Gualan, M;
Chis Ster, I;
Veloz, T;
Granadillo, E;
Llangari-Arizo, LM;
Rodriguez, A;
Critchley, JA;
Whincup, P;
Martin, M;
Romero-Sandoval, N;
et al.
Gualan, M; Chis Ster, I; Veloz, T; Granadillo, E; Llangari-Arizo, LM; Rodriguez, A; Critchley, JA; Whincup, P; Martin, M; Romero-Sandoval, N; Cooper, PJ
(2024)
Cardiometabolic diseases and associated risk factors in transitional rural communities in tropical coastal Ecuador.
PLoS One, 19 (7).
e0307403.
ISSN 1932-6203
https://doi.org/10.1371/journal.pone.0307403
SGUL Authors: Chis Ster, Delizia Irina Cooper, Philip John Critchley, Julia
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Abstract
Background There is a growing epidemic of chronic non-communicable diseases in low and middle-income countries, often attributed to urbanization, although there are limited data from marginalized rural populations. This study aimed to estimate prevalence of cardiometabolic diseases and associated risk factors in transitional rural communities. Methods A cross-sectional study of Montubio adults aged 18–94 years living in agricultural communities in a tropical coastal region of Ecuador. Data were collected by questionnaires and anthropometry, and fasting blood was analyzed for glucose, glycosylated hemoglobin, insulin, and lipid profiles. Population-weighted prevalences of diabetes, hypertension, and metabolic syndrome were estimated. Associations between potential risk factors and outcomes were estimated using multilevel regression techniques adjusted for age and sex. Results Out of 1,010 adults recruited, 931 were included in the analysis. Weighted prevalences were estimated for diabetes (20.4%, 95% CI 18.3–22.5%), hypertension (35.6%, 95% CI 29.0–42.1%), and metabolic syndrome (54.2%. 95% CI 47.0–61.5%) with higher prevalence observed in women. Hypertension prevalence increased with age while diabetes and metabolic syndrome peaked in the 6th and 7th decades of life, declining thereafter. Adiposity indicators were associated with diabetes, hypertension, and metabolic syndrome. Conclusion We observed an unexpectedly high prevalence of diabetes, hypertension, and metabolic syndrome in these marginalized agricultural communities. Transitional rural communities are increasingly vulnerable to the development of cardiometabolic risk factors and diseases. There is a need for targeted primary health strategies to reduce the burden of premature disability and death in these communities.
Item Type: | Article | ||||||
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Additional Information: | Copyright: © 2024 Gualan et al. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | ||||||
Keywords: | Humans, Adult, Middle Aged, Female, Ecuador, Male, Rural Population, Aged, Adolescent, Cross-Sectional Studies, Metabolic Syndrome, Young Adult, Aged, 80 and over, Hypertension, Risk Factors, Prevalence, Cardiovascular Diseases, Diabetes Mellitus, General Science & Technology | ||||||
SGUL Research Institute / Research Centre: | Academic Structure > Infection and Immunity Research Institute (INII) Academic Structure > Population Health Research Institute (INPH) Academic Structure > REF 2021 user group |
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Journal or Publication Title: | PLoS One | ||||||
ISSN: | 1932-6203 | ||||||
Language: | eng | ||||||
Dates: |
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Publisher License: | Creative Commons: Attribution 4.0 | ||||||
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PubMed ID: | 39024320 | ||||||
Go to PubMed abstract | |||||||
URI: | https://openaccess.sgul.ac.uk/id/eprint/116650 | ||||||
Publisher's version: | https://doi.org/10.1371/journal.pone.0307403 |
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