The metabolic syndrome: Prevalence, main characteristics and association with socio-economic status in adults living in Great Tunis

Allal-Elasmi, Monia; Taieb, Samah Haj; Hsaïri, Mohamed; Zayani, Y.; Omar, Souheil; Sanhaji, Haïfa; Jemaa, Riadh; Feki, Moncef; Elati, Jalila; Mebazaa, Abderraouf; Kaabachi, Naziha

doi:10.1016/j.diabet.2009.11.009

Cited by 45 publications

(55 citation statements)

References 24 publications

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“…34 In our study, a high education degree was associated with metabolic syndrome in men, while it protected women. Similar results were reported in the Mediterranean region 24,34,35 and America. 36,37 In women, high education levels have been associated with healthy diet and regular physical activity, 38 while in men, education levels are associated with an unhealthy lifestyle including less physical activity and more energy intake.…”

Section: Metabolic Syndrome In Algeria -Houti Et Alsupporting

confidence: 79%

“…37 In the ISOR sample, metabolic syndrome affects people regardless of household income. 34,35 Among environmental factors, urbanization is associated worldwide with unhealthy lifestyles including unhealthy food habits. 39,40 In Algeria during these past three decades, lifestyle has changed, especially in urban areas.…”

Section: Metabolic Syndrome In Algeria -Houti Et Almentioning

confidence: 99%

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Prevalence of Metabolic Syndrome and its Related Risk Factors in the City of Oran, Algeria: the ISOR Study

Houti

Hamani-Medjaoui²,

Lardjam-Hetraf

et al. 2016

Ethn Dis

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Background: Aging and lifestyle changes had led to an epidemiological transition, with a significant impact on the incidence of cardiovascular diseases in North Africa. Objective: The aim of this study was to determine the prevalence of metabolic syndrome and its associated factors, which were unknown, among an urban population in Algeria.Methods: During 2007-2009, 787 individuals aged 30-64 years, randomly selected from the list of insured persons residing in the city of Oran, participated in a clinical, anthropometric and biological survey. Participants were classified according to the National Cholesterol Education Program - Adult Treatment Panel (NCEP-ATP) III definition of metabolic syndrome. Results: The prevalence of metabolic syndrome was 20%, higher in women than men (25.9 vs 13.7%; P<.0001). Among the components of the syndrome, the most common risk factors observed in women were a low high-density lipoprotein (HDL) cholesterol concentration (60.4% vs 44.2% in men) and abdominal obesity (46.8% vs 30.1% in men) whereas men displayed more high blood pressure (42.5% vs 34.8% in women). In men, metabolic syndrome was more frequent in married and highly educated participants. In contrast, women with a high level of education and who had an intermediate level of physical activity seemed to be protected. Conclusions: Metabolic syndrome, prevalent in the urban population of North Algeria, is associated with a high proportion of low HDL-cholesterol and abdominal obesity, especially among women. There is a need for prevention strategies involving promotion of physical activity for the whole population and screening for hypertension among men. Ethn Dis. 2016;26(1):99-106; doi:10.18865/ed.26.1.99

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Section: Metabolic Syndrome In Algeria -Houti Et Alsupporting

confidence: 79%

Section: Metabolic Syndrome In Algeria -Houti Et Almentioning

confidence: 99%

Prevalence of Metabolic Syndrome and its Related Risk Factors in the City of Oran, Algeria: the ISOR Study

Houti

Hamani-Medjaoui²,

Lardjam-Hetraf

et al. 2016

Ethn Dis

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“…These results confirmed previous findings in Tunisian population [5][6][7]17 as well as in others population [18][19][20][21] . Sedentary lifestyle, the lack of participation in physical activities among adult Tunisian women, hormonal factors and postmenopausal weight gain may prove the large waist circumference in women 22,23 .…”

Section: Discussionsupporting

confidence: 92%

“…In Tunisia, few studies have focused on the prevalence of MS [5][6][7] . On the other side, the prevalence of obesity is high and is increasing 8 .…”

Section: Introductionmentioning

confidence: 99%

Untitled

2016

IJPSR

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Metabolic syndrome (MS) is a multi-factorial disorder with insulin resistance as a major characteristic. Adiponectin, an adipocyte derived cytokine, can regulate glucose levels and lipid homeostasis by its insulin sensitizer properties. Low circulating levels of serum adiponectin has been reported as a risk factor for the development of MS. The aim of this case control study was to investigate the association of serum adiponectin concentration, insulin resistance and various risk factors with MS among Tunisian participants. We designed a case-control study involving 100 patients with MS (84 females and 16 males, mean age 54±11 years) and 100 healthy controls (60 females and 40 males, mean age 51±10 years). Serum total cholesterol and triglyceride were determined by enzymatic methods. Insulin resistance was calculated using the homeostasis model assessment (HOMA-IR) = fasting insulin (uU/ml) x fasting plasma glucose (mmol/l)/22.5 and serum adiponectin levels were measured by enzyme-linked immunosorbent assay. Interestingly, 72% of the subjects with MS had high blood pressure. Compared with controls, patients had significantly higher levels of triglycerides (1.64±0.88 mmol /l; 1.07±0.43 mmol/l; p=0.03) and lower levels of high-density lipoprotein cholesterol (1.26±0.41 mmol/l; 1.58±0.30 mmol/l; p=0.04). In addition, there was a significant difference in serum adiponectin levels between the subjects with MS and controls (13.96±5.23 µg/ml; 22.24±9.07 µg/ml; p=0.006) and the mean levels of HOMA-IR were 5.23±3.52 and 1.83±0.93 for patients and controls, respectively. In conclusion, hypoadiponectinemia and insulin resistance represent risk factors for MS development.

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“…The MetS is considered a problem of world proportions affecting both developed and underdeveloped countries in a rapidly progressive way [2][3][4]. The prevalence in different countries, nevertheless, varies considerably.…”

Section: Introductionmentioning

confidence: 99%

Menopause and metabolic syndrome in Tunisian women

Ali¹,

Belfki²,

Skhiri³

et al. 2012

Revue d'Épidémiologie et de Santé Publique

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Objectives. This study aimed to evaluate the effect of menopausal status on the risk of metabolic syndrome (MetS) in Tunisian women. Methods. We analyzed a total of 2680 women aged between 35 and 70 years. Blood pressure, anthropometric indices, fasting glucose, and lipid profile were measured. The MetS was assessed by the modified NCEP-ATPIII definition. Results. The mean values of waist circumference, blood pressure, plasma lipids, and fasting glucose were significantly higher in postmenopausal than in premenopausal women, a difference that was no longer present when adjusting for age. Except for hypertriglyceridaemia, the frequency of central obesity, hyperglycemia, high blood pressure, and high total cholesterol was significantly higher in postmenopausal than in premenopausal women. After adjusting for age, the significance persisted only for hyperglycemia. The overall prevalence of MetS was 35.9%, higher in postmenopausal (45.7% versus 25.6%) than in premenopausal women. A binary logistic regression analysis showed that menopause was independently associated with MetS (OR = 1.41, 95% CI 1.10-1.82) after adjusting for age, residence area, marital status, family history of cardiovascular disease, education level, and occupation. Conclusions. The present study provides evidence that the MetS is highly prevalent in this group of women. Menopause can be a predictor of MetS independent of age in Tunisian women.

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The metabolic syndrome: Prevalence, main characteristics and association with socio-economic status in adults living in Great Tunis

Cited by 45 publications

References 24 publications

Prevalence of Metabolic Syndrome and its Related Risk Factors in the City of Oran, Algeria: the ISOR Study

Prevalence of Metabolic Syndrome and its Related Risk Factors in the City of Oran, Algeria: the ISOR Study

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Menopause and metabolic syndrome in Tunisian women

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