Prevalence of Metabolic Syndrome and its Components in an Adult Nigerian Population attending a Tertiary Hospital
Keywords:
Metabolic Syndrome, Employees, Obesity, Insulin ResistanceAbstract
Background: The metabolic syndrome (Mets) is a clinical concept that comprises a cluster of risk factors like arterial hypertension, obesity and high cholesterol in the same patient. The prevalence of metabolic syndrome seems to increase together with the prevalence of obesity.
Objectives: To determine the prevalence of metabolic syndrome and related factors in an adult population in Nigeria.
Methods: This was a cross-sectional study that included 216 men and women. Sociodemographic, anthropometric, and biochemical characteristics were collected. Metabolic syndrome was diagnosed using the criteria of the National Cholesterol Education Program-ATPIIl (NCEP-ATP Ill). A logistic regression model was used to calculate the
crude odds ratio (OR) of the variables, and the Statistical level of significance was setat 5.0%.
Results: We identified 62 (28.04%) subjects with metabolic syndrome according to the criteria of the NCEP-ATPIIl. More females had metabolic syndrome than males (38.8% vs. 15.3%, p<0.0001). MetS was associated positively with marital status and gender. Reduced HDL-C was found as the most common MetS component in our study (68.8%). Others in decreasing order were hypertension (66.7%), abdominal obesity (50.9%), high FBG levels (15.5%) and
hypertriglyceridemia (6.2%).
Conclusion: More female adults attending this tertiary healthcare facility have metabolic syndrome, which can be associated with an increased risk of developing cardiovascular disease. Individuals who were married had a
higher prevalence of metabolic syndrome; this finding can be explained by the high rate of obesity found in the married subjects.
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