Dietary, behavioural and socio-economic determinants of the metabolic syndrome among adults in Luxembourg: findings from the ORISCAV-LUX study

AbstractObjectiveThe purpose of the present research was to investigate the epidemiological profile of the metabolic syndrome (MetS) and to explore its potential dietary, behavioural and socio-economic determinants among European adults residing in Luxembourg.DesignCross-sectional, population-based ORISCAV-LUX survey.SettingEuropean adults aged 18–69 years residing in Luxembourg.SubjectsA total of 1349 Europid adults, who participated in the ORISCAV-LUX survey, were included in the study. The prevalence of MetS was estimated according to the Revised-Adult Treatment Panel (R-ATPIII) criteria. Multivariate logistic regression was used to identify the dietary, behavioural and socio-economic factors independently associated with MetS.ResultsThe overall prevalence of MetS was 24·7 % with significant gender difference (18·5 % for women v. 30·8 % for men, P < 0·0001). Age, male gender, primary level of education, physical inactivity, family history of diabetes and hypertension and inadequate protein intake were identified as significant determinants of MetS, after adjusting for other socio-economic, family medical history and lifestyle factors.ConclusionsMetS is a common condition among Europid adults in Luxembourg and increases dramatically with age, in both genders. Several dietary, socio-economic and behavioural factors explain the disparity observed. These findings highlight the importance of a comprehensive approach to MetS encompassing dietary, lifestyle and socio-economic aspects, both in clinical and community settings.

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The Prevalence and Predictors of Hypertension and the Metabolic Syndrome in Police Personnel

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18136728 ◽

2021 ◽

Vol 18 (13) ◽

pp. 6728

Author(s):

James D. Yates ◽

Jeffrey W. F. Aldous ◽

Daniel P. Bailey ◽

Angel M. Chater ◽

Andrew C. S. Mitchell ◽

...

Keyword(s):

Metabolic Syndrome ◽

Density Lipoprotein ◽

Cross Sectional ◽

Job Type ◽

The Metabolic Syndrome ◽

High Prevalence ◽

Police Personnel ◽

Behavioural Factors ◽

Cardiometabolic Risk Markers ◽

Police Forces

Hypertension and metabolic syndrome (METSYN) are reportedly high in police forces. This may contribute to health deterioration and absenteeism in police personnel. Police forces comprise of staff in ‘operational’ and ‘non-operational’ job types but it is not known if job type is associated to hypertension and METSYN prevalence. This study aimed to explore the prevalence of hypertension and METSYN, the factors associated with the risk of hypertension and METSYN, and compare physiological, psychological, and behavioural factors between operational and non-operational police personnel. Cross-sectional data was collected from 77 operational and 60 non-operational police workers. Hypertension and METSYN were prevalent in 60.5% and 20% of operational and 60.0% and 13.6% of non-operational police personnel, respectively (p > 0.05). Operational job type, moderate organisational stress (compared with low stress) and lower high-density lipoprotein cholesterol were associated with lower odds of hypertension, whereas increasing body mass index was associated with increased odds of hypertension (p < 0.05). None of the independent variables were significantly associated with the odds of METSYN. Operational police had several increased cardiometabolic risk markers compared with non-operational police. Given the high prevalence of hypertension and METSYN in operational and non-operational personnel, occupational health interventions are needed for the police and could be informed by the findings of this study.

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Family History of Diabetes and Prevalence of the Metabolic Syndrome in U.S. Adults without Diabetes: 6-Year Results from the National Health and Nutrition Examination Survey (1999–2004)

Public Health Genomics ◽

10.1159/000262330 ◽

2009 ◽

Vol 13 (6) ◽

pp. 353-359 ◽

Cited By ~ 11

Author(s):

A. Ghosh ◽

T. Liu ◽

M.J. Khoury ◽

R. Valdez

Keyword(s):

Metabolic Syndrome ◽

Family History ◽

National Health ◽

Nutrition Examination Survey ◽

Family History Of Diabetes ◽

Health And Nutrition ◽

The Metabolic Syndrome ◽

History Of

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Prevalence and determinants of the metabolic syndrome among Tunisian adults: results of the Transition and Health Impact in North Africa (TAHINA) project

Public Health Nutrition ◽

10.1017/s1368980012003291 ◽

2012 ◽

Vol 16 (4) ◽

pp. 582-590 ◽

Cited By ~ 38

Author(s):

Hanen Belfki ◽

Samir Ben Ali ◽

Hajer Aounallah-Skhiri ◽

Pierre Traissac ◽

Souha Bougatef ◽

...

Keyword(s):

Risk Factors ◽

Metabolic Syndrome ◽

North Africa ◽

Health Impact ◽

Population Based ◽

Cross Sectional Study ◽

Intervention Programme ◽

Cvd Risk ◽

Cross Sectional ◽

The Metabolic Syndrome

AbstractObjectiveTo determine the prevalence of metabolic syndrome (MetS) and its components and to evaluate the relationship between this diagnosis and cardiovascular risk factors, demographic and socio-economic variables.DesignA cross-sectional study using a questionnaire including information on sociodemographic and CVD risk factors. Blood pressure, anthropometric indices, fasting glucose and lipid profile were measured. MetS was defined according to the criteria of the National Cholesterol Education Program, Adult Treatment Panel III.SettingThe whole Tunisian territory; Transition and Health Impact in North Africa (TAHINA) project.SubjectsA total of 4654 individuals (1840 men and 2814 women), aged 35 to 74 years, who participated in the Tunisian national survey.ResultsThe overall prevalence of MetS was 30·0 %, higher in women (36·1 %) than in men (20·6 %; P < 0·001). In both genders MetS prevalence increased significantly with age (P < 0·001), but this increase was more important in women. Multiple regression analyses showed that the odds for MetS increased significantly with urban area for both men and women (P < 0·05 and P < 0·001, respectively). The multivariate models showed also that the odds for MetS increased significantly with increasing level of education and in those with a family history of CVD for men (both P < 0·05) and after the menopausal transition for women (P < 0·05).ConclusionsThe study highlights the MetS problem in a middle-income developing country. There is an urgent need for a comprehensive, integrated, population-based intervention programme to ameliorate the growing problem of MetS in Tunisians.

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Higher breakfast glycaemic load is associated with increased metabolic syndrome risk, including lower HDL-cholesterol concentrations and increased TAG concentrations, in adolescent girls

British Journal Of Nutrition ◽

10.1017/s0007114514003092 ◽

2014 ◽

Vol 112 (12) ◽

pp. 1974-1983 ◽

Cited By ~ 5

Author(s):

Analise Nicholl ◽

Mary du Heaume ◽

Trevor A. Mori ◽

Lawrence J. Beilin ◽

Wendy H. Oddy ◽

...

Keyword(s):

Metabolic Syndrome ◽

Adolescent Girls ◽

Hdl Cholesterol ◽

Population Based ◽

Cross Sectional ◽

Logistic Regression Models ◽

Glycaemic Load ◽

The Metabolic Syndrome ◽

Almost All ◽

Metabolic Syndrome Components

Almost all previous studies examining the associations between glycaemic load (GL) and metabolic syndrome risk have used a daily GL value. The daily value does not distinguish between peaks of GL intake over the day, which may be more closely associated with the risk of the metabolic syndrome. The aim of the present study was to investigate the cross-sectional associations between daily and mealtime measures of GL and metabolic syndrome risk, including metabolic syndrome components, in adolescents. Adolescents participating in the 14-year follow-up of the Western Australian Pregnancy Cohort (Raine) Study completed 3 d food records and metabolic assessments. Breakfast GL, lunch GL, dinner GL and a score representing meal GL peaks over the day were determined in 516 adolescents. Logistic regression models were used to investigate whether GL variables were independent predictors of the metabolic syndrome in this population-based cohort (3·5 % prevalence of the metabolic syndrome). Breakfast GL was found to be predictive of the metabolic syndrome in girls (OR 1·15, 95 % CI 1·04, 1·27; P <0·01), but not in boys. Other meal GL values and daily GL were found to be not significant predictors of the metabolic syndrome. When breakfast GL was examined in relation to each of the components of the metabolic syndrome in girls, it was found to be negatively associated with fasting HDL-cholesterol concentrations (P= 0·037; β = − 0·004; 95 % CI − 0·008, − 0·002) and positively associated with fasting TAG concentrations (P= 0·008; exp(β) = 1·002; 95 % CI 1·001, 1·004). The results of the present study suggest that there may be an association between breakfast composition and metabolic syndrome components in adolescent girls. These findings support further investigation into including lower-GL foods as part of a healthy breakfast in adolescence, particularly for girls.

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Associations between urinary hydration markers and metabolic dysfunction: a cross-sectional analysis of NHANES data, 2008–2010

European Journal of Nutrition ◽

10.1007/s00394-021-02575-3 ◽

2021 ◽

Author(s):

Tiphaine Vanhaecke ◽

Alberto Dolci ◽

Victor L. Fulgoni ◽

Harris R. Lieberman

Keyword(s):

Metabolic Syndrome ◽

Urine Osmolality ◽

Population Based ◽

Urine Specific Gravity ◽

Metabolic Dysfunction ◽

Clinical Trial Registry ◽

Cross Sectional ◽

Metabolic Markers ◽

Logistic Regression Models ◽

The Metabolic Syndrome

Abstract Purpose Growing evidence suggests hydration plays a role in metabolic dysfunction, however data in humans are scarce. This study examined the cross-sectional association between hydration and metabolic dysfunction in a representative sample of the US population. Methods Data from 3961 adult NHANES (National Health and Nutrition Examination Survey) participants (49.8% female; age 46.3 ± 0.5 years) were grouped by quartile of urine specific gravity (USG, 2007–2008 cohort) or urine osmolality (UOsm, 2009–2010 cohort) as measures of hydration. Metabolic dysfunction was assessed by glycemic and insulinemic endpoints and by components of the metabolic syndrome. Multivariate-adjusted linear and logistic regression models were used. Results Increasing quartiles of USG but not UOsm was associated with higher fasting plasma glucose (FPG), glycated hemoglobin (all P < 0.01), HOMA-IR and elevated insulin (all P < 0.05). Compared with the lowest quartile, those with the highest USG but not UOsm had greater risk of metabolic syndrome (Q4 vs. Q1, OR (99% CI): 1.6 (1.0, 2.7), P = 0.01) and diabetes (Q4 vs. Q1, OR: 1.8 (1.0, 3.4), P < 0.05). Additionally, those with USG > 1.013 or UOsm > 500 mOsm/kg, common cut-off values for optimal hydration based on retrospective analyses of existing data, had less favorable metabolic markers. In a subset of participants free from diabetes mellitus, impaired kidney function, hypertension and diuretic medication, USG remained positively associated with FPG (P < 0.01) and elevated FPG (P < 0.05). Conclusion These analyses provide population-based evidence that USG as a proxy for hydration is associated with glucose homeostasis in NHANES 2007–2008. The same association was not significant when UOsm was used as a proxy for hydration in the 2009–2010 wave. Clinical trial registry Not applicable, as this was a reanalysis of existing NHANES data.

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Factors Associated with Metabolic Syndrome Among Middle-Aged Women in Their 50s: Based on National Health Screening Data

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17093008 ◽

2020 ◽

Vol 17 (9) ◽

pp. 3008 ◽

Cited By ~ 1

Author(s):

HyungSeon Kim ◽

YeonHee Cho

Keyword(s):

Risk Factors ◽

Metabolic Syndrome ◽

National Health ◽

Working Women ◽

Middle Aged ◽

Family History Of Diabetes ◽

Factors Associated ◽

The Metabolic Syndrome ◽

Increased Risk ◽

History Of

This study aimed to identify the risk factors associated with metabolic syndrome among middle-aged women in their 50s to provide a strategy for managing the metabolic syndrome of those whose prevalence is rapidly increasing. Secondary data from the 2012 Korean National Health Insurance Service Medical check-up cohort database were analyzed. Participants included 36,582 middle-aged women in their 50s from the cohort who received a general medical check-up. The risk factors were estimated using logistic regression analysis. Metabolic syndrome was identified in 14.6% of the surveyed persons among middle-aged women in their 50s. Working women, low household income levels, country residents, high body mass index (BMI), total cholesterol of over 240 mg/dL, non-drinker, non-exerciser, history of diabetes or hypertension, and family history of diabetes were associated with increased risk of metabolic syndrome. It is necessary to prepare a strategy to increase access to health care services so that socioeconomic vulnerability does not lead to negative health behavior such as obesity and lack of physical activity. In particular, we recommend active interventions at workplaces for the working women who have a higher risk of metabolic syndrome.

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Trends in known and undiagnosed diabetes, HbA1c levels, cardiometabolic risk factors and diabetes treatment target achievement in repeated cross-sectional surveys: the population-based Tromsø Study 1994–2016

BMJ Open ◽

10.1136/bmjopen-2020-041846 ◽

2021 ◽

Vol 11 (3) ◽

pp. e041846

Author(s):

Petja Lyn Langholz ◽

Tom Wilsgaard ◽

Inger Njølstad ◽

Rolf Jorde ◽

Laila Arnesdatter Hopstock

Keyword(s):

Risk Factors ◽

Metabolic Syndrome ◽

Cardiometabolic Risk ◽

Population Based ◽

Cardiometabolic Risk Factors ◽

Undiagnosed Diabetes ◽

Cross Sectional ◽

Treatment Target ◽

The Metabolic Syndrome ◽

Hba1c Levels

ObjectivesThe aim of this study was to investigate time trends in known and undiagnosed diabetes, glycated haemoglobin (HbA1c) levels and other cardiometabolic risk factors in the general population as well as treatment target achievement among those with diabetes.Design and settingRepeated cross-sectional surveys in the population-based Tromsø Study.MethodsWe used age-adjusted generalised estimating equation models to study trends in self-reported and undiagnosed (HbA1c ≥6.5%) diabetes, cardiometabolic risk factors and the metabolic syndrome in 27 281 women and men aged 40–84 years examined in up to four surveys of the Tromsø Study between 1994 and 2016. Further, we analysed trends in diabetes treatment target achievement.ResultsDuring 1994–2016, diabetes prevalence increased in women (2.3% to 4.6%) and men (2.4% to 5.8%) and in all age groups, while the proportion of undiagnosed diabetes in women (32% to 17%) and men (37% to 24%) decreased. Blood pressure and total cholesterol decreased, while waist circumference increased in participants with and without diabetes, leading to a relatively stable prevalence of the metabolic syndrome throughout the study period. There was a marginal increase in HbA1c levels among participants without diabetes. Only half of those with diabetes achieved the treatment target of HbA1c ≤7.0%.ConclusionIn the last two decades, diabetes prevalence increased, while the proportion of undiagnosed diabetes declined. The prevalence of the metabolic syndrome remained stable throughout, driven by opposing trends with an increase in obesity and a decrease in other cardiometabolic risk factors. HbA1c treatment target achievement did not improve.

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Prevalence of Hypertension in School and College Students

Kesmas National Public Health Journal ◽

10.21109/kesmas.v7i11.364 ◽

2013 ◽

Vol 7 (11) ◽

pp. 509

Author(s):

Djoko Santoso

Keyword(s):

College Students ◽

Family History ◽

Task Force ◽

Significant Risk ◽

Population Based ◽

Cross Sectional ◽

Task Force Report ◽

Family History Of Diabetes ◽

Hypertension Prevalence ◽

History Of

In Indonesia, the onset of hypertension has been observed in younger populations. Previous studies showed that hypertension occurred in adolescence, even in childhood. This cross sectional study aimed to provide a population-based estimation of hypertension prevalence and risk factors among school and college students in Surabaya, Indonesia. Using mercu-ry sphygmomanometer blood pressure was measured in 335 participants grouped into 5-9, 10- 14, 15- 19, and 20-26 years of age. The prevalence data was linked to sex, age, body mass index (BMI), and a family history of diabetes and/ or cardiovascular disease. Hypertension in children was determined according to the Update on the Task Force Report (2004) and to the JNC-7 for other participants. Thirty one (9.3%) participants had developed hypertension. Hypertension prevalence tended to increase with age from 0% at 5-9 years and 8.1% at 10-14 years to 15.2% at 20-26 years. Hypertension developed in 18 males and 13 females. Aged more than 20 years and family history of heart disease were significant risk fac-tors for hypertension. Other factors, such as BMI and a family history of di-abetes, were not significant. Malnutrition among children in golden age (0-5 years) plays major role in increasing future risk of hypertension. Routine hypertension screening should be done in young adults aged 20 years in this country.Di Indonesia, timbulnya hipertensi telah diamati pada populasi lebih muda. Studi sebelumnya menemukan bahwa hipertensi dapat terjadi pada masa remaja, bahkan masa kecil. Tujuan penelitian potong lintang ini adalah memberikan estimasi berbasis populasi prevalensi dan faktor risiko hipertensi pada pelajar dan mahasiswa di Surabaya, Indonesia. Dengan sfignomanometer merkuri diukur tekanan darah pada 335 partisipan yang dikelompokkan ke dalam kelompok usia 5-9, 10-14, 15-19, dan 20-26 tahun. Data prevalensi dikaitkan dengan jenis kelamin, usia, indeks massa tubuh (IMT), dan riwayat diabetes dan/atau penyakit kardiovaskular pada keluarga. Hipertensi pada anak ditentukan sesuai dengan the Update on the Task Force Report (2004). Partisipan lain dikelompokkan menurut JNC-7 untuk diagnosis hipertensi. Peserta sebanyak 31 (9,3%) didapatkan telah mengalami hipertensi. Prevalensi hipertensi cenderung meningkat sejalan usia dari 0% pada 5-9 tahun dan 8,1% pada 10-14 tahun men-jadi 15,2% pada 20-26 tahun. Hipertensi terjadi pada 18 laki-laki dan 13 perempuan. Usia lebih 20 tahun dan riwayat penyakit jantung pada keluar-ga merupakan faktor risiko signifikan untuk hipertensi. Faktor-faktor lain, seperti IMT dan riwayat keluarga diabetes, tidak signifikan. Gizi buruk pada anak di usia emas (0-5 tahun) berperan utama meningkatkan risiko hipertensi di masa depan. Di Indonesia, skrining hipertensi rutin harus di-lakukan pada dewasa muda usia 20 tahun.

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Prevalence of Metabolic Syndrome in Local Population of Patan.

Medical Journal of Shree Birendra Hospital ◽

10.3126/mjsbh.v11i1.7764 ◽

2013 ◽

Vol 11 (1) ◽

pp. 27-31 ◽

Cited By ~ 1

Author(s):

Babu Raja Maharjan ◽

Shital Bhandary ◽

Ira Shrestha ◽

Laxmi Sunuwar ◽

Sanjjit Shrestha

Keyword(s):

Blood Pressure ◽

Metabolic Syndrome ◽

Family History ◽

Local Population ◽

Positive Family History ◽

International Diabetes Federation ◽

Family History Of Diabetes ◽

The Metabolic Syndrome ◽

Low Hdl ◽

History Of

Introduction: The metabolic syndrome (MS) is a cluster of complex interrelated risk factors for diabetes and cardiovascular disease which includes central obesity, glucose intolerance, hypertension, high triglyceride and low HDL-C. The prevalence of MS in Asian Indian is 49.2%. There is evidence of increasing prevalence of MS in the world. Therefore, we intended to find the prevalence of the metabolic syndrome in the local population of Patan, a major urban center in Nepal. Methods: It was a cross-sectional study which was carried out in one of the urban clusters (or wards) of the Lalitpur Sub- Metropolitan (or Patan) City. Measurements of waist circumference, height, weight; blood parameters like lipid profile, fasting blood sugar (FBS) were done. Measurement of blood pressure was done. The prevalence of MS was obtained by using three different criteria Joint Interim Statement 2009 criteria, International diabetes federation (IDF) 2005 criteria and National cholesterol education program adult treatment Panel (NCEP ATP) III 2001 criteria. Results: There were 205 participants among which 34.6% were male and 65.4% were female. The prevalence of MS as per the Joint Interim Statement 2009, IDF 2005 and NCEP ATP III 2001 criteria was 61.7%, 52.7% and 43.4% respectively. There was significantly high total cholesterol (TC), triglyceride (TAG), FBS, systolic blood pressure (SBP) and diastolic blood pressure (DBP) and significantly low HDL-C in the individuals with MS compared to the normal individuals. The logistic regression revealed the increasing prevalence of MS with increasing age, BMI and positive family history of diabetes. Conclusions: There is high prevalence of MS in the study population. Age, BMI and family history of diabetes are found to be the main predictors for metabolic syndrome. Medical Journal of Shree Birendra Hospital; Jan-June 2012/vol.11/Issue1/27-31 DOI: http://dx.doi.org/10.3126/mjsbh.v11i1.7764

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