood pressure, elevated blood glucose, and the 3-factor MetS components among urban adults in Dire Dawa, East Ethiopia.Methods: Community-based cross-sectional data were collected from 872 adults aged 25– 64 years. The joint interim statement (JIS) was used to define the MetS components. The dependent outcome variables were both the individual and the 3-factor MetS components. A robust variance Poisson regression model was used to directly estimate the prevalence ratio (PR) of risk factors.Results: The prevalence of the 3-factor MetS components (abdominal obesity, elevated blood pressure, and elevated blood glucose) was 9.5% (95% CI: 7.7, 11.7). Women had two times higher prevalence of the 3-factor MetS components compared with men, 11.6% (95% CI: 9.2, 14.5) vs 5.2% (95% CI: 3.2, 8.5). A higher prevalence of abdominal obesity, 46.4% (95% CI: 43.1, 49.8), followed by a raised blood pressure, 42.7% (95% CI: 39.4, 46.0), was observed among study subjects. The presence of a single MetS component had an associated cluster of other components: 33.7% of subjects with elevated blood glucose, 22.3% with elevated blood pressure, and 20.5% with abdominal obesity had also the 3-factor MetS components. Age, sex, body mass index, waist circumference, and physical activity were significantly associated with the individual components or the 3-factor MetS components.Conclusion: A higher prevalence of the individual components and the presence of clustering with a single factor identified call for the need of community screening. Interventions targeting both abdominal and general obesity through physical activity and lifestyle modification can contribute towards reducing cardiometabolic risk factors with due attention given to women and older adults.Keywords: abdominal obesity, elevated blood pressure, elevated blood glucose, physical activity, metabolic syndrome componentsMengesha MMAyele BHBeyene ASRoba HSDove Medical Pressarticleabdominal obesityelevated blood pressureelevated blood glucosephysical activityand metabolic syndrome componentsSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 2013-2024 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	abdominal obesity elevated blood pressure elevated blood glucose physical activity and metabolic syndrome components Specialties of internal medicine RC581-951
spellingShingle	abdominal obesity elevated blood pressure elevated blood glucose physical activity and metabolic syndrome components Specialties of internal medicine RC581-951 Mengesha MM Ayele BH Beyene AS Roba HS Clustering of Elevated Blood Pressure, Elevated Blood Glucose, and Abdominal Obesity Among Adults in Dire Dawa: A Community-Based Cross-Sectional Study
description	Melkamu Merid Mengesha,1 Behailu Hawulte Ayele,2 Addisu Shunu Beyene,3 Hirbo Shore Roba1 1Haramaya University, College of Health and Medical Sciences, School of Public Health, Department of Epidemiology and Biostatistics, Harar, Ethiopia; 2Haramaya University, College of Health and Medical Sciences, School of Public Health, Department of Public Health and Health Policy, Harar, Ethiopia; 3Haramaya University, College of Health and Medical Sciences, Department of Environmental Health Sciences, Harar, EthiopiaCorrespondence: Melkamu Merid MengeshaCollege of Health and Medical Sciences, Harar, EthiopiaTel +251912094941Email survivalepi@gmail.comBackground: Evidence shows that the presence of a single component of the metabolic syndrome (MetS) increases the risk of developing the MetS later in life. This study estimated the prevalence and associated factors of abdominal obesity, elevated blood pressure, elevated blood glucose, and the 3-factor MetS components among urban adults in Dire Dawa, East Ethiopia.Methods: Community-based cross-sectional data were collected from 872 adults aged 25– 64 years. The joint interim statement (JIS) was used to define the MetS components. The dependent outcome variables were both the individual and the 3-factor MetS components. A robust variance Poisson regression model was used to directly estimate the prevalence ratio (PR) of risk factors.Results: The prevalence of the 3-factor MetS components (abdominal obesity, elevated blood pressure, and elevated blood glucose) was 9.5% (95% CI: 7.7, 11.7). Women had two times higher prevalence of the 3-factor MetS components compared with men, 11.6% (95% CI: 9.2, 14.5) vs 5.2% (95% CI: 3.2, 8.5). A higher prevalence of abdominal obesity, 46.4% (95% CI: 43.1, 49.8), followed by a raised blood pressure, 42.7% (95% CI: 39.4, 46.0), was observed among study subjects. The presence of a single MetS component had an associated cluster of other components: 33.7% of subjects with elevated blood glucose, 22.3% with elevated blood pressure, and 20.5% with abdominal obesity had also the 3-factor MetS components. Age, sex, body mass index, waist circumference, and physical activity were significantly associated with the individual components or the 3-factor MetS components.Conclusion: A higher prevalence of the individual components and the presence of clustering with a single factor identified call for the need of community screening. Interventions targeting both abdominal and general obesity through physical activity and lifestyle modification can contribute towards reducing cardiometabolic risk factors with due attention given to women and older adults.Keywords: abdominal obesity, elevated blood pressure, elevated blood glucose, physical activity, metabolic syndrome components
format	article
author	Mengesha MM Ayele BH Beyene AS Roba HS
author_facet	Mengesha MM Ayele BH Beyene AS Roba HS
author_sort	Mengesha MM
title	Clustering of Elevated Blood Pressure, Elevated Blood Glucose, and Abdominal Obesity Among Adults in Dire Dawa: A Community-Based Cross-Sectional Study
title_short	Clustering of Elevated Blood Pressure, Elevated Blood Glucose, and Abdominal Obesity Among Adults in Dire Dawa: A Community-Based Cross-Sectional Study
title_full	Clustering of Elevated Blood Pressure, Elevated Blood Glucose, and Abdominal Obesity Among Adults in Dire Dawa: A Community-Based Cross-Sectional Study
title_fullStr	Clustering of Elevated Blood Pressure, Elevated Blood Glucose, and Abdominal Obesity Among Adults in Dire Dawa: A Community-Based Cross-Sectional Study
title_full_unstemmed	Clustering of Elevated Blood Pressure, Elevated Blood Glucose, and Abdominal Obesity Among Adults in Dire Dawa: A Community-Based Cross-Sectional Study
title_sort	clustering of elevated blood pressure, elevated blood glucose, and abdominal obesity among adults in dire dawa: a community-based cross-sectional study
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/6cb580f1d2bb4fc68f17986485ed5862
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Clustering of Elevated Blood Pressure, Elevated Blood Glucose, and Abdominal Obesity Among Adults in Dire Dawa: A Community-Based Cross-Sectional Study

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