NCD Risk Factor Survey in Sri Lanka - who. · PDF fileexpected number of respondents from...

Report

NCD Risk Factor Survey in Sri Lanka

(STEP Survey)

Dr. Lakshmi C. SomatungaDirector/ Non Communicable Diseases

2004

Report STEP Survey, Sri Lanka

2

CONTENTS

Page

1. Introduction 03 2. Survey Methods 04 3. Study Results 06

3.1. Demography 06

3.2. Core behavioural measures 06

3.3. Core Physical Measures 07 4. Follow-up activities 07 5. Conclusions 07 Annexure

I. Training Schedule for interviewer training 08

II. Tables 09

III. Health Ministry Approval for the study 22


3

1. Introduction

In Sri Lanka, Non Communicable Diseases (NCD) are on the increase due to a rapid

transition in lifestyle. Cardiovascular Diseases being the leading cause of deaths,

solely contribute 18% deaths at the government health institutions with compared to

8% deaths due to all communicable diseases.

The trends in risk factors for major NCD are in upward direction in Sri Lanka. These

include increased consumption of energy-densed, nutrient-poor foods that are high in

fat, sugar and salt; reduced level of physical activity and tobacco use.

It is realized that primary prevention becomes important and should devote more

resources in order to have a healthy nation who will contribute productively for the

development of the country. Because of the fact that in primary prevention

identification of risk factors and magnitude of their existence play vital role, it was a

necessity to conduct a survey, which comprehensively covers key risk factors for

major NCD.

At a national workshop conducted in 2001, WHO STEPwise approach was recognized

as a good tool to be utilized for an initial risk factor survey, which will set a basis for

an easy and inexpensive surveillance mechanism in Sri Lanka.


4

2. Survey Methods

2.1. Study Population The STEP survey was conducted in one Health Area in Western Province (Population

189,400). In Sri Lanka, one health area comprises several clusters/ PHM areas (Public

Health Midwife areas). The average number of PHM areas per Health Area is around

20. Randomly selected 10 clusters were included to the study in order to have a

representative sample from the health area. The sample was drawn to have a

minimum of 250 numbers in each recommended age group and sex according to the

guidelines for STEP surveys.

2.2. The Sample Selection

Age Group Male Female 15 – 24 250 250 25 – 34 250 250 35 – 44 250 250 45 – 54 250 250 55 – 64 250 250 65 - 74 250 250 Total 1500 1500

Although the minimum sample should be 2000 and age groups from 25 to 64 (4 age

groups) have to be included, it was decided to include age group 15 – 24 due to the

fact that average age at which people take up smoking might be in this age group for

Sri Lanka and also the age group from 65 – 74 was selected because the country’s life

expectancy is relatively long and it was important to include this particular age group.

2.3. Interviewing In all the clusters, the starting point was the most centrally located temple. The

direction in which the location of the first household was selected randomly. In each

cluster the interviewing was done house-to-house through the closest, until the

expected number of respondents from relevant age and sex groups was interviewed.

Each interviewer interviews an equal number of respondents, so that they have an

equal workload and each interviewer was responsible for one cluster.


5

2.4. Study Instrument

The survey was conducted adopting STEP I and II using the core data set. In order to

assess the acceptance by the community, clarity of the instrument and also the

feasibility of utilizing the primary health care staff, particularly the Public Health

Midwife (PHM), the questionnaire was pre-tested. It was pre-tested in 5 PHM areas

with altogether 110 questionnaires.

The results of the pre testing were impressive as the participants had not complained

about their time and very willingly responded to the survey. The views of the

interviewers were evaluated. Except for that they have had a difficulty in assessing

the nutrition section particularly the portion/ serving of the vegetables, the

interviewing has been done smoothly. The results were impressive as the participants

had not complained about their time and very willingly responded to the survey. The

views of the interviewers were evaluated. Except for that they have had a difficulty in

assessing the nutrition section particularly the portion/ serving of the vegetables, the

interviewing has been done smoothly.

2.5. Training of Interviewers

A 3-day training programme was conducted for interviewers. The training schedule

was carefully designed for the interviewers to gain adequate knowledge and the skills

for efficient data collection procedure (annexure I).

The practical sessions and role-plays were included in the training schedule to

facilitate better understanding the field situation. The lessons learnt from the previous

pre-testing were considered thoroughly in the training process.

2.6. Data Collection

The data collection has been commenced on July 2003. In addition to the supervision

in the field, the Principal Investigator called a meeting of the study team in order to

review the progress 2 weeks after the commencement of data collection. It was

revealed that the interviewing the members in the youngest age group (15 – 24) is

difficult than expected earlier, as most of them are engaged in the educational

activities through out the week. Therefore, the process of data collection was little

slower than the expected. Other than that, the survey was carried out as planned. Data

collection ended in October 2003.


6

3. Study Results

3.1. Demography

Sample Size and Response Proportions Number of Participants – 3000 : Male - 1500 : Female - 1500

Demography Sex: Male – 1500 (50)% Female – 1500 (50) % Age Categories: 15-24 - 16.67 % 45-54 - 16.67 % 25-34 - 16.67 % 55-64 - 16.67% 35-44 -16.67 % 65-74 - 16.67 %

Male Female Total Average Years of Schooling 9.18 8.56 8.86 Years

3.2. Core Behavioural Measures Tobacco Use

Male Female Total Total Daily Smokers 489 10 499 Daily Smokers 32.60 0.67 16.63 % Average age started smoking (years) 21.24 26.40 21.34 Years Average years of smoking 24.60 27.00 24.65 Number Smoking Manufactured Cigarettes 456 8 464 Percentage Smoking Manufactured Cigarettes 93.25 80 92.99 % Total Number of Cigarettes smoked daily 3448 68 3516 Average Number of Cigarettes smoked/ day 7.05 6.8 7.05

Alcohol Consumption Male Female Total Percentage who drank alcohol in the last year 60.33 11.47 35.90 % Percentage who had 5 or more drinks on any day in last week 87.40 0.13 43.77 % Percentage who drank alcohol on 5 or more days/ week 7.93 0.47 7.93 %

Fruit and Vegetable Consumption (in a typical week) Male Female Total Average days that fruit was consumed 3.58 3.67 3.63 Average days that vegetables were consumed 6.59 6.54 6.56 Percentage who eat <5 serves of fruit & vegetables/ day 97.07 96.80 96.93 %

Physical Activity Male Female Total Percentage of Inactivity 12.07 19.07 15.57 % Average time spent sitting/ day (minutes) 224 229 226 Average time spent in moderate activity/ day (minutes) 205 207 206 Average time spent in vigorous activity/ day (minutes) 87 15 51


7

3.3. Core Physical Measures Male Female Total Average Weight 57.62 53.62 55.62 kg Average body mass index (kg/ m2) 22.07 23.21 22.64 Percentage who are obese (body mass index ≥ 30 kg/ m2) 2.00 6.60 4.30 % Average waist girth (cm) 81.21 78.30 79.70 Average systolic blood pressure (mmHg) 126.53 125.00 125.76 Average diastolic pressure (mmHg) 73.96 74.20 74.08 Percentage with high BP (SBP ≥140 and/or DBP ≥ 90 mmHg) 5.60 8.13 6.87 % 4. Follow-up Activities

Those who found to have blood pressure value 140/90 or more were referred to the

nearest hospital. The medical officers attached to the out patient department of the

nearest hospital to the survey site were given a brief about the survey.

Post survey awareness was given to the health staff and the community leaders in the

survey area. The arrangements have been made to conduct a demonstration project in

the study area with the support of WHO/SEARO. In this project, the focus is to give

guidance and technical expertise to the community leaders and professionals by

empowering them to launch their own NCD prevention programme.

The relevant policy makers were sensitized on the study results and following that

there is a suggestion to continue to measure trends in key risk factors in stipulated

intervals of time.

5. Conclusions

The key results from this survey are par with the national level data. The national

level statistics indicate the tobacco use among males in Sri Lanka is above 30 percent

and below 1 percent for females. Similarly this study reveals the prevalence of the

same as 32.6 and 0.67 percent respectively. The comprehensive data on physical

activity and consumption of fruits and vegetables are very rare in Sri Lanka. This

study revealed a relatively comprehensive data set for this information, which will be

a good starting point to monitor these important aspects. Also, it is alarming that the

percentage with high blood pressure was found to be 6.87 in this population, which

needs attention at the national level.


8

Training Schedule Day I Time Session Facilitator/Resource 0900 - 0915 Registration 0915 - 0930 Opening Remarks Director/Non Communicable Diseases

0930 – 0945 TEA BREAK

0945 - 1015 Introduction to STEPWise approach Director/Medical Services

1015 - 1045 Rationale for a risk factor Survey in Sri Lanka

Deputy Director General(Medical Services)

1045 – 1230 Introduction to the Step I Core data set Director/Non Communicable Diseases

1230 – 1330 LUNCH BREAK

1330 – 1430 Introduction to the Step II Core data set Director/Non Communicable Diseases

1430 – 1530 Demonstration on physical measurements

Head/Nutrition Unit, Medical Research Institute Lecturer/Physiology Department, Faculty of Medicine

1530 – 1545 TEA BREAK

1545 – 1630 Practical on physical measurements Head/Nutrition Unit, Medical Research Institute Lecturer/Physiology Department, Faculty of Medicine

1630 - 1700 SUMMING UP

Day II Time Session Facilitator/Resource 0930 – 1015 Interview technique – Interviewer

administered questionnaires Director/Organization Development

1015 - 1030 TEA BREAK

1030 – 1230 Role-play on interviews – Group I Director/Non Communicable Diseases


1330 – 1530 Role-play on interviews – Group II Panel

1530 – 1545 Feedback on the role-plays Panel

1545 – 1630 TEA BREAK

1630 - 1700 SUMMING UP

Day III Time Session Facilitator/Resource 0930 – 1015 Interviewing schedule in the field Medical Officer of Health

1015 - 1030 TEA BREAK

1030 – 1100 Coding system for questionnaires Director/Non Communicable Diseases

1100 - 1230 Plan for clinic sites for physical measurements

Director/Medical Services


1330 – 1530 Logistics review (consent forms, referral cards, arrangements at the clinic sites, etc.)

Director/Non Communicable Diseases

1530 – 1545 TEA BREAK

1545 – 1630 SUMMING UP


Annexure II

9

Demographic Information Table 1.1 Years Spent in School: Men and Women

Men Women Age N Mean SE N Mean SE

15-24 250 10.44 0.120 250 9.93 0.124 25-34 250 9.86 0.133 250 9.73 0.123 35-44 250 9.74 0.152 250 9.80 0.309 45-54 250 9.43 0.139 250 8.38 0.180 55-64 250 8.51 0.178 250 7.67 0.198 65-74 250 7.12 0.198 250 5.86 0.234

15-74 1500 9.18 0.069 1500 8.56 0.092

Tobacco Use Table 2.1.1 Current Smoking Status: Men

Age N Daily Non-Daily Non-Smoker n (%) n (%) n (%)

15-24 250 44 17.60 19 7.60 187 74.80 25-34 250 84 33.60 23 9.20 143 57.20 35-44 250 100 40.00 18 7.20 132 52.80 45-54 250 107 42.80 19 7.60 124 49.60 55-64 250 84 33.60 16 6.40 150 60.00 65-74 250 70 28.00 20 8.00 160 64.00

15-74 1500 489 32.60 115 7.67 896 59.73

Table 2.1.2 Current Smoking Status: Women

Age N Daily Non-Daily Non-Smoker n (%) n (%) n (%)

15-24 250 2 0.80 1 0.40 247 98.80 25-34 250 1 0.40 3 1.20 246 98.40 35-44 250 0 0.00 0 0.00 250 100.00 45-54 250 1 0.40 0 0.00 249 99.60 55-64 250 0 0.00 0 0.00 250 100.00 65-74 250 6 2.40 0 0.00 244 97.60

15-74 1500 10 0.67 4 0.27 1486 99.07


Annexure II

10

Table 2.2 Age started smoking, for current smokers: Men and Women


15-24 44 17.82 0.471 2 19 1 25-34 84 19.49 0.458 1 16 - 35-44 100 20.47 0.519 0 0 0 45-54 107 21.25 0.498 1 20 - 55-64 84 23.33 1.005 0 0 0 65-74 70 24.07 1.235 6 31.67 9.058

15-74 489 21.24 0.314 10 26.4 5.665

Table 2.3 Years of smoking, for current smokers: Men and Women


15-24 44 4.30 0.519 2 2 0 25-34 84 10.29 0.546 1 16 - 35-44 100 18.89 0.590 0 0 0 45-54 107 27.64 0.562 1 27 - 55-64 84 35.98 1.025 0 0 0 65-74 70 44.39 1.251 6 37.17 8.352

15-74 489 24.60 0.655 10 27 6.736

Table 2.4.1 Percentages smoking various types of cigarettes, for current smokers: Men

Age N Manufactured Hand Rolled Pipe Cigars Others n % n % n % n % n %

15-24 44 44 100.00 0 0.00 0 0.00 0 0.00 1 2.27 25-34 84 84 100.00 2 2.38 1 1.19 1 1.19 8 9.52 35-44 100 95 95.00 0 0.00 0 0.00 6 6.00 4 4.00 45-54 107 106 99.07 1 0.93 0 0.00 1 0.93 2 1.87 55-64 84 72 85.71 0 0.00 2 2.38 11 13.10 0 0.00 65-74 70 54 77.14 0 0.00 2 2.86 18 25.71 0 0.00

15-74 489 455 93.05 3 0.61 5 1.02 37 7.57 15 3.07


Annexure II

11

Table 2.4.2 Percentages smoking various types of cigarettes, for current smokers: Women

Age N Manufactured Hand Rolled Pipe Cigars Others n % n % n % n % n %

15-24 2 2 100.00 0 0.00 0 0.00 0 0.00 1 50.00 25-34 1 1 100.00 0 0.00 0 0.00 0 0.00 0 0.00 35-44 0 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 45-54 1 1 100.00 0 0.00 0 0.00 0 0.00 0 0.00 55-64 0 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 65-74 6 4 66.67 0 0.00 0 0.00 2 33.33 0 0.00

15-74 10 8 0.53 0 0.00 0 0.00 2 0.13 1 0.07

Alcohol Consumption Table 3.1. Alcohol consumption status: Men and Women

Men Women Age N Ever Consumed Never Consumed N Ever Consumed Never Consumed

n % n % N % n %

15-24 250 172 68.80 78 31.2 250 72 28.80 178 71.20 25-34 250 201 80.40 49 19.6 250 79 31.60 171 68.40 35-44 250 200 80.00 50 20 250 74 29.60 176 70.40 45-54 250 202 80.80 48 19.2 250 55 22.00 195 78.00 55-64 250 193 77.20 57 22.8 250 55 22.00 195 78.00 65-74 250 172 68.80 78 31.2 250 42 16.80 208 83.20

15-74 1500 1140 76.00 360 24.00 1500 377 25.13 1123 74.87

Table 3.2 Consumers of alcohol during the past 12 months: Men and Women

Men Women Age N Current Consumers N Current Consumers

n % n %

15-24 250 139 55.60 250 35 14.0 25-34 250 171 68.40 250 39 15.6 35-44 250 174 69.60 250 33 13.2 45-54 250 168 67.20 250 20 8.0 55-64 250 147 58.80 250 21 8.4 65-74 250 106 42.40 250 24 9.6

15-74 1500 905 60.33 1500 172 11.47


Annexure II

12

Diet Table 4.1 Number of days fruit is consumed per week: Men and Women


15-24 250 3.32 0.134 250 3.45 0.145 25-34 250 3.68 0.146 250 4.06 0.138 35-44 250 3.37 0.149 250 3.76 0.150 45-54 250 3.66 0.145 250 3.51 0.145 55-64 250 3.69 0.149 250 3.75 0.143 65-74 250 3.77 0.148 250 3.50 0.147

15-74 1500 3.58 0.059 1500 3.67 0.059

Table 4.2.1 Servings of fruits consumed per day: Men

Age N <1 serving per day 1 serving per day 2-4 servings per day

5 or more servings per day

n % n % n % n %

15-24 250 20 8.00 203 81.20 27 10.8 0 0 25-34 250 16 6.40 199 79.60 34 13.6 1 0.4 35-44 250 29 11.60 202 80.80 19 7.6 0 0 45-54 250 22 8.80 196 78.40 31 12.4 1 0.4 55-64 250 16 6.40 194 77.60 39 15.6 1 0.4 65-74 250 19 7.60 199 79.60 32 12.8 0 0

15-74 1500 122 8.13 1193 79.53 182 12.13 3 0.2

Table 4.2.2 Servings of fruits consumed per day: Women



n % n % n % n %

15-24 250 13 5.20 201 80.40 34 13.60 1 0.4 25-34 250 9 3.60 185 74.00 55 22.00 1 0.4 35-44 250 22 8.80 183 73.20 44 17.60 1 0.4 45-54 250 22 8.80 179 71.60 49 19.60 0 0 55-64 250 13 5.20 205 82.00 31 12.40 0 0 65-74 250 24 9.60 204 81.60 22 8.80 0 0

15-74 1500 103 6.87 1157 77.13 235 15.67 3 0.2


Annexure II

13

Table 4.3 Number of days vegetables are consumed per week: Men and Women


15-24 250 6.41 0.098 250 6.352 0.104 25-34 250 6.54 0.089 250 6.540 0.084 35-44 250 6.72 0.074 250 6.548 0.085 45-54 250 6.60 0.086 250 6.576 0.077 55-64 250 6.62 0.077 250 6.620 0.076 65-74 250 6.63 0.080 250 6.592 0.079

15-74 1500 6.59 0.035 1500 6.538 0.035

Table 4.4.1 Servings of vegetables consumed per day: Men



n % n % n % n %

15-24 250 5 2.00 101 40.40 142 56.80 2 0.80 25-34 250 3 1.20 111 44.40 134 53.60 2 0.80 35-44 250 2 0.80 86 34.40 160 64.00 2 0.80 45-54 250 6 2.40 82 32.80 160 64.00 2 0.80 55-64 250 1 0.40 102 40.80 146 58.40 1 0.40 65-74 250 2 0.80 101 40.40 145 58.00 2 0.80

15-74 1500 19 1.27 583 38.87 887 59.13 11 0.73

Table 4.4.2 Servings of vegetables consumed per day: Women



n % n % n % n %

15-24 250 6 2.40 109 43.60 134 53.60 1 0.40 25-34 250 1 0.40 107 42.80 140 56.00 2 0.80 35-44 250 0 0.00 114 45.60 134 53.60 2 0.80 45-54 250 1 0.40 121 48.40 125 50.00 3 1.20 55-64 250 0 0.00 115 46.00 133 53.20 1 0.40 65-74 250 2 0.80 116 46.40 131 52.40 1 0.40

15-74 1500 10 0.67 682 45.47 797 53.13 10 0.67


Annexure II

14

Table 4.5 Servings of fruits & vegetables consumed per day: Men and Women

Age Men Women

N <5 serving per

day >=5 serving

per day N <5 serving per

day >=5 serving

per day n % n % N % n %

15-24 250 246 98.40 4 1.60 250 246 98.40 4 1.60 25-34 250 242 96.80 8 3.20 250 243 97.20 7 2.80 35-44 250 247 98.80 3 1.20 250 238 95.20 12 4.80 45-54 250 240 96.00 10 4.00 250 240 96.00 10 4.00 55-64 250 241 96.40 9 3.60 250 245 98.00 5 2.00 65-74 250 240 96.00 10 4.00 250 240 96.00 10 4.00

15-74 1500 1456 97.07 44 2.93 1500 1452 96.80 48 3.20

Physical Activity Table 5.1 Physically inactive: Men and Women

Men Women Age N n % N n %

15-24 250 20 8.00 250 47 18.80 25-34 250 34 13.60 250 50 20.00 35-44 250 35 14.00 250 34 13.60 45-54 250 25 10.00 250 37 14.80 55-64 250 31 12.40 250 55 22.00 65-74 250 36 14.40 250 63 25.20

15-74 1500 181 12.07 1500 286 19.07

Table 5.2 Total physical activity (minutes/week): Men and Women


15-24 250 500.58 12.468 250 366.31 16.696 25-34 250 458.22 14.543 250 396.30 17.642 35-44 250 480.60 13.981 250 430.02 14.942 45-54 250 501.18 12.660 250 419.90 15.231 55-64 250 463.80 14.115 250 390.48 16.089 65-74 250 451.14 14.712 250 353.40 16.852

15-74 1500 475.92 5.637 1500 392.74 6.667


Annexure II

15

Table 5.3.1 Level of physical activity at work: Men and Women Men Women

Age N Inactive Moderate

only Vigorous N Inactive Moderate

only Vigorous n % n % n % n % n % n %

15-24 232 134 57.76 70 30.17 28 48.48 232 159 68.53 69 29.74 4 1.7225-34 236 114 48.31 84 35.59 38 78.67 235 132 56.17 96 40.85 7 2.9835-44 247 121 48.99 102 41.30 24 48.99 234 123 52.56 104 44.44 7 2.9945-54 238 121 50.84 83 34.87 34 66.88 240 133 55.42 102 42.50 5 2.0855-64 234 149 63.68 62 26.50 10 15.70 237 146 61.60 74 31.22 5 2.1165-74 236 165 69.92 62 26.27 9 12.87 236 158 66.95 73 30.93 5 2.12

15-74 1423 804 56.50 473 33.24 146 10.33 1414 851 60.18 533 37.69 30 2.12

Table 5.3.2 Level of physical activity during leisure time: Men and Women Men Women

Age N Inactive Moderate

only Vigorous N Inactive Moderate

only Vigorous n % n % n % n % n % n %

15-24 250 217 86.80 24 9.60 9 3.60 250 245 98.00 5 2.00 0 0.0025-34 250 229 91.60 16 6.40 5 2.00 250 239 95.60 10 4.00 1 0.4035-44 250 237 94.80 12 4.80 1 0.40 246 234 95.12 12 4.88 0 0.0045-54 250 230 92.00 17 6.80 3 1.20 249 236 94.78 13 5.22 0 0.0055-64 250 244 97.60 6 2.40 0 0.00 250 241 96.40 8 3.20 1 0.4065-74 250 241 96.40 9 3.60 0 0.00 249 246 98.80 3 1.20 0 0.00

15-74 1500 1398 93.20 84 5.60 18 1.20 1494 1441 96.45 51 3.41 2 0.13

Table 5.4.1 Average time spent sitting, moderate activity and vigorous activity per week

(minutes): Men

Age N Sitting Moderate only Vigorous Mean SE Mean SE Mean SE

15-24 250 231.7 8.10 209.1 16.74 120.9 14.23 25-34 250 220.6 7.92 207.6 17.51 132.1 15.33 35-44 250 202.9 7.33 257.7 18.36 101.5 13.85 45-54 250 209.3 7.35 226.3 17.64 99.5 13.70 55-64 250 239.6 8.99 182.3 16.94 40.9 9.25 65-74 250 238.4 7.57 144.5 15.02 28.8 8.13

15-74 1500 223.8 3.24 204.6 7.01 87.3 5.28


Annexure II

16

Table 5.4.2 Average time spent sitting, moderate activity and vigorous activity per week (minutes): Women

Age N Sitting Moderate only Vigorous

Mean SE Mean SE Mean SE

15-24 250 257.5 8.31 174.5 16.45 13.8 5.57 25-34 250 216.7 7.93 209.8 17.09 20.8 6.38 35-44 250 206.7 8.23 243.5 17.86 24.4 7.23 45-54 250 222.5 9.08 236.0 17.88 12.0 5.32 55-64 250 223.7 8.52 211.5 17.69 8.9 4.46 65-74 250 248.1 8.35 165.7 16.39 12.2 5.33

15-74 1500 229.2 3.46 206.8 7.07 15.4 2.36

Physical Measures Table 6.1 Height (cm): Men and Women


15-24 250 163.2 12.47 250 154.3 16.70 25-34 250 162.6 14.54 250 153.8 17.64 35-44 250 161.9 13.98 250 153.1 14.94 45-54 250 160.9 12.66 250 151.1 15.23 55-64 250 160.8 14.12 250 150.2 16.09 65-74 250 158.6 14.71 250 148.0 16.85

15-74 1500 161.3 5.64 1500 151.8 16.33

Table 6.2 Weight (kg): Men and Women


15-24 250 53.8 12.47 250 49.5 16.70 25-34 250 58.6 14.54 250 54.3 17.64 35-44 250 59.7 13.98 250 57.3 14.94 45-54 250 59.6 12.66 250 55.2 15.23 55-64 250 59.1 14.12 250 54.1 16.09 65-74 250 54.9 14.71 250 51.4 16.85

15-74 1500 57.6 5.64 1500 53.6 6.67


Annexure II

17

Table 6.3 Body mass index (kg/m2): Men and Women


15-24 250 20.1 12.47 250 20.8 16.70 25-34 250 22.1 14.54 250 22.9 17.64 35-44 250 22.7 13.98 250 24.3 14.94 45-54 250 23.0 12.66 250 24.1 15.23 55-64 250 22.8 14.12 250 23.9 16.09 65-74 250 21.7 14.71 250 23.3 16.85

15-74 1500 22.1 5.64 1500 23.2 16.33

Table 6.4.1 Risk categories for body mass index (kg/m2): Men

Age N Underweight Normal Weight Grade I Grade II Grade III (<18.5) (18.5 - 24.9) (25-29.9) (30-39.9) (>40)

n % n % n % n % n %

15-24 250 89 35.60 141 56.40 18 7.20 2 0.80 0 0 25-34 250 40 16.00 162 64.80 41 16.40 7 2.80 0 0 35-44 250 34 13.60 161 64.40 50 20.00 5 2.00 0 0 45-54 250 35 14.00 142 56.80 64 25.60 9 3.60 0 0 55-64 250 24 9.60 172 68.80 49 19.60 5 2.00 0 0 65-74 250 42 16.80 166 66.40 40 16.00 2 0.80 0 0

15-74 1500 264 17.60 944 62.93 262 17.47 30 2.00 0 0

Table 6.4.2 Risk categories for body mass index (kg/m2): Women

Age N Underweight Normal Weight Grade I Grade II Grade III (<18.5) (18.5 - 24.9) (25-29.9) (30-39.9) (>40)

n % n % n % n % n %

15-24 250 88 35.20 128 51.20 22 8.80 11 4.40 1 0.40 25-34 250 43 17.20 137 54.80 58 23.20 11 4.40 1 0.40 35-44 250 16 6.40 131 52.40 81 32.40 22 8.80 0 0.00 45-54 250 23 9.20 131 52.40 78 31.20 18 7.20 0 0.00 55-64 250 23 9.20 139 55.60 66 26.40 22 8.80 0 0.00 65-74 250 22 8.80 147 58.80 68 27.20 13 5.20 0 0.00

15-74 1500 215 14.33 813 54.20 373 24.87 97 6.47 2 0.13


Annexure II

18

Table 6.5 Waist circumference (cm): Men and Women


15-24 250 73.9 12.47 245 71.8 16.87 25-34 250 79.3 14.54 249 77.8 17.68 35-44 250 82.2 13.98 249 81.2 14.97 45-54 250 84.2 12.66 250 80.7 15.23 55-64 250 84.6 14.12 250 80.4 16.09 65-74 250 82.5 14.71 250 80.0 16.85

15-74 1500 81.1 13.81 1493 78.7 16.33

Table 6.6 Currently on anti-hypertensive treatment with drugs prescribed by a health

professional: Men and Women

Men Women Age N n % N n %

15-24 250 0 0.0 250 0 0.00 25-34 250 2 0.8 250 1 0.40 35-44 250 7 2.8 250 15 6.00 45-54 250 24 9.6 250 30 12.00 55-64 250 36 14.4 250 48 19.20 65-74 250 40 16.0 250 53 21.20

15-74 1500 109 7.3 1500 147 9.80

Table 6.7.1 Resting blood pressure (mmHg): Men includes persons taking medication for high blood pressure

Systolic Diastolic Age N Mean SE N Mean SE

15-24 250 119.32 0.66 250 67.64 0.50 25-34 250 122.37 0.64 250 70.49 0.49 35-44 250 124.43 0.72 250 73.31 0.62 45-54 250 128.31 0.84 250 77.74 0.60 55-64 250 130.65 0.78 250 77.36 1.41 65-74 250 134.10 0.85 250 77.24 0.58

15-74 1500 126.53 0.33 1500 73.96 0.33


Annexure II

19

Table 6.7.2 Resting blood pressure (mmHg): Women includes persons taking medication for high blood pressure


15-24 250 113.84 0.66 250 68.4 0.53 25-34 250 117.23 0.71 250 70.5 0.54 35-44 250 123.01 1.03 250 75.8 1.37 45-54 250 129.53 0.96 250 77.2 0.61 55-64 250 132.01 1.05 250 77.4 0.62 65-74 250 134.35 1.03 250 76.1 0.58

15-74 1500 125.00 0.42 1500 74.2 0.33

Table 6.8.1 Resting blood pressure (mmHg): Men excludes persons taking medication for high blood pressure


15-24 250 119.32 0.66 250 67.6 0.50 25-34 248 122.14 0.61 248 70.4 0.48 35-44 243 123.99 0.69 243 73.1 0.62 45-54 226 127.09 0.74 226 77.0 0.58 55-64 214 128.34 0.60 214 76.4 1.50 65-74 210 130.57 0.61 210 75.9 0.52

15-74 1391 124.98 0.28 1391 73.2 0.33

Table 6.8.2 Resting blood pressure (mmHg): Women excludes persons taking medication for high blood pressure


15-24 250 113.84 0.66 250 68.4 0.53 25-34 249 117.14 0.70 250 70.5 0.54 35-44 235 121.38 0.89 250 75.0 1.38 45-54 220 127.11 0.84 250 75.8 0.56 55-64 202 128.09 0.80 250 76.1 0.58 65-74 197 129.28 0.65 250 74.7 0.56

15-74 1353 122.29 0.34 1500 73.2 0.32


Annexure II

20

Table 6.9.1 Blood pressure risk categories: Men includes persons taking medication for high blood pressure

Age N Optimal Normal High-Normal Grade I Grade II Grade III HTN HTN HTN n % n % n % n % n % n %

15-24 250 137 54.80 69 27.60 44 17.60 0 0.00 0 0.00 0 0.00 25-34 250 98 39.20 102 40.80 49 19.60 0 0.00 1 0.40 0 0.00 35-44 250 82 32.80 83 33.20 80 32.00 3 1.20 2 0.80 0 0.00 45-54 250 55 22.00 72 28.80 105 42.00 13 5.20 3 1.20 2 0.80 55-64 250 38 15.20 77 30.80 116 46.40 12 4.80 4 1.60 3 1.20 65-74 250 23 9.20 61 24.40 135 54.00 12 4.80 17 6.80 2 0.80

15-74 1500 433 28.87 464 30.93 529 35.27 40 2.67 27 1.80 7 0.47

Table 6.9.2 Blood pressure risk categories: Women includes persons taking medication for high blood pressure


15-24 250 162 64.8 61 24.4 26 10.4 1 0.4 0 0 0 0 25-34 250 127 50.8 79 31.6 43 17.2 1 0.4 0 0 0 0 35-44 250 97 38.8 72 28.8 67 26.8 7 2.8 3 1.2 4 1.6 45-54 250 50 20.0 51 20.4 120 48.0 17 6.8 10 4.0 2 0.8 55-64 250 47 18.8 44 17.6 122 48.8 19 7.6 14 5.6 4 1.6 65-74 250 29 11.6 50 20.0 131 52.4 17 6.8 14 5.6 9 3.6

15-74 1500 517 34.5 357 23.8 509 33.9 62 4.1 41 2.73 19 1.27

Table 6.10.1 Blood pressure risk categories: Men excludes persons taking medication for high blood pressure


15-24 250 137 54.80 69 27.60 44 17.60 0 0.00 0 0.00 0 0.00 25-34 248 98 39.52 101 40.73 49 19.76 0 0.00 0 0.00 0 0.00 35-44 243 82 33.74 82 33.74 77 31.69 1 0.41 1 0.41 0 0.00 45-54 226 53 23.45 68 30.09 95 42.04 7 3.10 3 1.33 0 0.00 55-64 214 37 17.29 73 34.11 102 47.66 1 0.47 0 0.00 1 0.47 65-74 210 23 10.95 61 29.05 121 57.62 2 0.95 2 0.95 1 0.48

15-74 1391 430 30.91 454 32.64 488 35.08 11 0.79 6 0.43 2 0.14


Annexure II

21

Table 6.10.2 Blood pressure risk categories: Women excludes persons taking medication for high blood pressure


15-24 250 162 64.80 61 24.40 26 10.40 1 0.40 0 0.00 0 0.00 25-34 249 127 51.00 79 31.73 43 17.27 0 0.00 0 0.00 0 0.00 35-44 235 96 40.85 71 30.21 64 27.23 2 0.85 0 0.00 2 0.85 45-54 220 50 22.73 48 21.82 115 52.27 3 1.36 3 1.36 1 0.45 55-64 202 44 21.78 39 19.31 112 55.45 4 1.98 2 0.99 1 0.50 65-74 197 29 14.72 46 23.35 119 60.41 0 0.00 3 1.52 0 0.00

15-74 1353 508 37.55 344 25.42 479 35.40 10 0.74 8 0.59 4 0.30


Annexure III

22

Date post:	16-Feb-2018
Category:	Documents
Upload:	truongkhanh
View:	218 times
Download:	2 times

NCD Risk Factor Survey in Sri Lanka - who. · PDF fileexpected number of respondents from...

Documents