Chronic Disease Risk Factors Among Adults in Relizane, Algeria: A Comprehensive Study

Authors

  • Zouheyr Hadri Faculty of Natural and Life Sciences, Department of Nutritional Sciences, University of Relizane-Ahmed Zabana, Bourmadia BP 48000, Relizane, Algeria; Laboratory of Environment, Natural Plant Substances and Food Technology, University of Relizane- Ahmed Zabana, Bourmadia BP 48000, Relizane, Algeria https://orcid.org/0000-0003-0594-576X
  • Fouad Affane Faculty of Natural and Life Sciences, Department of Nutritional Sciences, University of Relizane-Ahmed Zabana, Bourmadia BP 48000, Relizane, Algeria; Laboratory of Environment, Natural Plant Substances and Food Technology, University of Relizane- Ahmed Zabana, Bourmadia BP 48000, Relizane, Algeria https://orcid.org/0009-0006-5352-8492
  • Sofiane Boudalia Laboratory of Biology, Water and Environment, University of May 8, 1945 Guelma, Guelma 24000, Algeria; Department of Ecology and Environmental Engineering, University of May 8, 1945 Guelma, Guelma 24000, Algeria https://orcid.org/0000-0002-7729-185X
  • Rachida Kirdi Laboratory of Biomaterials and Transport Phenomena LBMPT, University Yahia Fares, Urban pole, 26000 Medea, Algeria; Laboratory of Nutrition, Biodiversity and Environment, Faculty of Sciences, University of Yahia Fares of Medea, Algeria https://orcid.org/0009-0004-1887-7537
  • Abdallah Rahali Department of Microbiology and Biochemistry, Faculty of Sciences, University of Mohamed Boudiaf, M’sila, Algeria
  • Badreddine Moussaoui Laboratory of Beneficial Microorganisms, Functional Food and Health (LMBAFS), Faculty of Natural Sciences and Life, University of Abdelhamid Ibn Badis, Mostaganem, Algeria

DOI:

https://doi.org/10.54133/ajms.v11i2.3373

Keywords:

Age, Chronic Disease, Emotional shock, Nutrition, Physical activity

Abstract

Background: Chronic diseases, especially diabetes, hypertension, and hypercholesterolemia, are an increasing public health burden in Algeria. Objectives: To investigate the anthropometric, behavioral, nutritional, and socio-emotional determinants related to chronic diseases in adults of Relizane, Algeria. Methods: A cross-sectional observational study was carried out during the period of February to April 2023 on 262 adult subjects recruited from Ahmed Francis Hospital in Oued R’hiou, Province of Relizane. Data were collected through face-to-face interviews based on a structured questionnaire that included sociodemographic characteristics, anthropometric measurements, lifestyle behaviors, dietary habits, physical activity, sleep, and chronic disease status. Multivariable logistic regression was used to identify independent factors associated with diabetes, hypertension, and hypercholesterolemia. Results: Overweight and obesity affected 49.24% and 17.56% of participants, respectively, with significantly higher obesity prevalence among women (p<0.01). Diabetes was the most prevalent chronic condition, followed by hypertension and hypercholesterolemia. Female sex and older age were independently associated with hypertension and hypercholesterolemia, while emotional stress was significantly associated with diabetes (adjusted OR= 2.614, p=0.003). Diabetes was also significantly associated with hypertension (OR=3.02) and hypercholesterolemia (OR=2.88; both p=0.001). Only 17.56% of participants engaged in sports activities. Conclusions: Chronic diseases in adults are marked by a heavy burden of excess weight and multiple modifiable behavioral and socio-emotional risk factors. Specific strategies are needed to increase physical activity, healthy eating, stress management, and nutritional education, particularly among women and older adults.

Downloads

Download data is not yet available.

References

1. Meetoo D. Chronic diseases: the silent global epidemic. Br J Nurs. 2008;17(21):1320-1325. doi: 10.12968/bjon.2008.17.21.31731.

2. Hacker K. The burden of chronic disease. Mayo Clin Proc Innov Qual Outcomes. 2024;8(1):112–119. doi: 10.1016/j.mayocpiqo.2023.08.005.

3. Niohuru I. Healthcare and disease burden in Africa: The impact of socioeconomic factors on public health. Briefs in Economics. Springer Nature Switzerland; 2023. P. 136.

4. Mammeri A, Tebaibia A. Cardiometabolic risk in Algeria: past and present. Intern Emerg Med. 2020;15(4):531–535. doi: 10.1007/s11739-019-02207-z.

5. Yala KZ, Yahia Cherif BN, Yousfi A. Estimation des coûts des complications macrovasculaires du diabète. J Algérien Pharm. 2024;5(3):1–8. https://asjp.cerist.dz/en/article/239329.

6. Houti L, Hamani-Medjaoui I, Lardjam-Hetraf SA, Ouhaibi-Djellouli H, Chougrani S, Goumidi L, et al. Prevalence of metabolic syndrome and its related risk factors in the city of Oran, Algeria: The ISOR study. Ethn Dis. 2016;26(1):99–106.

7. Moussouni A, Sidi-yakhlef A, Hamdaoui H, Aouar A, Belkhatir D. Prevalence and risk factors of prehypertension and hypertension in Algeria. BMC Public Health. 2022;22(1):1–17. doi: 10.1186/s12889-022-13942-y.

8. Ngwasiri C, Kinoré M, Samadoulougou S, Kirakoya-Samadoulougou F. Sex-specific-evaluation of metabolic syndrome prevalence in Algeria: insights from the 2016–2017 non-communicable diseases risk factors survey. Sci Rep. 2023;13(1):1–10. doi: 10.1038/s41598-023-45625-y.

9. Belhadj M, Malek R, Baghous H, Boukheloua M, Arbouche Z, Nouri N, et al. Perspectives of type 2 diabetes mellitus management in Algeria: a comprehensive expert review. Front Clin Diabetes Healthc. 2025;6:1495849. doi: 10.3389/fcdhc.2025.1495849.

10. WHO. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. Geneva. Ser. WHOTR, editor. 1995.

11. WHO. Obesity: preventing and managing the global epidemic. [Internet]. Geneva; 2000. Available from: https://apps.who.int/iris/handle/10665/42330

12. Hadri Z, Benada M, Djellouli M, Boudalia S, Rahali A, Araf A. Prevalence of obesity and effect of sport activity on university students in Algeria. Sci African. 2022;17:e01319. doi: 10.1016/j.sciaf.2022.e01319.

13. Hadri Z, Boudalia S, Mhamed B, Boumaaza B, Kirdi R, Subih H. Impact of the COVID-19 lockdown on food habits, body weight, and physical activity in school-aged students. Int J Disabil Sports Health Sci. 2025;8(2):192-200. doi: 10.33438/ijdshs.1566118.

14. AlArab N, Antoun J. Patients' acceptance of obesity as a chronic disease: a qualitative study in Lebanon. BMJ Open. 2022;12(3):e059366. doi: 10.1136/bmjopen-2021-059366.

15. Afolabi HA, Zakaria Z, Salleh MS, Ch’ng ES, Nafi SNM, Bin Abdul Aziz AA, et al. Obesity: A prerequisite for major chronic illnesses. In: Obesity - Recent Insights and Therapeutic Options. 2023. p. 1–21. Available from: https://www.intechopen.com/chapters/87639

16. Wells JC. The evolution of human adiposity and obesity: where did it all go wrong? Dis Model Mech. 2012;5(5):595-607. doi: 10.1242/dmm.009613.

17. Witkam R, Gwinnutt JM, Humphreys J, Gandrup J, Cooper R, Verstappen SMM. Do associations between education and obesity vary depending on the measure of obesity used? A systematic literature review and meta-analysis. SSM Popul Health. 2021;15:100884. doi: 10.1016/j.ssmph.2021.100884.

18. Chung W, Lim S. Factors contributing to educational differences in obesity among women: Evidence from South Korea. BMC Public Health. 2020;20(1):1–11. doi: 10.1186/s12889-020-09221-3.

19. Griffith R. Obesity , poverty and public policy. Econ J. 2022;132(644):1235–1258. doi: 10.1093/ej/ueac013.

20. Leskova IV, Dali MR, Barieva NY, Maksimova EV, Peredelsky AA. Physical education and sports in arab countries: Social aspect. Teor i Prakt Fiz Kult. 2020;2020(8):68–70.

21. Latreche A, Bouguettoucha I. The culture of sport among women in Algerian society—a field study in the city of Constantine. Wisdom J Stud Res. 2024;4(18):558–575.

22. Kudo N, Nishide R, Mizutani M, Ogawa S, Tanimura S. Association between the type of physical activity and metabolic syndrome in middle-aged and older adult residents of a semi-mountainous area in Japan. Environ Health Prev Med. 2021;26(1):1–9. doi: 10.1186/s12199-021-00949-x.

23. Park DY, Lee O, Lee YH, Lee CG, Kim YS. Relationship between change in physical activity and risk of metabolic syndrome: A prospective cohort study. J Obes Metab Syndr. 2024;33(2):121–132. doi: 10.7570/jomes24007.

24. Chasens ER, Imes CC, Kariuki JK, Luyster FS, Morris JL, DiNardo MM, et al. Sleep and metabolic syndrome. Nurs Clin North Am. 2021;56(2):203-217. doi: 10.1016/j.cnur.2020.10.012.

25. Reis C, Dias S, Rodrigues AM, Sousa RD, Gregório MJ, Branco J, et al. Sleep duration, lifestyles and chronic diseases: A cross-sectional population-based study. Sleep Sci. 2018;11(4):217–230. doi: 10.5935/1984-0063.20180036.

26. Lu C, Liao B, Nie J, Wang W, Wang Y. The association between sleep duration and chronic diseases: a population-based cross-sectional study. Sleep Med. 2020;73:217–222. doi: 10.1016/j.sleep.2020.05.005.

27. Ye J. Effect of chronic disease on the aging population. Highlights Sci Eng Technol. 2023;36:1393–1397.

28. Xiaodong S, Xuan L. Editorial: Aging and chronic disease: public health challenge and education reform. Front Public Heal. 2023;11:1175898. doi: 10.3389/fpubh.2023.1175898.

29. Chinoune M, Flici F. Which chronic diseases contribute the most to healthy life years lost in Algeria? Chronic Illn. 2024;20(3):395–404. doi: 10.1177/17423953241264875.

30. Hezam AAM, Shaghdar HBM, Chen L. The connection between hypertension and diabetes and their role in heart and kidney disease development. J Res Med Sci. 2024;29(1):1–8. doi: 10.4103/jrms.jrms_470_23.

31. Hamzah Al-Rubaye AA. The correlation between type 2 diabetes mellitus and hypertension in Iraqi Patients. J Med Chem Sci. 2023;6(4):778–788. doi: 10.26655/JMCHEMSCI.2023.4.9.

32. Abbas SN, Alwan TS, Hassan SM. Correlation between diabetes mellitus and dyslipidemia incidence in Center of Iraq. Azerbaijan Pharm Pharmacother J. 2023;22(1):38–40. doi: 10.61336/appj/22-1-09.

33. Peng J, Zhao F, Yang X, Pan X, Xin J, Wu M, et al. Association between dyslipidemia and risk of type 2 diabetes mellitus in middle-aged and older Chinese adults: A secondary analysis of a nationwide cohort. BMJ Open. 2021;11(5):1–8. doi: 10.1136/bmjopen-2020-042821.

34. Soetedjo NNM. The role of nutrition in various endocrine and metabolic diseases. Clin Nutr Open Sci. 2025;62(38):164–188. doi: 10.1016/j.nutos.2025.05.015.

35. Rao GH. Diet and nutrition: Metabolic diseases. Glob J Nutr Food Sci. 2018;1(1):1–5. doi: 10.33552/GJNFS.2018.01.000504.

36. Kalra S, Jena BN, Yeravdekar R. Emotional and psychological needs of people with diabetes. Indian J Endocrinol Metab. 2018;22(5):696–704. doi: 10.4103/ijem.IJEM_579_17.

37. Saya A, Proietti L, Lisi G, Ribolsi M, Uccioli L, Niolu C, et al. Traumatic experiences and type 2 diabetes mellitus. Riv Psichiatr. 2020;55(6):349–354. doi: 10.1708/3503.34893.

38. CDC. Diabetes and Mental Health [Internet]. 2024 [cited 2025 Aug 25]. Available from: https://www.cdc.gov/diabetes/living-with/mental-health.html

39. Chomiuk T, Niezgoda N, Mamcarz A, Śliż D. Physical activity in metabolic syndrome. Front Physiol. 2024;15:1365761. doi: 10.3389/fphys.2024.1365761.

40. Chukwuemeka UM, Chukwu PO, Anakor AC, Ukachi PN, Ayara D, Maruf FA. Prevalence of metabolic syndrome and its associations with stress and physical activity levels: a cross-sectional study involving university staff in Nigeria. Bull Fac Phys Ther. 2025;30:28. doi: 10.1186/s43161-025-00287-x.

41. Cleven L, Krell-Roesch J, Schmidt SCE, Dziuba A, Bös K, Jekauc D, et al. Longitudinal association between physical activity and the risk of incident metabolic syndrome in middle-aged adults in Germany. Sci Rep. 2022;12(1):1–9. doi: 10.1038/s41598-022-24052-5.

Downloads

Published

2026-11-09

How to Cite

Hadri, Z., Affane, F., Boudalia, S., Kirdi, R., Rahali, A., & Moussaoui , B. (2026). Chronic Disease Risk Factors Among Adults in Relizane, Algeria: A Comprehensive Study. Al-Rafidain Journal of Medical Sciences ( ISSN 2789-3219 ), 11(2), 285–292. https://doi.org/10.54133/ajms.v11i2.3373

Issue

Section

Original article

Similar Articles

<< < 28 29 30 31 32 33 34 35 > >> 

You may also start an advanced similarity search for this article.