Introduction
Chronic diseases are the leading cause of morbidity
and mortality in Jordan. The Jordanian Ministry of Health, in collaboration with
the Centers for Disease Control and Prevention, established a behavioral risk
factor surveillance system to monitor the behavioral risk factors associated
with chronic diseases.
Methods
We used a multistage sampling design to select households
from which we then randomly selected and interviewed one adult aged 18 years or
older. A random subsample of the adults interviewed were then invited to visit
the local health clinic, where we obtained medical measurements, including blood
lipids (low-density lipoprotein, high-density lipoprotein, and triglycerides)
and fasting blood glucose.
Results
Approximately 9% of the participants in the subsample who
underwent medical testing reported having been diagnosed with diabetes
previously, compared with 16.9% diagnosed in our laboratory testing. About 12.3%
of the participants were glucose intolerant, and about 35% were obese. Obesity
was significantly associated with diabetes, high blood pressure, high
cholesterol, and asthma. Compared with adults of normal weight, obese adults had
an adjusted odds ratio of 3.27 (95% CI, 1.58–6.76) for diabetes, 3.69 (95% CI,
2.13–6.39) for high blood pressure, 3.45 (95% CI, 1.68–7.10) for high
cholesterol, and 5.12 (95% CI, 1.53–17.19) for asthma.
Discussion
Obesity, poor diet, and physical inactivity create a
major chronic disease burden in Jordan that is likely to increase substantially
in the next few years. Our findings argue for establishment of a more preventive
orientation in health care and public health systems in Jordan.