Prevalence of Metabolic Syndrome in a Rural Community in Nigeria

Abstract

These results from a representative sample of the Nigerian rural population show a high prevalence of metabolic syndrome. The large number of Nigerians with the metabolic syndrome may have important implications for the health-care sector.

Metabolic Syndrome among Apparently Healthy Nigerians with the Harmonized Criteria: Prevalence and Concordance with the International Diabetes Federation (IDF) and Third Report of the National Cholesterol Education Programme - Adult Treatment Panel III (NCEP-ATP III) Criteria

“…40,41 Hypertension was found in 15.2% of the participants with no difference between the men and the women. Although the prevalence was lower than what Oladapo et al 16 reported, this rate was high considering the population studied and the age-adjusted National prevalence of 9.3% documented earlier. 42 The rising prevalence could also be due to the epidemiological transition that Nigeria is undergoing currently.…”

“…Nigerian studies have estimated the point prevalence of MS to be between 2.4% -26.4%, with a higher rate among women in the general populace. [15][16][17][18][19] The prevalence was also higher in the urban compared to the rural areas. 17,[18][19][20] Among patients with type 2 diabetes, prevalence of MS ranged between 59.1%-87.1%, [21][22][23][24] while in patients with hypertension, the prevalence ranged between 24.7%-40.74%.…”

“…Previous studies showed that central obesity was common among rural dwellers, and that it was more prevalent among women. [15][16][17]27 We earlier reported that 11 women had central obesity for every man with the condition. 39 Other workers also reported a 10-fold prevalence of obesity in women compared to men irrespective of the definition used and suggested that it may be the key factor in the diagnosis of MS. 27 The high prevalence of obesity among women could be attributed to sedentary lifestyle, hormonal changes, as well as pregnancy and deliveries.…”

Prevalence of Prediabetes and the Associated Risk of Kidney Disease in Apparently Healthy Subjects in Nnewi, Anambra State, Nigeria

“…In this study however, most of the prediabetic subjects had high abdominal obesity, which is in consonance with the studies that showed that the reason for the high prevalence of prediabetes is overweight and obesity, which may be due to the presence of insulin resistance and toxicity to beta cells due to the high level of free fatty acids in obese individuals [24,25]. In this study, SBP and DBP were higher in prediabetes compared with the control individual, which is an indication that they are predisposed to hypertension or prehypertension.…”

Territorial Development

“…Watts (1983) referred to them as indigenous towns. In the context of Nigeria, such places are rural towns (Anong and Dipeolu, 1983;Okafor, 1991;Okafor and Okunji, 1996;Adegoke et al, 2010). Voss (2008) notes that the advantages of these developed commercial nodes lead to rapidly rising land values, which are indicative of urbanism in rural areas.…”