Abstract
The incidences of cardiovascular risk factors such as obesity and diabetes are rising in many Asian populations. In April 2000, a 5-year territory-wide health promotion campaign supported by Li Ka Shing Foundation was launched in Hong Kong by the Health InfoWorld of Hospital Authority. From the general working class, 4,832 Chinese people were randomly recruited into this campaign. There were 2,370 men (49.0%) and 2,462 women (51.0%; median age = 43.0 years, range = 17-83 years). Of these, 37.5% were obese (BMI ≥ 25 kg/m2 or waist circumference ≥80 cm in women and ≥90 cm in men), 22.3% had hypertension, 11.6% were smokers, 31.0% had hypercholesterolaemia (total cholesterol ≥5.2 mmol/l), 2.2% had diabetes, and 0.7% had a past history of cardiovascular disease. There were 1,338 participants (27.7%)who had 2 ormore risk factors (more men than women: 36.9% vs. 18.9%,p < .001). Despite this high prevalence of multiple risk factors, most (83.1%) perceived their health status as satisfactory (more men than women: 85.6% vs. 80.7%, p < .001). In conclusion, the combination of high prevalence of multiple risk factors and low levels of awareness of their suboptimal health status herald a looming epidemic of life-threatening diseases in a group of middle-aged Hong Kong people. Massive public education is an important and essential, although it may not be self-sufficient, factor to reduce the socioeconomic impacts of this epidemic.
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References
Alberti, K. G., & Zimmet, P. Z. for the World Health Organization Consultation. (1998). Definition, diagnosis and classification of diabetes mellitus and its complications: Part 1. Diagnosis and classification of diabetes mellitus. Provisional report of aWorld Health Organization consultation.Diabetic Medicine, 15, 539–553.
American Joint National Committee. (1997). The 6th report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure.Archives of Internal Medicine, 157, 2413–2446.
Chan, J. C., & Cockram, C. S. (1997). Diabetes in the Chinese population and its implications for health care.Diabetes Care, 20, 1785–1790.
Chan, J.C., Wong, R.Y., Cheung, C. K., Lam, P., Chow, C. C., Yeung, V. T., et al. (1997). Accuracy, precision and user-acceptability of self blood glucose monitoring machines.Diabetes Research & Clinical Practice, 36, 91–104.
Chan, D., & Yeung, S. (1998). Mortality trends of cerebrovascular disease in HongKong.Public Health Epidemiology, XX, 32–36.
Cockram, C. S., Woo, J., Lau, E., Chan, J. C., Chan, A. Y., Lau, J., et al. (1993). The prevalence of diabetes mellitus and impaired glucose tolerance among HongKong Chinese adults of working age.Diabetes Research & Clinical Practice, 21, 67–73.
Fujimoto, W. Y. for the Diabetes Prevention Program Research Group. (2000). Background and recruitment data for the U.S. Diabetes Prevention Program.Diabetes Care, 23(Suppl. 2), B11-B13.
Gotto, A.M., Jr. (1997). The Multiple Risk Factor Intervention Trial (MRFIT): A return to a landmark trial.Journal of American Medical Association, 277, 595–597.
Janus, E. D., for the Hong Kong Cardiovascular Risk Factor Prevalence Study Group. (1997). Epidemiology of cardiovascular risk factors in Hong Kong.Clinical & Experimental Pharmacology Physiology, 24, 987–988.
Kafonek, S. D., Donovan, L., Lovejoy, K. L., & Bachorik, P. S. (1996). Biological variation of lipids and lipoproteins in fingerstick blood.Clinical Chemistry, 42, 2002–2007.
Ketterer, M. W., Fitzgerald, F., Thayer, B., Moraga, R., Mahr, G., Keteyian, S. J., et al. (2000). Psychosocial and traditional risk factors in early is chaemic heart disease: Cross-sectional correlates.Journal of Cardiovascular Risk, 7, 409–413.
Ko, G. T., Chan, J. C., Woo, J., Lau, E., Yeung, V. T., Chow, C. C., et al. (1997). Simple anthropometric indexes and cardiovascular risk factors in Chinese.International Journal of Obesity & Related Metabolic Disorders, 21, 995–1001.
ba]Ko, G. T., Chan, J. C., Yeung, V. T., Chow, C. C., Tsang, L. W., & Cockram, C. S. (2001). A low socio-economic status is an additional risk factor for glucose intolerance in high risk Hong Kong Chinese.European Journal of Epidemiology, 17, 289–295.
Ko, G. T., Cockram, C. S., Chow, C. C., Yeung, V., Chan, W. B., So, W. Y., et al. (2005). High prevalence of metabolic syndrome in Hong Kong Chinese: Comparison of three diagnostic criteria.Diabetes Research & Clinical Practice, 69, 160–168.
Kunst, A. E., & Mackenbach, J. P. (1994). The size of mortality differences associated with educational level in nine industrialised countries.American Journal of Public Health, 84, 932–937.
Leung, S. S., Lau, J. T., Tse, L. Y., & Oppenheimer, S. J. (1996). Weight-for-age and weight-for-height references for Hong Kong children from birth to 18 years.Journal of Paediatric & Child Health, 32, 103–109.
Leung, S. S., Ng, M. Y., Tan, B. Y., Lam, C. W., Wang, S. F., Xu, Y. C., et al. (1994). Serum cholesterol and dietary fat of two populations of southern Chinese.Asian Pacific Journal of Clinical Nutrition, 3, 127–130.
Millar, W. J., & Wigle, D. T. (1986). Socio-economic disparities in risk factors for cardiovascular disease.Canadian Medical Association Journal, 134, 127–132.
National Cholesterol Education Report Expert Panel. (2001). Executive summary of the third report of the NECP expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III).Journal of American Medical Association, 285, 2486–2497.
Pan, X. R., Li, G.W., Hu, Y. H., Wang, J. X., Yang, W. Y., An, Z. X., et al. (1997). Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance.Diabetes Care, 20, 537–544.
Pickering, T. (1999). Cardiovascular pathways: Socioeconomic status and stress effects on hypertension and cardiovascular function.Annals of New York Academy of Science, 896, 262–277.
Schwarzer, R., & Renner, B. (2000). Social-cognitive predictors of health behavior: Action self-efficacy and coping self-efficacy.Health Psychology, 19, 487–495.
Statistics & Research Unit, Hospital Authority. (2004). Hospital Authority Statistical Report 2003/2004. Hong Kong. Available at: http://ha.home/visitor/.
Tong, P. C., Lee, Z. S., Sea, M. M., Chow, C. C., Ko, G. T., Chan, W. B., et al. (2002). The effect of orlistat-induced weight loss, without concomitant hypocaloric diet, on cardiovascular risk factors and insulin sensitivity in young obese Chinese subjects with or without type 2 diabetes.Archives of Internal Medicine, 162, 2428–2435.
Tuomilehto, J., Lindstrom, J., Eriksson, J. G., Valle, T. T., Hamalainen, H., Ilanne-Parikka, P., et al.; Finnish Diabetes Prevention Study Group. (2001). Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance.New England Journal of Medicine, 344, 1343–1350.
World Health Organization Western Pacific Region, International Association for the Study of Obesity and the International Obesity Task Force. (2000).The Asia-Pacific perspective: Redefining obesity and its treatment. Australia, Sydney: Health Communications Australia Pty Limited.
Yeung, S. (1997). Mortality trends of heart disease in Hong Kong.Public Health & Epidemiology Bulletin, 4–6.
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Ko, G.T.C., Chan, J.C.N., Hui, S.S.C. et al. Low levels of awareness of suboptimal health conditions in a high-risk working population: The “better health for better Hong Kong” health promotion campaign. Int. J. Behav. Med. 14, 63–69 (2007). https://doi.org/10.1007/BF03004170
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DOI: https://doi.org/10.1007/BF03004170