scholarly journals The Prevalence of Metabolic Syndrome in Chinese Women over 50 Years Old Deserves More Attention

2020 ◽  
Author(s):  
Yang Jiao ◽  
Xuan Xie ◽  
Chunhong Zhang ◽  
Jie Ming ◽  
Shaoyong Xu ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Family Income ◽  
Chinese Women ◽  
International Diabetes Federation ◽  
The Elderly ◽  
Premature Menopause ◽  
Community Based ◽  
History Of ◽  
Family History Of Hypertension ◽  
Diagnosis Criteria

Abstract Aims This study aimed to understand the characteristics of metabolic syndrome (MetS) in populations (especially females) over 50 years old in Xi’an, China, to avail adjusting prevention strategies in similar regions. Methods 3001 people were included, based on data from “Xi'an Community-Based Management of Diabetes in the Elderly”. The prevalence rate was calculated and analyzed stratifying by gender, age and geography. Results The overall prevalence rates for males and females were 41.9±8.3% and 41.4±11.3% according to 2019 Chinese Diabetes Society diagnosis criteria, 32.0±9.0% and 49.7±9.8% according to International Diabetes Federation diagnosis criteria. The prevalence increased with age in females, but not in males. The prevalence of MetS, as well as abdominal obesity and hypertension, was higher in rural females than in urban and suburban females. Logistic regression analysis showed the risk factors included age, premature menopause, low family income and education level, sedentary time >9 hours/day, weight-gain, and family history of hypertension. Conclusions In Xi'an, China, under the current social-economic conditions, the prevalence of MetS in females over 50 years of age stands higher level than that in males, and the prevalence in rural females is higher than that in urban and suburban females, which deserves more attention.

Metabolic Syndrome in HIV-patients in Antiretroviral Therapy

2020 ◽  
Vol 18 (6) ◽  
pp. 388-395
Author(s):  
Daniel Vargas-Pacherrez ◽  
Helma P. Cotrim ◽  
Leonardo Pires ◽  
Vitor Cunha ◽  
Vitor Coelho ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Antiretroviral Therapy ◽  
International Diabetes Federation ◽  
Cross Sectional Study ◽  
People Living With Hiv ◽  
Anthropometric Data ◽  
Cross Sectional ◽  
History Of ◽  
Family History Of Hypertension ◽  
Living With Hiv

Introduction: The global prevalence of metabolic syndrome (MS) among people living with HIV/AIDS varies from 20% to 33%. Objective: to estimate the prevalence of metabolic syndrome and associated factors in a group of HIV-infected patients on antiretroviral therapy. Methods: This is a cross-sectional study with HIV-infected patients from a reference center in Bahia, Brazil. We evaluated clinical, socio-demographic and anthropometric data. MS was defined according to the guidelines of International Diabetes Federation. Results: We evaluated 152 patients with mean age of 47.3±11.6 years, 59.2% male. The main comorbidities detected were diabetes (3.3%) hypertriglyceridemia (9.3%) and metabolic syndrome (MS,38.2%). Patients with MS were predominantly women (55.2% vs 31.9%; p=0.005), older [52.1 (10.4) vs 44.3 (11.3); p<0.001], and had overweight (74.1% vs 23.4%; p<0.001). After multivariate analysis MS remained associated with age (OR = 1.076; 95% CI: 1.030 – 1.125), female sex (OR = 2.452; 95% CI: 1.114 – 5.374) and family history of hypertension (OR = 3.678; 95% CI: 1.431 – 9.395). Conclusion: Almost half of the HIV-infected patients in Bahia presents with MS which seems to be driven by classical risk factors.

scholarly journals Changes in the Prevalence of Diabetes Mellitus in Bulgaria (2006–2012)

2015 ◽  
Vol 8 ◽  
pp. CMED.S24742 ◽  
Author(s):  
Anna-Maria Borissova ◽  
Alexander Shinkov ◽  
Roussanka Kovatcheva ◽  
Jordan Vlahov ◽  
Lilia Dakovska ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Diagnostic Criteria ◽  
International Diabetes Federation ◽  
The Elderly ◽  
Diabetes Prevalence ◽  
Community Based ◽  
Cross Sectional ◽  
Absolute Increase ◽  
Cross Sectional Studies ◽  
Prevalence Of Diabetes Mellitus

Aim The aim of this study was to compare two nationwide cross-sectional studies of diabetes prevalence in Bulgaria (2006 and 2012) and to assess its dynamics. Material and Methods The two studies included 2396 and 2033 subjects, respectively. The International Diabetes Federation (IDF) diagnostic criteria were applied, and the data were weighed for type of settlement and age. Results Diabetes prevalence was found to be 7.9% in 2006 and 9.55% in 2012, P = 0.06, showing an increase of 20.9%. The absolute increase was 0.9% in the females and 2.3% in the males ( P < 0.09). The increase was the largest in those aged 50–59: [9.4%, 2006 vs. 15.7%, 2012, P < 0.01]. Diabetes prevalence increased in the 20–60-year olds by 6.8% and decreased in the elderly by 6.1%. Obesity increased from 26.7 to 32.7%, P < 0.02. Conclusions A significant increase in diabetes prevalence was found that necessitates healthcare measures and resources for community-based awareness and prevention programs.

scholarly journals Association Between Metabolic Syndrome and Asymptomatic Cerebral Arterial Stenosis: A Cross-Sectional Study in Shandong, China

2021 ◽  
Vol 12 ◽  
Author(s):  
Shan Li ◽  
Xiao Sun ◽  
Yuanyuan Zhao ◽  
Xiang Wang ◽  
Xiaokang Ji ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
International Diabetes Federation ◽  
Transcranial Doppler Ultrasound ◽  
Cross Sectional Study ◽  
Pathological Process ◽  
Arterial Stenosis ◽  
Cross Sectional ◽  
Bilateral Carotid ◽  
History Of ◽  
Older Chinese

Metabolic syndrome (MetS) can worsen cerebral arterial atherosclerosis stenosis in patients with stroke; however, its effect on patients without stroke remains ambiguous. This study explored the association of MetS and its individual components with asymptomatic intracranial arterial stenosis (aICAS) and asymptomatic extracranial arterial stenosis (aECAS) among older Chinese adults. A total of 1988 participants from the Kongcun Town study aged ≥40 years and without a history of stroke were enrolled. The baseline data were obtained via face-to-face interviews. MetS was defined according to International Diabetes Federation criteria. Detection of aICAS was conducted using transcranial Doppler ultrasound, followed by diagnosis via magnetic resonance angiography. The evaluation of aECAS was performed using bilateral carotid ultrasonography. The aICAS and aECAS groups were 1:1 matched separately to the non-stenosis group by age and sex. The association between MetS and aICAS or aECAS was analyzed using multivariate logistic regression. Among the 1988 participants, 909 were diagnosed with MetS. The prevalence of MetS was higher in the aICAS group than in the non-stenosis group (P &lt;0.001), but did not differ significantly between the aECAS and non-stenosis groups. The prevalence of aICAS increased with the number of MetS components from 3.4% in the ≤ 1 component group to 12.7% in the ≥4 components group (P for trend &lt;0.001). After adjusting for confounding factors, MetS components associated with aICAS included central obesity, elevated triglyceride levels, and elevated blood pressure. None of the MetS components was associated with aECAS. MetS was positively associated with aICAS, but not with aECAS. Further, different components play different roles in the pathological process leading to aICAS.

scholarly journals Socioeconomic and lifestyle determinants of prevalence of hypertension  among the elderly in rural southwest China: a structural equation modeling approach

2020 ◽  
Author(s):  
Xiao Li ◽  
Le Cai ◽  
Gui-Yi Wang ◽  
Lu-Ming Fan ◽  
Wen-Long Cui ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Composition ◽  
Family History ◽  
Sleep Quality ◽  
Physical Inactivity ◽  
Southwest China ◽  
The Elderly ◽  
Equation Modeling ◽  
History Of ◽  
Family History Of Hypertension

Abstract Background: This study examines the association between socioeconomic and lifestyle factors and the prevalence of hypertension among the elderly in rural southwest China.Methods: A cross-sectional survey of 4,833 consenting adults aged ≥60 years in rural regions of Yunnan Province, China was conducted in 2017. Data on individual socioeconomic status, sleep quality, physical activity level, and family history of hypertension were collected with a standardized questionnaire. Blood pressure, fasting blood glucose, height, weight, and waist circumference were also measured. An individual socioeconomic position (SEP) index was constructed using principal component analysis. Structure equation modeling (SEM) was applied to analyze the association between socioeconomic and lifestyle factors and the prevalence of hypertension. Results: The overall prevalence of hypertension was 50.6% in the study population. The following associated factors had statistically significant effect on hypertension: body composition, including measures of obesity and central obesity, had the greatest total effect on hypertension (0.21), followed by family history of hypertension (0.14), gender (0.08), sleep quality (-0.07), SEP (-0.06), physical inactivity (0.06), and diabetes (0.06). Body composition, SEP, and family history of hypertension had both direct and indirect effects on hypertension, whereas those of physical inactivity, diabetes, and sleep quality were directly associated with prevalence of hypertension. Gender was indirectly associated with prevalence of hypertension. Conclusion: Individual SEP, body composition, physical inactivity, diabetes, and sleep quality critically influence the prevalence of hypertension. Future interventions to prevent and control hypertension should give increased attention to individuals with low SEP and should focus on controlling diabetes and obesity, increasing physical activity levels, and improving quality of sleep among older adults aged ≥60 years in rural southwest China.

scholarly journals METABOLIC SYNDROME;

2017 ◽  
Vol 24 (04) ◽  
pp. 539-544
Author(s):  
Muhammad Adnan ◽  
Tayyaba Rahat ◽  
Naheed Hashmat ◽  
Zahra Ali
Keyword(s):  
Metabolic Syndrome ◽  
Cardiovascular Events ◽  
International Diabetes Federation ◽  
True Positive ◽  
Adult Treatment Panel ◽  
Who Criteria ◽  
Type 2 Diabetics ◽  
The World ◽  
History Of

Background: Metabolic syndrome and diabetes mellitus are the modifiable riskfactors of cardiovascular diseases that double the chance of illness when occur together. Littlework has been reported on the superlative criteria to diagnose metabolic syndrome amongdiabetics from the country. Therefore, the study was aimed to find the agreement betweenmetabolic syndrome diagnostic criteria among type 2 diabetics. Methods: The retrospectivedata of 373 known type 2 diabetics who had reported history of taking antidiabetic medicineswas analyzed. The new International Diabetes Federation definition, the World HealthOrganization criteria and the NCEP Adult Treatment Panel III criteria were used to diagnosemetabolic syndrome. Data was analyzed by using Statistical Package for Social Sciencesversion 21. Results: Mean age of 373 diabetics was 49±10 years. Participants included 36.5%males and 63.5% females. Mean BMI, WC and BP were high in females; while HDL-C waslow in males (p <0.05). The frequency of MS by ATP III, IDF and WHO criteria were 88.2%;87.4%; and 86.3%, respectively. Significant association was present between femininity, highersocioeconomic status and MS (p <0.05). ATP III criteria diagnosed the maximum number of MSfollowed by IDF and WHO criteria. The highest agreement was found between ATP III and IDFcriteria (k 0.487). More than 85.0% diabetics were diagnosed as true positive and true negativeon all three criteria. The disagreement between the studied criteria ranged from 5.1% to 8.0%.Conclusion: The ATP III, IDF and WHO criteria can equally be used to diagnose metabolicsyndrome among type 2 diabetics in the settings. However, ATP III and IDF criteria have anedge over WHO criteria. Increased rate of metabolic syndrome among diabetics have need ofserious attention to reduce the risk of cardiovascular events.

scholarly journals Demographic Profile of Patients with Metabolic Syndrome in Bangladeshi Population

1970 ◽  
Vol 22 (1) ◽  
pp. 36-42
Author(s):  
MM Rahman Khan ◽  
MA Jalil Chowdhury ◽  
M Zahirul Haque ◽  
MM Hoque Chowdhury ◽  
M Khalilur Rahman ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Leisure Time ◽  
Family Income ◽  
Past History ◽  
Age Groups ◽  
High Intake ◽  
Demographic Profile ◽  
The Metabolic Syndrome ◽  
History Of ◽  
Bangladeshi Population

This was a hospital based study done to see the demographic profile of patients with metabolic syndrome in Bangladesh. A total of 334 patients attending in medicine OPD BSMMU were included in this study. According to modified NCEP ATP III criteria 27.2% of subjects aged ≥ 20 years had the metabolic syndrome and it was more commonly seen in women than in men (32.4% vs 21.7%). The metabolic syndrome increased with age in both sexes (40-49 years age groups 24.2% to 50-59 years age groups 35.2%). The metabolic syndrome was also significantly associated with postmenopausal period, family income, leisure time exercise (<60 min/wk), low physical activity, self reported high intake of carbohydrate diet, presence of family history and past history of components of the metabolic syndrome. DOI: 10.3329/taj.v22i1.5018 TAJ 2009; 22(1): 36-42

scholarly journals Evaluation of Novel Obesity and Lipid-Related Indices as Indicators for the Diagnosis of Metabolic Syndrome and Premetabolic Syndrome in Chinese Women with Polycystic Ovary Syndrome

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Qianqian Yin ◽  
Jianhua Zheng ◽  
Yijuan Cao ◽  
Xiaonan Yan ◽  
Hong Zhang
Keyword(s):  
Metabolic Syndrome ◽  
Polycystic Ovary Syndrome ◽  
Chinese Women ◽  
Polycystic Ovary ◽  
International Diabetes Federation ◽  
Roc Curves ◽  
Youden Index ◽  
Ovary Syndrome ◽  
Discriminative Performance ◽  
Low Prevalence

Objectives. According to the International Diabetes Federation (IDF) criteria, previous studies in Chinese women with polycystic ovary syndrome (PCOS) reported a low prevalence of metabolic syndrome (MS); however, the same population predisposed to developing pre-MS. Early identification and treatment of individuals with MS and pre-MS are imperative to prevent their adverse consequences. Moreover, fasting plasma glucose (FPG) was not accurate in detecting pathoglycemia in women with PCOS as they have shown characteristically postprandial abnormalities in the carbohydrate metabolism. Therefore, we aimed to compare the discriminative performance of various indices for identifying MS and pre-MS/MS (pre-MS and MS) using the updated Chinese Diabetes Society (uCDS) criteria in Chinese women with PCOS. Methods. 1083 Chinese women with PCOS were included in this study. We measured and evaluated 8 indices in all individuals. Based on the uCDS criteria for MS, patients who had no less than two components of MS but did not meet the criteria for the diagnosis of MS were considered as having pre-MS. Receiver operating characteristic (ROC) curves and the area under ROC curves (AUCs) levels were used to assess the accuracy of each index in detecting MS and pre-MS/MS. Results. Among the 8 indices assessed, the lipid accumulation product (LAP) provided the highest AUCs for detecting MS and pre-MS/MS, followed by CVAI, WTI, VAI, TyG, TG/HDL, WC, and BMI. The optimal cutoff points determined for LAP were 45.13 (sensitivity 88.0%, specificity 88.4%, and Youden index 0.764) for MS and 28.01 (sensitivity 87.5%, specificity 80.7%, and Youden index 0.681) for pre-MS/MS, respectively. Conclusions. uCDS criteria are reasonably more suitable for detecting MS and pre-MS in Chinese women with PCOS. Based on this criterion, LAP is the best index for the diagnosis of MS and pre-MS/MS in Chinese women with PCOS, out of the 8 obesity and lipid-related indices assessed.

scholarly journals High Burden of Hypertension Among Adult Population in Rural Districts of Northwest Ethiopia: a Call for Community Based Intervention

2021 ◽  
Author(s):  
Destaw Fetene Teshome ◽  
Shitaye Alemu Balcha ◽  
Tadesse Awoke Ayele ◽  
Asmamaw Atnafu ◽  
Mekonnen Sisay ◽  
...  
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Rural Areas ◽  
Adult Population ◽  
Public Health Problem ◽  
Northwest Ethiopia ◽  
Community Based ◽  
Rural Districts ◽  
History Of ◽  
Family History Of Hypertension

Abstract Background: Estimating prevalence and identifying risk factors of hypertension are paramount important to develop strategies to prevent hypertensive disease. Although, hypertension is a major public health problem in Ethiopia, there is scarcity of evidence in rural areas of the country. Hence, this study is aimed to assess the prevalence and risk factors of hypertension among adult population in rural districts of northwest Ethiopia.Methods: Community based cross sectional study was conducted from June to October, 2020. Multistage cluster sampling technique was used to select 1177 study participants. A face to face interview was conducted using an adapted version of the WHO STEPwise approach questionnaire. The blood pressure was measured three times using aneroid sphygmomanometer and the mean of the last two readings were used for the analysis. Data were entered using Epidata and analyzed using STAT-14. Multivariable logistic regression was used to identify risk factors associated with hypertension.Results: Of the total participants, 218(18.5%) were found to be hypertensive. The prevalence of hypertension consistently increased with age. Hypertension was positively and significantly associated with female sex ((adjusted odd ratio (AOR)=2.30, 95% CI: 1.53, 3.45)), age group 45-54 years (AOR=4.63, 95% CI: 1.01, 21.37), 55-64 years (AOR=14.40, 95% CI: 3.07, 67.63), ³65 years (AOR=19.37, 95% CI: 4.03, 93.09), having history of alcohol consumption (AOR=3.25, 95% CI: 1.17, 9.02), used much amount of salt (AOR=2.37, 95% CI: 1.53, 3.60), used too much amount of salt (AOR=3.78, 95% CI: 1.85, 7.72), sleeping for a short duration (AOR=2.05, 95%CI: 1.30, 3.24), and having Family history of hypertension (AOR=2.12, 95% CI; 1.32, 3.39). Conclusions: Hypertension was significantly high among the rural population we studied and is emerging as a public health problem in rural areas. Female sex, older age, ever used alcohol, used much and too much amount of salt, inadequate sleep, and family history of hypertension were factors positively and significantly associated with hypertension. We recommend local health authorities integrate promotion of hypertension health education, lifestyle modification intervention on salt and alcohol reduction, and hypertension detection particularly for female and elderly population at health post level to avert the problem.

Geriatric Depression and its predictors in the National Capital Territory (NCT) of India – A quantitative study

2021 ◽  
pp. 004947552110448
Author(s):  
Subramani Jagadeesan ◽  
Subramanian Muthathal ◽  
Archismita Santra
Keyword(s):  
Older People ◽  
Employment Status ◽  
Family Income ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Geriatric Depression ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
National Capital

In India, the world's second most populous state, an increasing proportion of its population are elderly. Older people invariably face special psychiatric challenges. In a community-based cross-sectional study, depression was found to be present in almost a third of the elderly; furthermore, low family income, poor literacy and uncertain employment status were found to be significant associations.

Association between history of abortion and metabolic syndrome in middle-aged and elderly Chinese women

2013 ◽  
Vol 7 (1) ◽  
pp. 132-137 ◽  
Author(s):  
Baihui Xu ◽  
Jie Zhang ◽  
Yu Xu ◽  
Jieli Lu ◽  
Min Xu ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Chinese Women ◽  
Middle Aged ◽  
Elderly Chinese ◽  
History Of
Sign in / Sign up

Export Citation Format

Share Document