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Epidemiology of obesity, hypertension, and type 2 diabetes among voluntary health checkup participants in districts of Sabah, Malaysia
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概要 | The prevalence of obesity, hypertension (HTN), and type 2 diabetes mellitus (T2DM) is increasing worldwide, with significant public health implications, particularly in low- and middle-income regions.... However, epidemiological data for remote rural districts in Sabah, Malaysia remains limited. This report aimed to assess the epidemiology of noncommunicable diseases (NCDs) such as obesity, HTN and T2DM among voluntary health checkup participants across selected districts in Sabah, Malaysia. A total of 1,247 adults aged 18 years or above underwent health checkups as part of Sabah state’s rural outreach activities, which included anthropometric measurements, blood pressure assessment, and blood glucose tests. Data analysis revealed that the proportion of obesity, HTN, and suspected T2DM was 21.7%, 40.3%, 28.1%, respectively. The percentage of participants who had both HTN and suspected T2DM was 13.7%. Older age was significantly associated with HTN and suspected T2DM. Higher rates of HTN were observed among males. Significantly higher odds ratios for having obesity, HTN, suspected T2DM, were found in rural districts including Beaufort, Tawau, and Lahad Datu districts, compared to the urban district of Kota Kinabalu. Participants in rural districts had a significantly higher likelihood of having two or more of these NCDs (comorbidity) than participants in the Kota Kinabalu district after controlling for sex and age. The findings highlight the urgent need for targeted community health interventions and policies addressing lifestyle modifications, with a focus on at-risk demographics in rural areas. This study provides a foundation for future research on NCDs in Sabah and emphasizes the importance of preventative measures in reducing the growing burden of obesity, HTN, and T2DM in Malaysia.続きを見る |
目次 | 1. Introduction 2. Methods 2.1. Study design 2.2. Participants and setting 2.3. Data collection System and Procedures 2.4. Measurements 2.5. Data analysis 3. Results 3.1. Participant’s demographic characteristics (Table 1) 3.2. Participant’s health checkup results of BMI, Blood Pressure, and Blood Sugar (Table 2) 3.3. Percentages of obesity, HTN, suspected T2DM, and comorbidity by districts (Figure 6) 3.4. Percentage of obesity, HTN, suspected T2DM, and comorbidity by sex and age groups(Table 3) 3.5. Adjusted odds ratio (OR) and 95% confidence interval (CI) for obesity, HTN, suspected T2DM, and comorbidities (Table 4a and 4b) 4. Summary and Recommendations続きを見る |
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登録日 | 2025.02.26 |
更新日 | 2025.04.10 |