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Non communicable diseases, mainly cardiovascular diseases and diabetes have a large but unappreciated negative impact on individuals, families and countries and as such a major barrier to human development. Early diagnosis of these hidden illnesses and achievement of treatment goals are essential in order to prevent complications. Materials and methods: Population of 495 people above the age of 18 years who attended free health camps in Western province of Sri Lanka were screened for overweight, obesity, pre-diabetes, diabetes, hypertension and hyperlipidemia. Prevalence of above conditions was estimated. Treatment target achievement was assessed among patients with hypertension, diabetes mellitus and hyperlipidemia. Results: The mean BMI was 23.41 (SD 3.96) in men. It was lower than that in women, 24.45 (SD 4.34). Prevalence of obesity was 35.3% in men and 43.7% in women and prevalence of overweight was 13.7% in men and 18.5% in women. The prevalence of diabetes was 28.0% for men and 13.5% for women and 16.5% of new patients with diabetes were identified by this screening. The prevalence of pre-diabetes was 51.3% for men and 44.2% for women. The prevalence of hypertension was 42.3% and out of that 37.9% were newly diagnosed by screening. Prevalence of hyperlipidemia was 52.2% and 48.5% of them were diagnosed by the screening. Treatment targets were achieved by only 15% of diabetics and 55% of patients with hypertension. Only 38% of previously diagnosed patients with hyperlipidemia achieved total cholesterol (TC) target and only 16.5% achieved low density lipoproteins (LDL) target. Conclusion: The prevalence of major metabolic risk factors is high in the studied population and is higher than the previously reported prevalence. There is also a reasonably high percentage of undiagnosed patients with cardio-metabolic risk factors. Many patients with CVD risk factors are treated but remained inadequately controlled.

Metabolic risk factors detected among the attendees to free health camps conducted in Western province of Sri Lanka