Risk-factor profiles for chronic diseases of lifestyle and metabolic syndrome in an urban and rural setting in South Africa

Background: Chronic lifestyle diseases share similar modifiable risk factors, including hypertension, tobacco smoking, diabetes, obesity, hyperlipidaemia and physical inactivity. Metabolic syndrome refers to the cluster of risk factors that increases the risk for developing type 2 diabetes mellitus...

Full description

Bibliographic Details
Main Authors: Sanet van Zyl, Lynette J. van der Merwe, Corinna M. Walsh, Andries J. Groenewald, Francois C. van Rooyen
Format: Article
Language:English
Published: AOSIS 2012-06-01
Series:African Journal of Primary Health Care & Family Medicine
Subjects:
Online Access:http://www.phcfm.org/index.php/phcfm/article/view/346/383
_version_ 1818357007138160640
author Sanet van Zyl
Lynette J. van der Merwe
Corinna M. Walsh
Andries J. Groenewald
Francois C. van Rooyen
author_facet Sanet van Zyl
Lynette J. van der Merwe
Corinna M. Walsh
Andries J. Groenewald
Francois C. van Rooyen
author_sort Sanet van Zyl
collection DOAJ
description Background: Chronic lifestyle diseases share similar modifiable risk factors, including hypertension, tobacco smoking, diabetes, obesity, hyperlipidaemia and physical inactivity. Metabolic syndrome refers to the cluster of risk factors that increases the risk for developing type 2 diabetes mellitus (DM) and cardiovascular disease.Objectives: The study aimed to assess health status and identify distinct risk-factor profiles for both chronic lifestyle diseases and metabolic syndrome in rural and urban communities in central South Africa.Methods: The investigation formed part of the Assuring Health for All in the Free State (AHA-FS) study. During interviews by trained researchers, household socio-demographic and health information, diet, risk factors (i.e. history of hypertension and/or diabetes) and habits (e.g. smoking and inadequate physical activity levels) were determined. Adult participants underwent anthropometric evaluation, medical examination and blood sampling. Results: The risk-factor profile for chronic lifestyle diseases revealed that self-reported hypertension and physical inactivity were ranked the highest risk factor for the rural and urban groups respectively. The cumulative risk-factor profile showed that 40.1% of the rural and 34.4% of the urban study population had three or more risk factors for chronic lifestyle diseases. Furthermore, 52.2% of rural and 39.7% of urban participants had three or more risk factors for metabolic syndrome.Conclusion: This study confirmed that the worldwide increase in the prevalence of chronic lifestyle diseases can be attributed to a more sedentary lifestyle, illustrated in the urban study population, and increasing obesity. The rural study population had a higher prevalence of risk factors for metabolic syndrome.
first_indexed 2024-12-13T20:06:15Z
format Article
id doaj.art-7d30e9b4f31b46bea6d7ee98b7eaece5
institution Directory Open Access Journal
issn 2071-2928
2071-2936
language English
last_indexed 2024-12-13T20:06:15Z
publishDate 2012-06-01
publisher AOSIS
record_format Article
series African Journal of Primary Health Care & Family Medicine
spelling doaj.art-7d30e9b4f31b46bea6d7ee98b7eaece52022-12-21T23:33:00ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362012-06-0141110Risk-factor profiles for chronic diseases of lifestyle and metabolic syndrome in an urban and rural setting in South AfricaSanet van ZylLynette J. van der MerweCorinna M. WalshAndries J. GroenewaldFrancois C. van RooyenBackground: Chronic lifestyle diseases share similar modifiable risk factors, including hypertension, tobacco smoking, diabetes, obesity, hyperlipidaemia and physical inactivity. Metabolic syndrome refers to the cluster of risk factors that increases the risk for developing type 2 diabetes mellitus (DM) and cardiovascular disease.Objectives: The study aimed to assess health status and identify distinct risk-factor profiles for both chronic lifestyle diseases and metabolic syndrome in rural and urban communities in central South Africa.Methods: The investigation formed part of the Assuring Health for All in the Free State (AHA-FS) study. During interviews by trained researchers, household socio-demographic and health information, diet, risk factors (i.e. history of hypertension and/or diabetes) and habits (e.g. smoking and inadequate physical activity levels) were determined. Adult participants underwent anthropometric evaluation, medical examination and blood sampling. Results: The risk-factor profile for chronic lifestyle diseases revealed that self-reported hypertension and physical inactivity were ranked the highest risk factor for the rural and urban groups respectively. The cumulative risk-factor profile showed that 40.1% of the rural and 34.4% of the urban study population had three or more risk factors for chronic lifestyle diseases. Furthermore, 52.2% of rural and 39.7% of urban participants had three or more risk factors for metabolic syndrome.Conclusion: This study confirmed that the worldwide increase in the prevalence of chronic lifestyle diseases can be attributed to a more sedentary lifestyle, illustrated in the urban study population, and increasing obesity. The rural study population had a higher prevalence of risk factors for metabolic syndrome.http://www.phcfm.org/index.php/phcfm/article/view/346/383risklifestylechronic diseasesmetabolic syndrome
spellingShingle Sanet van Zyl
Lynette J. van der Merwe
Corinna M. Walsh
Andries J. Groenewald
Francois C. van Rooyen
Risk-factor profiles for chronic diseases of lifestyle and metabolic syndrome in an urban and rural setting in South Africa
African Journal of Primary Health Care & Family Medicine
risk
lifestyle
chronic diseases
metabolic syndrome
title Risk-factor profiles for chronic diseases of lifestyle and metabolic syndrome in an urban and rural setting in South Africa
title_full Risk-factor profiles for chronic diseases of lifestyle and metabolic syndrome in an urban and rural setting in South Africa
title_fullStr Risk-factor profiles for chronic diseases of lifestyle and metabolic syndrome in an urban and rural setting in South Africa
title_full_unstemmed Risk-factor profiles for chronic diseases of lifestyle and metabolic syndrome in an urban and rural setting in South Africa
title_short Risk-factor profiles for chronic diseases of lifestyle and metabolic syndrome in an urban and rural setting in South Africa
title_sort risk factor profiles for chronic diseases of lifestyle and metabolic syndrome in an urban and rural setting in south africa
topic risk
lifestyle
chronic diseases
metabolic syndrome
url http://www.phcfm.org/index.php/phcfm/article/view/346/383
work_keys_str_mv AT sanetvanzyl riskfactorprofilesforchronicdiseasesoflifestyleandmetabolicsyndromeinanurbanandruralsettinginsouthafrica
AT lynettejvandermerwe riskfactorprofilesforchronicdiseasesoflifestyleandmetabolicsyndromeinanurbanandruralsettinginsouthafrica
AT corinnamwalsh riskfactorprofilesforchronicdiseasesoflifestyleandmetabolicsyndromeinanurbanandruralsettinginsouthafrica
AT andriesjgroenewald riskfactorprofilesforchronicdiseasesoflifestyleandmetabolicsyndromeinanurbanandruralsettinginsouthafrica
AT francoiscvanrooyen riskfactorprofilesforchronicdiseasesoflifestyleandmetabolicsyndromeinanurbanandruralsettinginsouthafrica