Prevalence of non-communicable disease risk factors among poor shantytown residents in Dhaka, Bangladesh: A community-based cross-sectional survey

Md Khalequzzaman, Chifa Chiang, Sohel Reza Choudhury, Hiroshi Yatsuya, Mohammad Abdullah Al-Mamun, Abubakr Ahmed Abdullah Al-Shoaibi, Yoshihisa Hirakawa, Bilqis Amin Hoque, Syed Shariful Islam, Akiko Matsuyama, Hiroyasu Iso, Atsuko Aoyama

Research output: Contribution to journalReview article

3 Citations (Scopus)

Abstract

Objectives This study aims to describe the prevalence of non-communicable disease (NCD) risk factors among the urban poor in Bangladesh. Design We conducted a community-based cross-sectional epidemiological study. Setting The study was conducted in a shantytown in the city of Dhaka. There were 8604 households with 34 170 residents in the community. Those households were categorised into two wealth strata based on the housing structure. Participants The study targeted residents aged 18-64 years. A total of 2986 eligible households with one eligible individual were selected by simple random sampling stratified by household wealth status. A total of 2551 residents completed the questionnaire survey, and 2009 participated in the subsequent physical and biochemical measurements. Outcome measures A modified WHO survey instrument was used for assessing behavioural risk factors and physical and biochemical measurements, including glycated haemoglobin (HbA1c). The prevalence of NCD risk factors, such as tobacco use, fruit and vegetable intake, overweight/obesity, hypertension, diabetes (HbA1c ≥6.5%) and dyslipidaemia, was described according to household wealth status and gender differences. Results The prevalence of current tobacco use was 60.4% in men and 23.5% in women. Most of them (90.8%) consumed more than 1 serving of fruits and vegetables per day; however, only 2.1% consumed more than 5 servings. Overweight/obesity was more common in women (39.2%) than in men (18.9%), while underweight was more common in men (21.0%) than in women (7.1%). The prevalence of hypertension was 18.6% in men and 20.7% in women. The prevalence of diabetes was 15.6% in men and 22.5% in women, which was much higher than the estimated national prevalence (7%). The prevalence of raised total cholesterol (≥190 mg/dL) was 25.7% in men and 34.0% in women. Conclusion The study identified that tobacco use, both overweight and underweight, diabetes, hypertension and dyslipidaemia were prevalent among the urban poor in Bangladesh.

Original languageEnglish
Article numbere014710
JournalBMJ Open
Volume7
Issue number11
DOIs
Publication statusPublished - 01-11-2017

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Bangladesh
Cross-Sectional Studies
Tobacco Use
Thinness
Dyslipidemias
Hypertension
Vegetables
Fruit
Obesity
Glycosylated Hemoglobin A
Epidemiologic Studies
Cholesterol
Outcome Assessment (Health Care)

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Khalequzzaman, Md ; Chiang, Chifa ; Choudhury, Sohel Reza ; Yatsuya, Hiroshi ; Al-Mamun, Mohammad Abdullah ; Al-Shoaibi, Abubakr Ahmed Abdullah ; Hirakawa, Yoshihisa ; Hoque, Bilqis Amin ; Islam, Syed Shariful ; Matsuyama, Akiko ; Iso, Hiroyasu ; Aoyama, Atsuko. / Prevalence of non-communicable disease risk factors among poor shantytown residents in Dhaka, Bangladesh : A community-based cross-sectional survey. In: BMJ Open. 2017 ; Vol. 7, No. 11.
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title = "Prevalence of non-communicable disease risk factors among poor shantytown residents in Dhaka, Bangladesh: A community-based cross-sectional survey",
abstract = "Objectives This study aims to describe the prevalence of non-communicable disease (NCD) risk factors among the urban poor in Bangladesh. Design We conducted a community-based cross-sectional epidemiological study. Setting The study was conducted in a shantytown in the city of Dhaka. There were 8604 households with 34 170 residents in the community. Those households were categorised into two wealth strata based on the housing structure. Participants The study targeted residents aged 18-64 years. A total of 2986 eligible households with one eligible individual were selected by simple random sampling stratified by household wealth status. A total of 2551 residents completed the questionnaire survey, and 2009 participated in the subsequent physical and biochemical measurements. Outcome measures A modified WHO survey instrument was used for assessing behavioural risk factors and physical and biochemical measurements, including glycated haemoglobin (HbA1c). The prevalence of NCD risk factors, such as tobacco use, fruit and vegetable intake, overweight/obesity, hypertension, diabetes (HbA1c ≥6.5{\%}) and dyslipidaemia, was described according to household wealth status and gender differences. Results The prevalence of current tobacco use was 60.4{\%} in men and 23.5{\%} in women. Most of them (90.8{\%}) consumed more than 1 serving of fruits and vegetables per day; however, only 2.1{\%} consumed more than 5 servings. Overweight/obesity was more common in women (39.2{\%}) than in men (18.9{\%}), while underweight was more common in men (21.0{\%}) than in women (7.1{\%}). The prevalence of hypertension was 18.6{\%} in men and 20.7{\%} in women. The prevalence of diabetes was 15.6{\%} in men and 22.5{\%} in women, which was much higher than the estimated national prevalence (7{\%}). The prevalence of raised total cholesterol (≥190 mg/dL) was 25.7{\%} in men and 34.0{\%} in women. Conclusion The study identified that tobacco use, both overweight and underweight, diabetes, hypertension and dyslipidaemia were prevalent among the urban poor in Bangladesh.",
author = "Md Khalequzzaman and Chifa Chiang and Choudhury, {Sohel Reza} and Hiroshi Yatsuya and Al-Mamun, {Mohammad Abdullah} and Al-Shoaibi, {Abubakr Ahmed Abdullah} and Yoshihisa Hirakawa and Hoque, {Bilqis Amin} and Islam, {Syed Shariful} and Akiko Matsuyama and Hiroyasu Iso and Atsuko Aoyama",
year = "2017",
month = "11",
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doi = "10.1136/bmjopen-2016-014710",
language = "English",
volume = "7",
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issn = "2044-6055",
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Khalequzzaman, M, Chiang, C, Choudhury, SR, Yatsuya, H, Al-Mamun, MA, Al-Shoaibi, AAA, Hirakawa, Y, Hoque, BA, Islam, SS, Matsuyama, A, Iso, H & Aoyama, A 2017, 'Prevalence of non-communicable disease risk factors among poor shantytown residents in Dhaka, Bangladesh: A community-based cross-sectional survey', BMJ Open, vol. 7, no. 11, e014710. https://doi.org/10.1136/bmjopen-2016-014710

Prevalence of non-communicable disease risk factors among poor shantytown residents in Dhaka, Bangladesh : A community-based cross-sectional survey. / Khalequzzaman, Md; Chiang, Chifa; Choudhury, Sohel Reza; Yatsuya, Hiroshi; Al-Mamun, Mohammad Abdullah; Al-Shoaibi, Abubakr Ahmed Abdullah; Hirakawa, Yoshihisa; Hoque, Bilqis Amin; Islam, Syed Shariful; Matsuyama, Akiko; Iso, Hiroyasu; Aoyama, Atsuko.

In: BMJ Open, Vol. 7, No. 11, e014710, 01.11.2017.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Prevalence of non-communicable disease risk factors among poor shantytown residents in Dhaka, Bangladesh

T2 - A community-based cross-sectional survey

AU - Khalequzzaman, Md

AU - Chiang, Chifa

AU - Choudhury, Sohel Reza

AU - Yatsuya, Hiroshi

AU - Al-Mamun, Mohammad Abdullah

AU - Al-Shoaibi, Abubakr Ahmed Abdullah

AU - Hirakawa, Yoshihisa

AU - Hoque, Bilqis Amin

AU - Islam, Syed Shariful

AU - Matsuyama, Akiko

AU - Iso, Hiroyasu

AU - Aoyama, Atsuko

PY - 2017/11/1

Y1 - 2017/11/1

N2 - Objectives This study aims to describe the prevalence of non-communicable disease (NCD) risk factors among the urban poor in Bangladesh. Design We conducted a community-based cross-sectional epidemiological study. Setting The study was conducted in a shantytown in the city of Dhaka. There were 8604 households with 34 170 residents in the community. Those households were categorised into two wealth strata based on the housing structure. Participants The study targeted residents aged 18-64 years. A total of 2986 eligible households with one eligible individual were selected by simple random sampling stratified by household wealth status. A total of 2551 residents completed the questionnaire survey, and 2009 participated in the subsequent physical and biochemical measurements. Outcome measures A modified WHO survey instrument was used for assessing behavioural risk factors and physical and biochemical measurements, including glycated haemoglobin (HbA1c). The prevalence of NCD risk factors, such as tobacco use, fruit and vegetable intake, overweight/obesity, hypertension, diabetes (HbA1c ≥6.5%) and dyslipidaemia, was described according to household wealth status and gender differences. Results The prevalence of current tobacco use was 60.4% in men and 23.5% in women. Most of them (90.8%) consumed more than 1 serving of fruits and vegetables per day; however, only 2.1% consumed more than 5 servings. Overweight/obesity was more common in women (39.2%) than in men (18.9%), while underweight was more common in men (21.0%) than in women (7.1%). The prevalence of hypertension was 18.6% in men and 20.7% in women. The prevalence of diabetes was 15.6% in men and 22.5% in women, which was much higher than the estimated national prevalence (7%). The prevalence of raised total cholesterol (≥190 mg/dL) was 25.7% in men and 34.0% in women. Conclusion The study identified that tobacco use, both overweight and underweight, diabetes, hypertension and dyslipidaemia were prevalent among the urban poor in Bangladesh.

AB - Objectives This study aims to describe the prevalence of non-communicable disease (NCD) risk factors among the urban poor in Bangladesh. Design We conducted a community-based cross-sectional epidemiological study. Setting The study was conducted in a shantytown in the city of Dhaka. There were 8604 households with 34 170 residents in the community. Those households were categorised into two wealth strata based on the housing structure. Participants The study targeted residents aged 18-64 years. A total of 2986 eligible households with one eligible individual were selected by simple random sampling stratified by household wealth status. A total of 2551 residents completed the questionnaire survey, and 2009 participated in the subsequent physical and biochemical measurements. Outcome measures A modified WHO survey instrument was used for assessing behavioural risk factors and physical and biochemical measurements, including glycated haemoglobin (HbA1c). The prevalence of NCD risk factors, such as tobacco use, fruit and vegetable intake, overweight/obesity, hypertension, diabetes (HbA1c ≥6.5%) and dyslipidaemia, was described according to household wealth status and gender differences. Results The prevalence of current tobacco use was 60.4% in men and 23.5% in women. Most of them (90.8%) consumed more than 1 serving of fruits and vegetables per day; however, only 2.1% consumed more than 5 servings. Overweight/obesity was more common in women (39.2%) than in men (18.9%), while underweight was more common in men (21.0%) than in women (7.1%). The prevalence of hypertension was 18.6% in men and 20.7% in women. The prevalence of diabetes was 15.6% in men and 22.5% in women, which was much higher than the estimated national prevalence (7%). The prevalence of raised total cholesterol (≥190 mg/dL) was 25.7% in men and 34.0% in women. Conclusion The study identified that tobacco use, both overweight and underweight, diabetes, hypertension and dyslipidaemia were prevalent among the urban poor in Bangladesh.

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DO - 10.1136/bmjopen-2016-014710

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