Metabolic syndrome and its correlated factors in an urban population in South West of Iran

Abstract

BackgroundThis study was designed to assess the prevalence of metabolic syndrome and its correlated factors in an urban population in Ahvaz.MethodsThis descriptive analytical study performed with random cluster sampling method in 6 health centers in Ahvaz. In each selected center, 55 households were randomly selected. A questionnaire included: age, sex, marital status, ethnicity, education level, family history of diabetes (DM), Hypertension (HTN) and obesity, smoking and parity and previous history of gestational diabetes Mellitus in women were filled for each person.Blood pressure, weight, height, body mass index (BMI), abdominal and waist circumference were measured in each participant. Fasting blood glucose (FBS), serum total cholesterol, triglyceride and high density lipoprotein (HDL) level were measured in fasting blood sample.ResultsThe mean age of all participants was 42.27 ± 14 years (44.2 ± 14.26 years in men and 40.5 ± 13.5 in women). From total 912 participant, 434(47.2%) were men and 478(52.8%) women. Prevalence of metabolic syndrome based on ATPIII criteria (update2005) was 22.8% (15.9% in men and 29.1% in women) that showed significant difference (P = 0.0001). Prevalence of each component of MS in studied population was: 29.4% for abdominal obesity, 40.7% for high TG level, 40.2% for low HDL, 15.4% for hypertension and 37.8% for abnormal FBS. Among these factor, age of patients, BMI, sex had significant differences between persons with or without Ms (P = 0.0001). Ethnicity (Arab or Persian), cigarette smoking and family history of diabetes mellitus, hypertension and obesity, marital statues, education level, parity and previous history of GDM in women showed no significant differences between persons with MS and without MS.ConclusionMetabolic syndrome has high prevalence in our population and its prevalence increases with increasing age and BMI. Women are at higher risk for metabolic syndrome than men.

Cut-Off Point of Waist Circumference Used for the Diagnosis of Metabolic Syndrome Among Adult Population in Ahvaz, Southwestern Iran

“…Similar to our findings, IDF (6), ATP III (7) and WHO (26) proposed higher WC for men. Moreover our results are in line with the Tehran study (21). Contrary to our findings, Japan (27) Oman (28) and Iraq (5) studies reported higher cut-off values for detecting MetS in females.…”

“…Details of other anthropometric indices measured by biochemical and clinical tests were reported elsewhere (21). A structured questionnaire was used for the collection of demographic data, anthropometric measures and risk factors of cardiovascular disease.…”

Awareness and prevalence of metabolic syndrome among high-risk individuals attending internal medicine clinics across Jordan

“…In the literature however, there were great controversial findings regarding the influence of gender on MetS prevalence. In many studies, prevalence of MetS was significantly higher in females than males [15,20]. But in a study by Sobko et al, they found that age-adjusted prevalence of MetS was over two times higher in males (10.5 %) than in females (3.7 %) [17].…”

“…Several previous studies evaluated the effect of educational level on the prevalence of MetS with conflicting results [18,20,22]. One study from Korea showed that the relative risk of MetS was two times higher in those with no or an elementary school education versus university graduation [22].…”

“…Another study showed that those with higher education had higher odds of having MetS after adjusting for age [18]. While the level of education, had no significant differences between patients with MetS and those without in a third study [20].…”