Current status of coronary risk factors among rural Malays in Malaysia

Background Coronary heart disease (CHD) is the leading cause of death in Malaysia, despite its status as a developing country. The rural population is thought to be at low risk. Objective To investigate the prevalence of risk factors and global risk profile among rural Malays in Malaysia. Methods...

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Main Authors:	Khan, Rahmattullah, Nawawi, Hapizah, Nor, Idris, Noor, Ismail, Karim, Norimah, Arshad, Fatimah, Yusoff, Khalid
Format:	Article
Language:	English
Published:	Lippincott Williams & Wilkins 2002
Subjects:	BF Psychology Q Science (General)
Online Access:	http://irep.iium.edu.my/31562/ http://irep.iium.edu.my/31562/ http://irep.iium.edu.my/31562/ http://irep.iium.edu.my/31562/1/Current_Status_of_Coronary.pdf

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spelling	iium-315622017-06-16T02:49:43Z http://irep.iium.edu.my/31562/ Current status of coronary risk factors among rural Malays in Malaysia Khan, Rahmattullah Nawawi, Hapizah Nor, Idris Noor, Ismail Karim, Norimah Arshad, Fatimah Yusoff, Khalid BF Psychology Q Science (General) Background Coronary heart disease (CHD) is the leading cause of death in Malaysia, despite its status as a developing country. The rural population is thought to be at low risk. Objective To investigate the prevalence of risk factors and global risk profile among rural Malays in Malaysia. Methods We studied 609 rural Malay subjects (346 females, 263 males; age range 30–65 years). Blood pressure (BP), body mass index (BMI), waist–hip ratio (WHR), smoking habits and family history of premature CHD were documented. Fasting blood samples were analysed for serum lipids, lipoprotein (a), plasma glucose and fibrinogen. Oral glucose tolerance tests were performed using 75 g anhydrous glucose. Results The prevalence of hypercholesterolemia for total cholesterol concentrations of ≥ 5.2, ≥6.5 and ≥7.8 mmol/l were 67.3, 30.5 and 11.8% respectively. There was a high prevalence of low serum high-density lipoprotein cholesterol (13.1%), hypertension (30.3%), smokers (24.4%), diabetes (6.4%), impaired fasting glucose or glucose tolerance (13.9%), overweight or obesity (44.7%) and increased WHR (48.5%). Global risk assessment showed that 67.3% of the study population were at risk, with 15.9, 18.9 and 32.5% in the mild, moderate and high risk categories respectively. Conclusion Prevalence of risk factors was high in the rural population. Global risk assessment showed a high-risk profile with two-thirds being at risk, and one-third being categorized into the high-risk group. Although rural communities were considered at low risk of developing CHD, this is changing fast, possibly due to the rapid socio-economic development, in addition to underlying genetic predisposition. Lippincott Williams & Wilkins 2002-02 Article PeerReviewed application/pdf en http://irep.iium.edu.my/31562/1/Current_Status_of_Coronary.pdf Khan, Rahmattullah and Nawawi, Hapizah and Nor, Idris and Noor, Ismail and Karim, Norimah and Arshad, Fatimah and Yusoff, Khalid (2002) Current status of coronary risk factors among rural Malays in Malaysia. Journal of Cardiovascular Risk, 9 (1). pp. 17-23. ISSN 1350-6277 http://dx.doi.org/10.1097/00043798-200202000-00003 doi:10.1097/00043798-200202000-00003
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	BF Psychology Q Science (General)
spellingShingle	BF Psychology Q Science (General) Khan, Rahmattullah Nawawi, Hapizah Nor, Idris Noor, Ismail Karim, Norimah Arshad, Fatimah Yusoff, Khalid Current status of coronary risk factors among rural Malays in Malaysia
description	Background Coronary heart disease (CHD) is the leading cause of death in Malaysia, despite its status as a developing country. The rural population is thought to be at low risk. Objective To investigate the prevalence of risk factors and global risk profile among rural Malays in Malaysia. Methods We studied 609 rural Malay subjects (346 females, 263 males; age range 30–65 years). Blood pressure (BP), body mass index (BMI), waist–hip ratio (WHR), smoking habits and family history of premature CHD were documented. Fasting blood samples were analysed for serum lipids, lipoprotein (a), plasma glucose and fibrinogen. Oral glucose tolerance tests were performed using 75 g anhydrous glucose. Results The prevalence of hypercholesterolemia for total cholesterol concentrations of ≥ 5.2, ≥6.5 and ≥7.8 mmol/l were 67.3, 30.5 and 11.8% respectively. There was a high prevalence of low serum high-density lipoprotein cholesterol (13.1%), hypertension (30.3%), smokers (24.4%), diabetes (6.4%), impaired fasting glucose or glucose tolerance (13.9%), overweight or obesity (44.7%) and increased WHR (48.5%). Global risk assessment showed that 67.3% of the study population were at risk, with 15.9, 18.9 and 32.5% in the mild, moderate and high risk categories respectively. Conclusion Prevalence of risk factors was high in the rural population. Global risk assessment showed a high-risk profile with two-thirds being at risk, and one-third being categorized into the high-risk group. Although rural communities were considered at low risk of developing CHD, this is changing fast, possibly due to the rapid socio-economic development, in addition to underlying genetic predisposition.
format	Article
author	Khan, Rahmattullah Nawawi, Hapizah Nor, Idris Noor, Ismail Karim, Norimah Arshad, Fatimah Yusoff, Khalid
author_facet	Khan, Rahmattullah Nawawi, Hapizah Nor, Idris Noor, Ismail Karim, Norimah Arshad, Fatimah Yusoff, Khalid
author_sort	Khan, Rahmattullah
title	Current status of coronary risk factors among rural Malays in Malaysia
title_short	Current status of coronary risk factors among rural Malays in Malaysia
title_full	Current status of coronary risk factors among rural Malays in Malaysia
title_fullStr	Current status of coronary risk factors among rural Malays in Malaysia
title_full_unstemmed	Current status of coronary risk factors among rural Malays in Malaysia
title_sort	current status of coronary risk factors among rural malays in malaysia
publisher	Lippincott Williams & Wilkins
publishDate	2002
url	http://irep.iium.edu.my/31562/ http://irep.iium.edu.my/31562/ http://irep.iium.edu.my/31562/ http://irep.iium.edu.my/31562/1/Current_Status_of_Coronary.pdf
first_indexed	2023-09-18T20:45:45Z
last_indexed	2023-09-18T20:45:45Z
_version_	1777409663288999936

Current status of coronary risk factors among rural Malays in Malaysia

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