Association of sedentary behavior and metabolic syndrome

Lemes, Ítalo Ribeiro; Sui, Xuemei; Fernandes, Rômulo Araújo; Blair, Steven N.; Turi-Lynch, Bruna Camilo; Codogno, Jamile Sanches; Monteiro, Henrique Luiz

doi:10.1016/j.puhe.2018.11.007

Cited by 42 publications

(32 citation statements)

References 37 publications

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“…51,52 Sedentary behavior prompts lower energy expenditure and increases insulin resistance. 53,54 Evidence indicates that increased uninterrupted sitting may be associated with impaired cardiometabolic risks due to low energy expenditure, reduced insulin activity, and reduced skeletal muscle activity. 55 Most working adults spend much of their time at work sitting; therefore, policymakers must give special attention to specific strategies to reduce sedentary time in the workplace.…”

Section: Discussionmentioning

confidence: 99%

<p>Metabolic Syndrome Among Working Adults in Eastern Ethiopia</p>

Motuma¹,

Gobena²,

Roba³

et al. 2020

DMSO

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Purpose Metabolic syndrome (MetS) has become a public health challenge in low-income countries due to changing lifestyle and the food environment. However, studies on the prevalence of metabolic syndrome and associated factors are limited in Ethiopia. Therefore, this study assessed the prevalence of MetS and its associated factors among working adults in eastern Ethiopia. Methods A cross-sectional study was conducted involving 1,164 working adults from December 2018 to February 2019. Data were collected following the World Health Organization (WHO) STEPwise approach. The data collection tools include a structured questionnaire, anthropometric, and biochemical measurements. Prevalence was calculated using International Diabetes Federation criteria. A Poisson regression model with robust variance estimation was used to investigate the independent variable’s association with MetS. An adjusted prevalence ratio with 95% confidence interval was reported to show associations. Results The prevalence of MetS was 20.1% (95% CI=17.8–22.4) among the participants. It was more prevalent among females (APR:=1.62, 95% CI=1.31–2.00), those of 35–44 years of age (APR:=3.14, 95% CI=1.19–8.28), 45–54 years of age (APR=4.42, 95% CI=1.66–11.77), and 55–64 years of age (APR=6.03, 95% CI=2.27–16.06), khat chewers (APR=1.30, 95% CI=1.06–1.60), those with 8 or more hours of sedentary behavior (APR=2.29, 95% CI=1.88–2.80), and those consuming alcohol 5–6 days per week (APR=1.81, 95% CI=1.20–2.74). The prevalence was significantly lower in those eating five or more fruits and vegetables servings per day (APR=0.04, 95% CI=0.01–0.27). Conclusion A high prevalence of MetS was observed among working adults in eastern Ethiopia. Strengthening workplace health promotion programs is necessary to reduce the negative consequences of MetS in workplaces and protect productivity.

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Section: Discussionmentioning

confidence: 99%

<p>Metabolic Syndrome Among Working Adults in Eastern Ethiopia</p>

Motuma¹,

Gobena²,

Roba³

et al. 2020

DMSO

View full text Add to dashboard Cite

show abstract

“…Logistic regression analysis showed that age, premature menopause, low family income, low education level, diet management, sedentary time >9 hours, weight gain in the past year, and family history of hypertension were risk factors for MetS, consistent with other reports. [14][15][16][17][30][31][32][33][34] When women enter menopause, their estrogen levels decrease, the effects of testosterone became This study has certain limitations. First, in this cross-sectional study, the response rate was unsatisfactory (only 75.5%), which is a common problem in current community-and population-based epidemiological surveys in China.…”

Section: Discussionmentioning

confidence: 99%

The Prevalence of Metabolic Syndrome in Chinese Women over 50 Years Old Deserves More Attention

Jiao

Xie

Zhang

et al. 2020

Preprint

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Abstract Aims This study aimed to understand the characteristics of metabolic syndrome (MetS) in populations (especially females) over 50 years old in Xi’an, China, to avail adjusting prevention strategies in similar regions. Methods 3001 people were included, based on data from “Xi'an Community-Based Management of Diabetes in the Elderly”. The prevalence rate was calculated and analyzed stratifying by gender, age and geography. Results The overall prevalence rates for males and females were 41.9±8.3% and 41.4±11.3% according to 2019 Chinese Diabetes Society diagnosis criteria, 32.0±9.0% and 49.7±9.8% according to International Diabetes Federation diagnosis criteria. The prevalence increased with age in females, but not in males. The prevalence of MetS, as well as abdominal obesity and hypertension, was higher in rural females than in urban and suburban females. Logistic regression analysis showed the risk factors included age, premature menopause, low family income and education level, sedentary time >9 hours/day, weight-gain, and family history of hypertension. Conclusions In Xi'an, China, under the current social-economic conditions, the prevalence of MetS in females over 50 years of age stands higher level than that in males, and the prevalence in rural females is higher than that in urban and suburban females, which deserves more attention.

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“…Adjusted odds ratios (aOR) with 95% CIs of all multivariable model with three outcome variables were reported. The goodness of fit tests was conducted using the Hosmer Lemeshow test (non-significant results ( p > 0.05) indicated an adequate fit) for binomial logistic regressions [ 49 ]. All analyses were conducted using Stata 14.0 (Stata Corp, Texas, USA, 2015).…”

Section: Methodsmentioning

confidence: 99%

Intersectional (in) equities in contact coverage of maternal and newborn health services in Nepal: insights from a nationwide cross-sectional household survey

et al. 2021

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Background Persistent inequities in coverage of maternal and newborn health (MNH) services continue to pose a major challenge to the health-care system in Nepal. This paper uses a novel composite indicator of intersectional (dis) advantages to examine how different (in) equity markers intersect to create (in) equities in contact coverage of MNH services across the continuum of care (CoC) in Nepal. Methods A secondary analysis was conducted among 1978 women aged 15–49 years who had a live birth in the two years preceding the survey. Data were derived from the Nepal Demographic and Health Survey (NDHS) 2016. The three outcome variables included were 1) at least four antenatal care (4ANC) visits, 2) institutional delivery, and 3) postnatal care (PNC) consult for newborns and mothers within 48 h of childbirth. Independent variables were wealth status, education, ethnicity, languages, residence, and marginalisation status. Intersectional (dis) advantages were created using three socioeconomic variables (wealth status, level of education and ethnicity of women). Binomial logistic regression analysis was employed to identify the patterns of (in) equities in contact coverage of MNH services across the CoC. Results The contact coverage of 4ANC visits, institutional delivery, and PNC visit was 72, 64, and 51% respectively. Relative to women with triple disadvantage, the odds of contact coverage of 4ANC visits was more than five-fold higher (Adjusted Odds Ratio (aOR) = 5.51; 95% CI: 2.85, 10.64) among women with triple forms of advantages (literate and advantaged ethnicity and higher wealth status). Women with triple advantages were seven-fold more likely to give birth in a health institution (aOR = 7.32; 95% CI: 3.66, 14.63). They were also four times more likely (aOR = 4.18; 95% CI: 2.40, 7.28) to receive PNC visit compared to their triple disadvantaged counterparts. Conclusions The contact coverage of routine MNH visits was low among women with social disadvantages and lowest among women with multiple forms of socioeconomic disadvantages. Tracking health service coverage among women with multiple forms of (dis) advantage can provide crucial information for designing contextual and targeted approaches to actions towards universal coverage of MNH services and improving health equity.

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Association of sedentary behavior and metabolic syndrome

Cited by 42 publications

References 37 publications

<p>Metabolic Syndrome Among Working Adults in Eastern Ethiopia</p>

<p>Metabolic Syndrome Among Working Adults in Eastern Ethiopia</p>

The Prevalence of Metabolic Syndrome in Chinese Women over 50 Years Old Deserves More Attention

Intersectional (in) equities in contact coverage of maternal and newborn health services in Nepal: insights from a nationwide cross-sectional household survey

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