Abstract
Background: Traditional cardiovascular risk factors (CVrf) like hypertension, diabetes, dyslipidemia, obesity, smoking have been studied extensively through theses in hospital studies. Therefore, recent published data from community based studies are rare in Mali. Available data are old justifying to perform a community based study on traditional CVrf in rural and urban areas. Materials and Methods: We retrospectively performed a study which data stemmed from the last STEPS survey carried out in 2013 in some rural and urban areas of Mali. We studied hypertension, diabetes, tobacco smoking, obesity based on body mass index, waist circumference and waist-to-hip ratio. After bivariates analyses, we conducted a logistic regression with rural/urban as dependent variable using SPSS as analysis software for this purpose. Results: Weight, height, WC and HC were higher in urban area with 69.77 Kg, 169.13 cm, 85.98 cm and 97.26 cm compared to 66.27, 165.42, 81.46 and 93.23 in rural area (p as more prevalent in urban area while elevated waist-to-hip ratio was more prevalent in rural area. But in logistic regression for female, the Odds for Tobacco smoking rural as reference was 0.334 [CI: 0.151 - 0.738] (p = 0.007) and that for WHr is 0.582 [CI: 0.415 - 0.815] (p p p = 0.038). Conclusion: Traditional cardiovascular risk factors have high prevalence in this study and need to be monitored with larger studies. Female predictors were raised waist circumference in favour of urban and tobacco smoking and waist-to-hip ratio in favour of urban dwellers. Male diabetes was the only predictor we found.
Highlights
Cardiovascular risk factors (CVrf) have been established for several decades and are becoming increasingly prevalent with a significant amount of data in the world and in Africa [1]-[6]
We had more female in rural area and educational level was higher in urban area
In bivariate analysis obesity based on body mass index (BMI), Waist circumference (WC), alcohol consumption was more prevalent in urban area while elevated waist-to-hip ratio was more prevalent in rural area
Summary
Cardiovascular risk factors (CVrf) have been established for several decades and are becoming increasingly prevalent with a significant amount of data in the world and in Africa [1]-[6]. In Mali, traditional CVrf like hypertension, diabetes, dyslipidemia, obesity, smoking have been studied extensively in hospital studies for theses, but few data have been published [8] [9] [10]. We carried out this study to study the traditional CVrf in rural and urban areas. Traditional cardiovascular risk factors (CVrf) like hypertension, diabetes, dyslipidemia, obesity, smoking have been studied extensively through theses in hospital studies. Available data are old justifying to perform a community based study on traditional CVrf in rural and urban areas. Diabetes, tobacco smoking, obesity based on body mass index, waist circumference and waist-to-hip ratio. In bivariate analysis obesity based on BMI, WC, alcohol consumption was more prevalent in urban area while elevated waist-to-hip ratio was more prevalent in rural area.
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