Prevalence and Correlates of Dyslipidemia Among Men and Women in Palau: Findings of the Palau STEPS Survey 2011–2013
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- Cui Meishan
- Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine
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- Chiang Chifa
- Department of Public Health and Health Systems, Nagoya University School of Medicine
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- Cui Renzhe
- Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine
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- Honjo Kaori
- Psychology and Behavioral Sciences, Faculty of Medicine, Osaka Medical College
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- Yatsuya Hiroshi
- Department of Public Health and Health Systems, Nagoya University School of Medicine Department of Public Health, Fujita Health University School of Medicine
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- Watson Berry Moon
- Ministry of Health
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- Ikerdeu Edolem
- Ministry of Health
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- Mita Takashi
- Institute for Academic Initiatives, Osaka University
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- Madraisau Sherilynn
- Ministry of Health
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- Aoyama Atsuko
- Department of Public Health and Health Systems, Nagoya University School of Medicine
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- Iso Hiroyasu
- Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine
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Abstract
<p>Background: Epidemiological evidence of dyslipidemia in Pacific Island countries is limited despite the knowledge that non-communicable diseases have a high burden in the region. We aimed to examine the prevalence and correlates of dyslipidemia among residents of Palau.</p><p>Methods: The Palau STEPwise approach to Surveillance (STEPS), which was conducted from 2011 through 2013, comprised three parts: behavioral risk factors; physical measurements; and biochemical tests, covering areas such as blood lipids. We used STEPS-generated data to perform a cross-sectional study of 2,184 randomly selected Palau residents, comprising Palauans and non-Palauans aged 25–64 years.</p><p>Results: The age-adjusted mean BMI was 29.3 kg/m2 in men and 29.9 kg/m2 in women; age-adjusted mean triglycerides value was 182 mg/dL in men and 166 mg/dL in women; and age-adjusted mean cholesterol was 178 mg/dL in men and 183 mg/dL in women. The prevalence of overweight/obesity (BMI ≥25 kg/m2) was 75% in men and 76% in women, and those of hypertriglyceridemia (triglycerides ≥150 mg/dL) and hypercholesterolemia (total cholesterol ≥200 mg/dL) were 48% in men and 41% in women and 18% in men and 23% in women, respectively. Mean values of total cholesterol were 177 mg/dL in Palauan men and 182 mg/dL in non-Palauan men. Mean values of triglycerides were 171 mg/dL in Palauan women and 150 mg/dL in non-Palauan women. Women living in rural areas showed a higher mean value of total cholesterol than those in urban areas.</p><p>Conclusion: We found a high mean BMI and high prevalence of overweight/obesity and hypertriglyceridemia, but low mean total cholesterol and a low prevalence of hypercholesterolemia in Palau. Lipid profiles varied by age, ethnicity, and living area.</p>
Journal
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- Journal of Epidemiology
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Journal of Epidemiology 29 (3), 97-103, 2019-03-05
Japan Epidemiological Association
