Community intervention for cardiovascular disease risk factors in Kalutara, Sri Lanka.

Gamlath, L; Nandasena, S; Silva, PD; Morrell, S; Linhart, C; Lin, S; Sharpe, A; Nathan, S; Taylor, R

Community intervention for cardiovascular disease risk factors in Kalutara, Sri Lanka.

Gamlath, L Nandasena, S Silva, PD Morrell, S Linhart, C Lin, S Sharpe, A

Nathan, S Taylor, R

Permalink

Publisher:: Springer Science and Business Media LLC
Publication Type:: Journal Article
Citation:: BMC cardiovascular disorders, 2020, 20, (1)
Issue Date:: 2020-04-28

Open Access

Copyright Clearance Process

Recently Added
In Progress
Open Access

This item is open access.

Adobe PDF

Download Published versionAdobe PDF (1.84 MB)

View on publisher's site

View statistics

Full metadata record

Field	Value	Language
dc.contributor.author	Gamlath, L
dc.contributor.author	Nandasena, S
dc.contributor.author	Silva, PD
dc.contributor.author	Morrell, S
dc.contributor.author	Linhart, C
dc.contributor.author	Lin, S
dc.contributor.author	Sharpe, A https://orcid.org/0000-0002-9113-2038
dc.contributor.author	Nathan, S
dc.contributor.author	Taylor, R
dc.date.accessioned	2020-08-06T04:47:58Z
dc.date.available	2020-03-12
dc.date.available	2020-08-06T04:47:58Z
dc.date.issued	2020-04-28
dc.identifier.citation	BMC cardiovascular disorders, 2020, 20, (1)
dc.identifier.issn	1471-2261
dc.identifier.issn	1471-2261
dc.identifier.uri	http://hdl.handle.net/10453/141992
dc.description.abstract	BACKGROUND:The effectiveness of a 2015-17 community intervention to reduce cardiovascular disease (CVD) and type 2 diabetes (T2DM) risk factors is assessed in a Sri Lanka adult population, using a before-and-after study design. METHODS:Four contiguous Public Health Midwife (PHM) areas in Kalutara district (Western Province) were exposed to a Sri Lankan designed community health promotion initiatives (without screening) to lower CVD and T2DM risk factors. Pre- and post-intervention surveys (2014, n=1,019; 2017, n=908) were of 25-64 year males (M) and females (F) from dissimilar randomly selected clusters (villages or settlements) from PHMs, with probability of selection proportional to population size, followed by household sampling, then individual selection to yield equal-probability samples. Differences in resting blood pressure (BP), fasting plasma glucose (FPG), total cholesterol, body mass index and tobacco smoking, adjusting for cluster sampling, age and socio-economic differences, were examined. RESULTS:Hypertension prevalence declined from 25% to 16% (F) (p<.0001), and 21% to 17% (M). Both mean systolic and diastolic BP declined. T2DM declined from 18% to 13% (F), and 18% to 15% (M), as did mean fasting plasma glucose. Elevated total cholesterol declined from 21% to 15% in women (p=0.003) and mean cholesterol declined. Frequency distributions, medians and means of these continuous CVD risk factors shifted to lower levels, and were mostly statistically significant (p< 0.05). CONCLUSIONS:Community health promotion can lower key CVD and T2DM risk factors. Lowering tobacco consumption in males and obesity remain challenges in Sri Lanka.
dc.format	Electronic
dc.language	eng
dc.publisher	Springer Science and Business Media LLC
dc.relation.ispartof	BMC cardiovascular disorders
dc.relation.isbasedon	10.1186/s12872-020-01427-y
dc.rights	info:eu-repo/semantics/openAccess
dc.rights	This is a post-peer-review, pre-copyedit version of an article published in BMC cardiovascular disorders. The final authenticated version is available online at: https://dx.doi.org/10.1186/s12872-020-01427-y.	en_US
dc.subject	1102 Cardiorespiratory Medicine and Haematology
dc.subject.classification	Cardiovascular System & Hematology
dc.title	Community intervention for cardiovascular disease risk factors in Kalutara, Sri Lanka.
dc.type	Journal Article
utslib.citation.volume	20
utslib.location.activity	England
utslib.for	1102 Cardiorespiratory Medicine and Haematology
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2020-08-06T04:47:53Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	20
utslib.citation.issue	1

Abstract:

BACKGROUND:The effectiveness of a 2015-17 community intervention to reduce cardiovascular disease (CVD) and type 2 diabetes (T2DM) risk factors is assessed in a Sri Lanka adult population, using a before-and-after study design. METHODS:Four contiguous Public Health Midwife (PHM) areas in Kalutara district (Western Province) were exposed to a Sri Lankan designed community health promotion initiatives (without screening) to lower CVD and T2DM risk factors. Pre- and post-intervention surveys (2014, n=1,019; 2017, n=908) were of 25-64 year males (M) and females (F) from dissimilar randomly selected clusters (villages or settlements) from PHMs, with probability of selection proportional to population size, followed by household sampling, then individual selection to yield equal-probability samples. Differences in resting blood pressure (BP), fasting plasma glucose (FPG), total cholesterol, body mass index and tobacco smoking, adjusting for cluster sampling, age and socio-economic differences, were examined. RESULTS:Hypertension prevalence declined from 25% to 16% (F) (p<.0001), and 21% to 17% (M). Both mean systolic and diastolic BP declined. T2DM declined from 18% to 13% (F), and 18% to 15% (M), as did mean fasting plasma glucose. Elevated total cholesterol declined from 21% to 15% in women (p=0.003) and mean cholesterol declined. Frequency distributions, medians and means of these continuous CVD risk factors shifted to lower levels, and were mostly statistically significant (p< 0.05). CONCLUSIONS:Community health promotion can lower key CVD and T2DM risk factors. Lowering tobacco consumption in males and obesity remain challenges in Sri Lanka.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/141992