Metabolic syndrome among residents of Mizan-Aman town, South West Ethiopia, 2017: A cross sectional study

Menberu, Melak; Geneto, Mathewos

doi:10.1371/journal.pone.0210969

Cited by 23 publications

(28 citation statements)

References 22 publications

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“…This was quite similar to a crossectional study from residents of Mizan-Aman town, South West Ethiopia, in which individuals with the educational status of below degree are up to 89% protective to develop MS than those with the educational status of degree and above. 33 This finding correspondingly align with the studies from Kenya (Kiama, 2018 and Kaduk, 2012). 32,34 This confirms that education is a key to open any locked secrets of life in the world that enable everybody to have a standardized and healthy lifestyle by getting a behavioral change.…”

Section: Discussionsupporting

confidence: 85%

<p>Predictors of Metabolic Syndrome Among People Living with HIV in Gedeo-Zone, Southern-Ethiopia: A Case–Control Study</p>

Bune¹,

Yalew²,

Kumie³

2020

HIV

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Background: Intensive access to antiretroviral therapy improved the prognosis of HIV. As a result, a non-communicable disease risk marker known as metabolic syndrome (MS) has emerged. It is a public health issue in sub-Saharan Africa including Ethiopia. However, there is little literature on predictors of MS among people living with HIV (PLHIVs) in the study area context. Purpose: To identify predictors of metabolic syndrome among PLHIVs, Gedeo Zone, Southern-Ethiopia. Methods: Health institutions-based unmatched case-control study was conducted. All HIVinfected adult persons who are receiving routine care in the randomly selected two hospitals and two health centers of the Gedeo zone, southern Ethiopia were involved in the study, conducted from December 29 th , 2017, to January 22 nd , 2019. PLHIVs diagnosed with MS using ATP III criteria were considered as a case, and subjects free of MS in the survey were enrolled as controls. Binary logistic regression was employed to identify predictors of MS. Results: A total of 633 (139 cases and 494 controls) PLHIVs were included in the study. The multivariable analysis result found that age (AOR=1.09, 95% CI (1.05-1.12)); educational status being completed secondary school (AOR=0.22, 95% CI (0.02-0.42)); occupational status being of students (AOR=0.11, 95% CI (0.24-0.51)); wealth index being in the middle quintile (AOR=0.22, 95% CI (0.06-0.79)); ART status exposed to ART (AOR=3.07, 95% CI (1.37-6.89)); total physical activity state being physically active (AOR=0.36, 95% CI (0.16-0.79)), and engaged in low levels physical activity (AOR=3.83, 95% CI (1.46-10.05)) were the factors significantly associated with MS. Conclusion: While education, occupation, wealth index, antiretroviral therapy status, total physical activity, and lower physical activity levels were concluded by the study as modifiable predictors of metabolic syndrome, age was found as a non-modifiable independent risk of metabolic syndrome. There is a need for an ongoing effort to realize an integrated care plan that addresses both the routine care and regular screening programs to reduce the risks associated with MS and its traits in these subjects.

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Section: Discussionsupporting

confidence: 85%

<p>Predictors of Metabolic Syndrome Among People Living with HIV in Gedeo-Zone, Southern-Ethiopia: A Case–Control Study</p>

Bune¹,

Yalew²,

Kumie³

2020

HIV

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“…The prevalence of MetS in this study was 21.8%, which was higher than previously reported prevalences from urban areas of Ethiopia like Mizan Aman town (9.6%) [26], and at a national level (11.7%) [15]. Since the study was conducted among healthy adult individuals, this prevalence was considered high.…”

Section: Discussioncontrasting

confidence: 63%

“…This could be due to decreased activity level; physiological changes like increased fat mass accompanied by decreased muscle mass; and increased alcohol consumption. A similar finding has been reported from Mizan Aman town in Southern Ethiopia, with a risk of MetS was lower among lower age groups[26]. A study conducted in Addis Ababa also found that the prevalence of MetS increased with age, with the highest prevalence reported among 45-54years old adults[22].…”

supporting

confidence: 77%

Magnitude of metabolic syndrome and its components among adult residents of Mekelle city, Northern Ethiopia, community-based cross-sectional study.

Gebrehiwot¹,

Belachew²,

Mehari³

et al. 2020

Preprint

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Background: Metabolic Syndrome is becoming a big public health problem in developing countries like Ethiopia. The risk of dying from NCDs in low and lower-middle-income countries is almost two times that in high-income countries. NCDs account for 42% of deaths in Ethiopia. The trend of deaths due to NCD is increasing over time in Ethiopia. The objective of this study was to assess the magnitude of metabolic syndrome and its components among adult residents of Mekelle city.Method: a community-based cross-sectional study was conducted from July to September 2019 among adults aged 20 years and above in Mekelle city. Around 266 study participants were selected using a simple random sampling technique. Sociodemographic, lifestyle, anthropometric measurements, and blood biochemical tests were performed using WHO stepwise technique. Blood glucose and lipid profiles were determined after overnight fasting. The classification of metabolic syndrome was based on the international diabetic federation criteria. Descriptive statistics and logistic regression analysis were done using SPSS version 24.Result: the prevalence of Metabolic syndrome was 21.8%. Elevated waist circumference was the most prevalent metabolic syndrome component followed by hypertriglyceridemia, with a prevalence of 41.7% and 38.0% respectively. The prevalence of the remaining three components of MetS were also 33.8%, 32.7%, 21.4%, and 14.3% for systolic blood pressure, diastolic blood pressure, fasting blood glucose, and lower high-density lipoprotein cholesterol respectively. Age of 40 years and above, the highest rank of monthly income, blood cholesterol greater than 200mg/dl, waist to height ratio greater than 0.55, and walking at least 10 minutes daily were identified as significant predictors of metabolic syndrome.Conclusion : Adult residents of Mekelle city have a high magnitude of Metabolic syndrome and its components which may aggravate the risk of developing cardiovascular disease. This result emphasizes an urgent need for a public health strategy for preventive, early detection, and management of metabolic syndrome, and its individual components.

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“…The magnitude of MetS in the present study was 21.8%, which was higher than previously documented findings from some urban areas of Ethiopia like Addis Ababa (17.9%). 20 , 27 , 37 The difference may be due to variation in sample size, level of urbanization, and study period. Besides, since the study was carried out in the second-largest city in Ethiopia, residents may have better economic status, which may contribute to a dietary shift (from fiber-rich traditional foods to refined and processed foods).…”

Section: Discussionmentioning

confidence: 99%

Magnitude and Associated Factors of Metabolic Syndrome Among Adult Urban Dwellers of Northern Ethiopia

Gebreegziabiher¹,

Belachew²,

Mehari³

et al. 2021

DMSO

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Background Metabolic Syndrome (MetS) is becoming a big public health problem in developing countries like Ethiopia. Developing countries have an almost two-fold higher risk of death due to non-communicable diseases (NCDs) compared to high-income countries. This study aimed to assess the magnitude and factors associated with MetS among adult residents of Mekelle city. Methods A population-based cross-sectional study was carried out among 266 randomly selected adults from July to September 2019. Data were collected on socio-demographic, clinical, anthropometric, and lifestyle characteristics using a structured questionnaire adapted from the WHO STEPs survey tool. Fasting Blood Glucose (FBG) and lipid profiles were tested using a blood sample. Bivariate and multivariable logistic regression analyses were used to identify factors associated with MetS and variables were considered statistically significant at p ≤0.05. Results The findings of this study showed the magnitude of MetS was 21.8%. The proportion of MetS was relatively higher among women (24.6%) than men (18.5%). Raised blood pressure was the most prominent (42.5%) component of MetS followed by central obesity (41.7%). The magnitude of the other components of MetS was 38.0%, 21.4%, and 14.3% for elevated triglyceride, raised FBG, and low HDL-C, respectively. Advanced age, medium and high monthly income, walking less than 10 minutes per day, raised Body Mass Index (BMI), higher waist to hip ratio, and elevated total cholesterol were significantly associated with a higher risk of metabolic syndrome. Conclusion In this study, we found a high prevalence of metabolic syndrome and its components, which highlights an urgent need for a public health strategy for its prevention, early diagnosis, and management.

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Metabolic syndrome among residents of Mizan-Aman town, South West Ethiopia, 2017: A cross sectional study

Cited by 23 publications

References 22 publications

<p>Predictors of Metabolic Syndrome Among People Living with HIV in Gedeo-Zone, Southern-Ethiopia: A Case–Control Study</p>

<p>Predictors of Metabolic Syndrome Among People Living with HIV in Gedeo-Zone, Southern-Ethiopia: A Case–Control Study</p>

Magnitude of metabolic syndrome and its components among adult residents of Mekelle city, Northern Ethiopia, community-based cross-sectional study.

Magnitude and Associated Factors of Metabolic Syndrome Among Adult Urban Dwellers of Northern Ethiopia

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