Prevalence and determinants of dyslipidemia among adults in the community: A cross-sectional study in a selected province, Sri Lanka

Abstract

BackgroundDyslipidemia is an important modifiable risk factor for cardiovascular diseases (CVDs). The aim of the present study was to assess the prevalence and determinants of dyslipidemia among adults in a rural community in Sabaragamuwa province of Sri Lanka. MethodsA descriptive cross-sectional study was conducted among adults aged between 30 and 60 years. Participants were selected using a three staged random sampling method. The WHO STEPS wise approach was used to collect data. Chi-square tests, independent sample t-test and binary logistic regression were used to obtain prevalence and determinants for dyslipidemia. ResultsThere were 366 participants with a male to female ratio of 1:2.1. Mean age was 45.2 years (SD = 8.8). The prevalence of dyslipidemia was 64.2 % overall, with 39.9 %,29 %,37.7 %, and 21.3 % for high total cholesterol (TC), low high density lipoprotein cholesterol (HDL-C), high low density lipoprotein cholesterol (LDL-C), and high triglycerides respectively. Increasing age, physical inactivity, low fruit and/or vegetable consumption and higher BMI were significantly associated with dyslipidemia. ConclusionTwo in every three adults in the community have dyslipidemia. High LDL-C was the most prevalent component of dyslipidemia followed by low HDL-C. Multisectoral intervention strategies are needed considering the predictors identified to combat with high prevalence of dyslipidemia in this population.