Metabolic syndrome among a middle-aged population in the Red River Delta region of Vietnam

Abstract

BackgroundMetabolic syndrome (MetS) is a clustering of metabolic risk factors for cardiovascular diseases and type 2 diabetes. The study aimed to estimate the prevalence of MetS, its components, and their associations among rural middle-aged population in Vietnam.MethodsA cross-sectional study with a representative sample (n = 2443) was conducted to collect data on demographic, socioeconomic, anthropometric, lifestyles, plasma glucose, and lipid profile. The age- and sex-adjusted prevalences of MetS and its components were calculated using the direct standardization. Associations of risk factors with MetS were evaluated using logistic regression, taken into account the confounding factors.ResultsThe total age- and sex-adjusted prevalence (95% CI) of MetS was 16.3% (14.0 - 18.6). The most frequent component of MetS was high triglycerides (43.2%), followed by low HDL-C (42.0%), elevated blood pressure (29.2%), high plasma glucose (14.3%), and central obesity (12.3%). Of the total population, only 17.6% did not have any component of MetS and more than 40% had at least two MetS components. The association of MetS with residence, age, body mass index, marital status, and siesta time per day was statistically significant in univariate analysis and replicated in multivariate analysis.ConclusionThe MetS prevalence and its components are common and major public health burden in the middle-aged adults in Vietnam. Habitants living in urban, being never-married, having an increase in age, BMI, and siesta time per day are significantly associated with MetS, and they should be paid much more attention for screening and implementing preventive activities.

Prevalence, perception and factors associated with diabetes mellitus among the adult population in central Vietnam: a population-based, cross-sectional seroepidemiological survey

“…The prevalence of overweight/obesity according to BMI was compatible with findings from other studies [5, 10], while those of hypertension for both sexes and metabolic syndrome for males were far higher in this study compared to others [10, 11]. The reasons for these discrepancies remain unknown, but because such potentially crucial health issues could be worrisome, these findings require further investigation.…”

“…The following factors have also been reported as being associated with DM in Vietnam: classification as being overweight/obese according to body mass index (BMI) in 11.1–19.5% of males and 14.1–28.3% of females [5, 10], hypertension in 27.3% of males and 16.2% of females [10], and metabolic syndrome in 13.9% of males and 18.5% of females [11]. …”

Heart Disease and Stroke Statistics—2017 Update: A Report From the American Heart Association

“…Recent evidence has described the prevalence of metabolic syndrome in Canada, 54 Latin America, 55 India, 56,57 Bangladesh, 58 Iran, 59 Nigeria, 60 South Africa, 61 and Vietnam, 62 as well as many other countries. On the basis of data from NIPPON DATA, the age-adjusted prevalence of metabolic syndrome in a Japanese population was 19.3%.…”

Physical activity and nutrition behaviour outcomes of a cluster-randomized controlled trial for adults with metabolic syndrome in Vietnam

“…In Vietnam, it has been reported that almost two-fifths of adults aged 35–65 years have metabolic syndrome [6]. A recent cross-sectional study found that 16.3% of the Vietnamese population aged 40–64 years have metabolic syndrome, while those aged 55–64 sustain the highest prevalence and account for 27% of the cases diagnosed [7]. …”

“…In view of the high prevalence of metabolic syndrome among middle-aged people in Vietnam [7, 9, 23], the Vietnam Physical Activity and Nutrition programme was designed to target adults aged 50–65 years with metabolic syndrome. The aim of this study was to determine whether implementation of the Vietnam Physical Activity and Nutrition programme was effective in terms of improving physical activity levels and dietary behaviours of its participants after a 6 month intervention.…”