Clustering of lifestyle cardiovascular risk factors among healthy government servants in Kuala Terengganu: who and what to target
Cardiovascular disease is the leading cause of death and disability among men and women in nearly all nations, including Malaysia. Lifestyle cardiovascular risk factors such as dietary habits, physical inactivity and smoking are considered fundamental risk factors for cardiovascular disease. Previ...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Penerbit Universiti Sultan Zainal Abidin
2020
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| Subjects: | |
| Online Access: | http://eprints.unisza.edu.my/7241/1/FH02-FP-20-42681.pdf http://eprints.unisza.edu.my/7241/ |
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| Summary: | Cardiovascular disease is the leading cause of death and disability among men and women in nearly all nations,
including Malaysia. Lifestyle cardiovascular risk factors such as dietary habits, physical inactivity and smoking
are considered fundamental risk factors for cardiovascular disease. Previous studies showed that the clustering of
cardiovascular risk factors significantly increase the risk of developing cardiovascular events. Surveillance of
these key modifiable risk factors, including its clustering and study of factors associated is needed to monitor the
magnitude of the problem and effects of our interventions. This study aimed to determine the prevalence and
factors associated with clustering of lifestyle cardiovascular risk factors among government servants in Kuala
Terengganu, Malaysia. This was a cross-sectional study conducted between June and September 2013 among 121
government servants, selected using simple random sampling from all servants asymptomatic of cardiovascular
disease at a multi-department government center in the capital of Terengganu. A questionnaire, which consisted
of socio-demographic data, International Physical Activity Questionnaire (IPAQ) and the dietary component of
WHO STEPs, were used as the research tools. Clustering of lifestyle cardiovascular risk was defined as the
presence of two or more of the lifestyle risk factors. Prevalence of clustering of lifestyle risks in this study was
57% (95% CI: 0.47, 0.67). Respondents with income less than RM3, 000 was significantly associated with
clustering of lifestyle cardiovascular risks (p=0.032, OR 2.57, CI: 1.08, 6.07). This study provides evidence of
clustering of lifestyle risks in the local asymptomatic healthy subjects. Therefore, comprehensive lifestyle
interventions may be an effective strategy for controlling CVD risk factors, especially among those with low
socioeconomic status where affordable interventions should be suggested. A more effective approach should be
identified to promote affordable healthier diet and healthy lifestyle activities. |
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