Cardiovascular disease risk factors among school children of Bangladesh: a cross-sectional study

Objective Primarily, we assessed the distribution of cardiovascular disease (CVD) risk factors among school children living in urban and rural areas of Bangladesh. In addition to this, we sought the association between place of residence and modifiable CVD risk factors among them.Design, setting and...

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Main Authors: Sheikh Mohammed Shariful Islam, Palash Chandra Banik, Lingkan Barua, T M Manjurul Islam, Shahanaz Chowdhury, M S A Mansur Ahmed
Format: Article
Language:English
Published: BMJ Publishing Group 2020-10-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/10/e038077.full
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author Sheikh Mohammed Shariful Islam
Palash Chandra Banik
Lingkan Barua
T M Manjurul Islam
Shahanaz Chowdhury
M S A Mansur Ahmed
author_facet Sheikh Mohammed Shariful Islam
Palash Chandra Banik
Lingkan Barua
T M Manjurul Islam
Shahanaz Chowdhury
M S A Mansur Ahmed
author_sort Sheikh Mohammed Shariful Islam
collection DOAJ
description Objective Primarily, we assessed the distribution of cardiovascular disease (CVD) risk factors among school children living in urban and rural areas of Bangladesh. In addition to this, we sought the association between place of residence and modifiable CVD risk factors among them.Design, setting and participants This cross-sectional study was conducted among 854 school children (aged 12–18 years) of Bangladesh. Ten public high schools (five from Dhaka and five from Sirajgonj district) were selected randomly and subjects from those were recruited conveniently. To link the family milieu of CVD risk factors, a parent of each children was also interviewed.Primary and secondary outcome measures Distribution of CVD risk factors was measured using descriptive statistics as appropriate. Again, a saturated model of binary logistic regression was used to seek the association between place of residence and modifiable CVD risk factors.Results Mean age of the school children was 14.6±1.1 years and more than half (57.6%) were boys. Overall, 4.4% were currently smoker (urban—3.5%, rural—5.2%) with a strong family history of smoking (42.2%). Similar proportion of school children were identified as overweight (total 9.8%, urban 14.7%, rural 5%) and obese (total 9.8%, urban 16.8%, rural 2.8%) with notable urban-rural difference. More than three-fourth (80%) of them were physically inactive with no urban-rural variation. Only 2.4% consumed recommended fruits and/ or vegetables (urban—3.1%, rural—1.7%). In the adjusted model, place of residence had higher odds for having several modifiable CVD risk factors: current smoking (OR: 1.807, CI 0.872 to 3.744), inadequate fruits and vegetables intake (OR: 1.094, CI 0.631 to 1.895), physical inactivity (OR: 1.082, CI 0.751 to 1.558), overweight (OR: 3.812, CI 2.245 to 6.470) and obesity (OR: 7.449, CI 3.947 to 14.057).Conclusions Both urban and rural school children of Bangladesh had poor CVD risk factors profile that demands further nation-wide large scale study to clarify the current findings more precisely.
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spelling doaj-art-f73bcc8315b649d88905534e562c5de32024-11-16T09:40:10ZengBMJ Publishing GroupBMJ Open2044-60552020-10-01101010.1136/bmjopen-2020-038077Cardiovascular disease risk factors among school children of Bangladesh: a cross-sectional studySheikh Mohammed Shariful Islam0Palash Chandra Banik1Lingkan Barua2T M Manjurul Islam3Shahanaz Chowdhury4M S A Mansur Ahmed5Institute for Physical Activity and Nutrition, Deakin University, Melbourne, Victoria, AustraliaBangladesh University of Health Sciences (BUHS), Dhaka, BangladeshBangladesh University of Health Sciences, Dhaka, BangladeshCommunity Medicine, Bangladesh Institute of Health Sciences, Dhaka, Dhaka District, BangladeshCommunity Medicine, Bangladesh Institute of Health Sciences, Dhaka, Dhaka District, BangladeshCommunity Medicine, Bangladesh Institute of Health Sciences, Dhaka, Dhaka District, BangladeshObjective Primarily, we assessed the distribution of cardiovascular disease (CVD) risk factors among school children living in urban and rural areas of Bangladesh. In addition to this, we sought the association between place of residence and modifiable CVD risk factors among them.Design, setting and participants This cross-sectional study was conducted among 854 school children (aged 12–18 years) of Bangladesh. Ten public high schools (five from Dhaka and five from Sirajgonj district) were selected randomly and subjects from those were recruited conveniently. To link the family milieu of CVD risk factors, a parent of each children was also interviewed.Primary and secondary outcome measures Distribution of CVD risk factors was measured using descriptive statistics as appropriate. Again, a saturated model of binary logistic regression was used to seek the association between place of residence and modifiable CVD risk factors.Results Mean age of the school children was 14.6±1.1 years and more than half (57.6%) were boys. Overall, 4.4% were currently smoker (urban—3.5%, rural—5.2%) with a strong family history of smoking (42.2%). Similar proportion of school children were identified as overweight (total 9.8%, urban 14.7%, rural 5%) and obese (total 9.8%, urban 16.8%, rural 2.8%) with notable urban-rural difference. More than three-fourth (80%) of them were physically inactive with no urban-rural variation. Only 2.4% consumed recommended fruits and/ or vegetables (urban—3.1%, rural—1.7%). In the adjusted model, place of residence had higher odds for having several modifiable CVD risk factors: current smoking (OR: 1.807, CI 0.872 to 3.744), inadequate fruits and vegetables intake (OR: 1.094, CI 0.631 to 1.895), physical inactivity (OR: 1.082, CI 0.751 to 1.558), overweight (OR: 3.812, CI 2.245 to 6.470) and obesity (OR: 7.449, CI 3.947 to 14.057).Conclusions Both urban and rural school children of Bangladesh had poor CVD risk factors profile that demands further nation-wide large scale study to clarify the current findings more precisely.https://bmjopen.bmj.com/content/10/10/e038077.full
spellingShingle Sheikh Mohammed Shariful Islam
Palash Chandra Banik
Lingkan Barua
T M Manjurul Islam
Shahanaz Chowdhury
M S A Mansur Ahmed
Cardiovascular disease risk factors among school children of Bangladesh: a cross-sectional study
BMJ Open
title Cardiovascular disease risk factors among school children of Bangladesh: a cross-sectional study
title_full Cardiovascular disease risk factors among school children of Bangladesh: a cross-sectional study
title_fullStr Cardiovascular disease risk factors among school children of Bangladesh: a cross-sectional study
title_full_unstemmed Cardiovascular disease risk factors among school children of Bangladesh: a cross-sectional study
title_short Cardiovascular disease risk factors among school children of Bangladesh: a cross-sectional study
title_sort cardiovascular disease risk factors among school children of bangladesh a cross sectional study
url https://bmjopen.bmj.com/content/10/10/e038077.full
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