Urbanization-gradient-, gender- and age-specific prevalence of metabolic syndrome abnormal components and their accumulation in adults in Burkina Faso: analysis of the first national data

Abstract Background: Accumulation of metabolic syndrome abnormal components dramatically increases the risk for cardiovascular diseases. This study aimed to assess the specific prevalence of abnormal components according to the urbanization gradient, gender and age, with the cumulative number of abnormalities in Burkinabè, using nationally representative data.Methods: Data of 4365 participants to the Burkina Faso 2013 Stepwise approach to Surveillance study were analysed, including sociodemographic parameters (with age-groups of 25-34; 35-44; 45-54 and 55-64y), components defined with the International Diabetes Federation criteria (waist circumference [WC], blood pressure [BP], high-density lipoprotein cholesterol [HDL-C], fasting blood glucose [FBG]). The urbanization gradient was the four quartiles of the regional urbanization rates.Results: Between quartiles, prevalences (%) of abnormal components significantly differed and the extremes were: 71.1-81.2 in men(♂), 75.9-81.2 in women(♀) for low HDL-C; 32.8-48.2(♂), 21.5-51.6(♀) for elevated BP; 3.4-7.3(♂), 30.8-45.5(♀) for high WC; 6.2-11.0(♂), 6.7-14.2(♀) for high FBG; 2.8-7.3(♂), 9.6-24.0(♀) for individuals who cumulated at least three abnormalities; and the extreme means in cumulative number of abnormalities were 1.3-1.5(♂), 1.4-1.9(♀). Between age-groups, prevalences significantly differed and the extremes were: 71.9-81.6(♂), 71.8-83.1(♀) for low HDL-C; 32.3-49.1(♂), 23.8-30.3(♀) for elevated BP; 2.0-14.0(♂), 24.8-65.3(♀) for high WC; 6.4-13.0(♂), 5.5-10.4(♀) for high FBG; 2.5-12.0(♂), 8.5-25.8(♀) for individuals who cumulated at least three abnormalities; and the extreme means in number of abnormalities were 1.2-1.4(♂), 1.4-1.9(♀).Conclusion: The low HDL-C was nationally prevalent and could serve as a background to the metabolic abnormalities’ accumulation, which worsened with the process of urbanization and demographic transition, and more severely in women.

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Association of Childhood Metabolic Syndrome and Metabolic Phenotypes with the Carotid Intima-Media Thickness (CIMT) in Early Adulthood: Tehran Lipid and Glucose Study

10.21203/rs.3.rs-836884/v1 ◽

2021 ◽

Author(s):

Majid Valizadeh ◽

Erfan Tasdighi ◽

Maryam Barzin ◽

Ramyar Hariri ◽

Maryam Mahdavi ◽

...

Keyword(s):

Metabolic Syndrome ◽

Early Adulthood ◽

International Diabetes Federation ◽

Density Lipoprotein ◽

Intima Media Thickness ◽

Carotid Intima Media Thickness ◽

Metabolic Phenotypes ◽

Media Thickness ◽

Increased Risk ◽

Low Hdl

Abstract Background: The prevalence of metabolic syndrome (MetS) during adolescence has shown an increasing trend. This study aimed to investigate the association of MetS and metabolic phenotypes with a high carotid intima-media thickness (CIMT) in early adulthood in the framework of a large cohort study. Methods: MetS was defined as proposed by Cook, de Ferranti, the National Cholesterol Education Program (NCEP), and the pediatric International Diabetes Federation (IDF). Metabolic phenotypes were defined based on the binary clustering of cardiovascular risk factors. The participants were followed up for 18.2 years. Multivariate-adjusted odds ratios (ORs) were calculated for a high CIMT incidence (≥95th percentile).Results: In this study, 862 adolescents (52.3% males), with the mean age of 13.4±2.2 years, were included. The presence of MetS, based on the definitions proposed by Cook (OR=1.90, 95% CI: 1.01-3.57, P=0.046) and de Ferranti (OR=1.74; 95% CI: 1.04-2.90, P=0.033), was associated with the increased risk of a high CIMT in early adulthood. Metabolic phenotypes, including high waist circumference (WC)/hypertension (HTN), high WC/low high-density lipoprotein-cholesterol (HDL-C), and high triglyceride (TG)/high WC, showed higher risks of a high CIMT. However, these positive associations become insignificant after adjusting for the adulthood BMI, except for the high WC/low HDL-C phenotype (OR=2.04, 95% CI: 1.02-4.11, P=0.044). Conclusion: The high WC/low HDL-C phenotype had a better predictive value and could be used as a simpler alternative for MetS to identify adolescents with a higher risk of high CIMT during early adulthood.

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Association of Sleep Duration and Insomnia Symptoms with Components of Metabolic Syndrome and Inflammation in Middle-Aged and Older Adults with Metabolic Syndrome in Taiwan

Nutrients ◽

10.3390/nu11081848 ◽

2019 ◽

Vol 11 (8) ◽

pp. 1848 ◽

Cited By ~ 4

Author(s):

Ahmad Syauqy ◽

Chien-Yeh Hsu ◽

Hsiao-Hsien Rau ◽

Adi Lukas Kurniawan ◽

Jane C-J Chao

Keyword(s):

Older Adults ◽

Metabolic Syndrome ◽

Sleep Duration ◽

Fasting Blood Glucose ◽

International Diabetes Federation ◽

Density Lipoprotein ◽

Middle Aged ◽

Cross Sectional ◽

Long Sleep ◽

Insomnia Symptoms

The study determined the association of sleep duration and insomnia symptoms with the components of metabolic syndrome and inflammation in middle-aged and older adults with metabolic syndrome in Taiwan. This cross-sectional study used the database compiled in Taiwan between 2004–2013. A total of 26,016 volunteers aged 35 years and above were selected. Metabolic syndrome was defined according to the International Diabetes Federation. Compared with regular sleep duration (6–8 h/day), short (<6 h/day) or long sleep duration (>8 h/day) and insomnia symptoms significantly increased the odds ratios of high waist circumference, high blood pressure, low high-density lipoprotein-cholesterol, high triglycerides, high fasting blood glucose, and high C-reactive protein. Insomnia symptoms did not modify the effects of sleep duration on the components of metabolic syndrome and inflammation. Our study suggests that short or long sleep duration and insomnia symptoms may have an adverse effect on metabolic syndrome and inflammation.

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AGE AND GENDER MAY INFLUENCE THE RESULTS OF ROUX-EN-Y GASTRIC BYPASS? Metabolic syndrome parameters

Arquivos de Gastroenterologia ◽

10.1590/s0004-2803201400030002 ◽

2014 ◽

Vol 51 (3) ◽

pp. 171-179 ◽

Cited By ~ 6

Author(s):

Stephan Garcia ANDRADE-SILVA ◽

Danielle Arisa CARANTI ◽

José Afonso SALLET ◽

Lucas Pedroso Fernandes Ferreira LEAL ◽

Antonio Joaquim Ferreira LEAL ◽

...

Keyword(s):

Metabolic Syndrome ◽

Gastric Bypass ◽

Body Mass ◽

Age Groups ◽

Density Lipoprotein ◽

The Body ◽

Alcoholic Fatty Liver ◽

Gender And Age ◽

And Gender ◽

One Year

Context Severe obesity affects the body favoring the development of serious diseases, including hypertension, diabetes mellitus, atherosclerosis and non alcoholic fatty liver disease. Bariatric procedures increased in Brazil in the last decade. Objectives The purpose of this study was to verify if gender and age in date of procedure resulted significant differences in metabolic syndrome parameters after surgery. Methods The study involved 205 medical records of adult patients undergoing Roux-en-Y gastric bypass, stratified by gender and age groups and followed one year by a multidisciplinary team. Results It was observed significant decrease in body mass index, fasting glucose and insulin at all ages and both genders. Lipid profile showed significant improvements except high density lipoprotein cholesterol. Ectopic fat in the liver has decreased after 6 months in patients classified with steatosis at baseline. Patients classified as hypertensive blood pressure levels decreased 6 months after surgical intervention. Conclusions Roux-en-Y gastric bypass proved to be an important tool in remission of metabolic syndrome parameters. The reduction of body mass accompanied to decrease in insulin resistance resulted in lower prevalence of comorbidities associated with obesity. The benefits were similar and extended both genders and all age groups between 18 and 65 years old.

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Frequency of Metabolic Syndrome on Diabetes Mellitus Patients in Surabaya

Biomolecular and Health Science Journal ◽

10.20473/bhsj.v1i1.8069 ◽

2018 ◽

Vol 1 (1) ◽

pp. 43

Author(s):

Dyah Peni Puspitasari ◽

Budi Widodo ◽

Jongky Hendro Prayitno

Keyword(s):

Blood Pressure ◽

Metabolic Syndrome ◽

Blood Glucose ◽

Central Obesity ◽

Fasting Blood Glucose ◽

Density Lipoprotein ◽

High Blood Glucose ◽

The Metabolic Syndrome ◽

Low Hdl ◽

Frequency Components

Backgrounds: Metabolic syndrome is a syndrome characterized by central obesity, high blood glucose or impaired glucose tolerance, dyslipidemia, and high blood pressure. Nearly 70% to 80% of Diabetes melitus (DM) population was diagnosed with metabolic syndrome. We aimed to present the data of frequency of metabolic syndrome in patients with DM for a basis of future research.Method: This is a descriptive study design on DM patients based on NCEP ATP III criteria. The data was collected from direct measurements and laboratory results of all DM patients: waist circumference, weight, height, and blood pressure of the subjects, triglyceride status (TG), high-density lipoprotein cholesterol (HDL-C) status, and fasting blood glucose status.Results: From 77 DM patients, results were obtained in this study were 69 (89.61%) patients with DM-metabolic syndrome (DM-MetS) and 8 (10.39%) patients with DM-non-metabolic syndrome. From 69 patients with DM-MetS, 52 (75.36%) were female and 17 (24.64%) were male.Discussions: Based on NCEP ATP III criteria, the components profile of metabolic syndrome in women patients with DM-MetS were 96,15% central obesity, 88,46% hypertension, 70,37% low HDL levels and 44,44% hypertriglycerides. While, in men patients with DM-MetS were 70.59% central obesity, 88.24% in hypertension, 70% in the low HDL levels, and 30% hypertriglycerides. Based on the number of components, can be determined the frequency components of the metabolic syndrome were 73.91% on the three components, 14.49% on four components, and 11.59% at five components.Conclusion: A total of 69 (89.61%) patients with T2DM were diagnosed as metabolic syndrome.

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Association of Coffee Consumption and Its Types According to Addition of Sugar and Creamer with Metabolic Syndrome Incidence in a Korean Population from the Health Examinees (HEXA) Study

Nutrients ◽

10.3390/nu13030920 ◽

2021 ◽

Vol 13 (3) ◽

pp. 920

Author(s):

Li-Juan Tan ◽

Hye Joo Jeon ◽

SoHyun Park ◽

Seong-Ah Kim ◽

Kyungjoon Lim ◽

...

Keyword(s):

Metabolic Syndrome ◽

Chronic Diseases ◽

Lower Risk ◽

Proportional Hazards ◽

Fasting Blood Glucose ◽

Coffee Consumption ◽

Density Lipoprotein ◽

Cox Proportional Hazards ◽

Low Hdl ◽

The Relationship

Coffee is widely consumed worldwide, and numerous studies indicate that coffee consumption may potentially affect the development of chronic diseases. Metabolic syndrome (MetS) may constitute a risk factor for chronic diseases. We aimed to prospectively evaluate the association between coffee consumption and MetS incidence. All participants were selected from the Health Examinees study. MetS was defined by the Adult Treatment Panel III criteria of the National Cholesterol Education Program. A multivariate Cox proportional hazards regression model was used to assess the relationship between coffee consumption and MetS incidence. In comparison with non-consumers, male moderate consumers (≤3 cups/day) showed a lower risk for low high-density lipoprotein cholesterol (HDL-C) (≤1 cup/day, hazard ratio (HR): 0.445, 95% confidence interval (CI): 0.254–0.780; 1–3 cups/day, HR: 0.507, 95% CI: 0.299–0.859) and high fasting blood glucose (FPG) (≤1 cup/day, HR: 0.694, 95% CI: 0.538–0.895; 1–3 cups/day, HR: 0.763, 95% CI: 0.598–0.972). Male 3-in-1 coffee (coffee with sugar and creamer) consumers also showed a lower risk for low HDL-C (HR: 0.423, 95% CI: 0.218–0.824) and high FPG (HR: 0.659, 95% CI: 0.497–0.874). These findings indicate a negative association between moderate coffee consumption and low HDL-C and high FPG among Korean male adults.

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Impact of the Level of Adherence to Mediterranean Diet on the Parameters of Metabolic Syndrome: A Systematic Review and Meta-Analysis of Observational Studies

Nutrients ◽

10.3390/nu13051514 ◽

2021 ◽

Vol 13 (5) ◽

pp. 1514

Author(s):

Dimitra Rafailia Bakaloudi ◽

Lydia Chrysoula ◽

Evangelia Kotzakioulafi ◽

Xenophon Theodoridis ◽

Michail Chourdakis

Keyword(s):

Metabolic Syndrome ◽

Mediterranean Diet ◽

Observational Studies ◽

Positive Impact ◽

Fasting Blood Glucose ◽

Density Lipoprotein ◽

Hdl Cholesterol ◽

Central Registry ◽

High Adherence ◽

The Impact

High adherence to the Mediterranean diet (MD) has been associated with a lower prevalence of Metabolic Syndrome (MetS). The present study aimed to investigate the impact of MD adherence on parameters of MetS. A systematic literature search was performed in PubMed, Cochrane Central Registry of Clinical Trials (CENTRAL), Scopus, EMBASE, Web of Science and Google Scholar databases. Observational studies that recorded adherence to MD and components/measures of the MetS, such as waist circumference (WC), blood pressure (BP), fasting blood glucose (FBG), high-density lipoprotein (HDL) cholesterol and triglycerides (TG), were included in this study. A total of 58 studies were included in our study. WC and TG were significantly lower in the high adherence MD group (SMD: −0.20, (95%CI: −0.40, −0.01), SMD: −0.27 (95%CI: −0.27, −0.11), respectively), while HDL cholesterol was significantly higher in the same group (SMD: −0.28 (95%CI: 0.07, 0.50). There was no difference in FBG and SBP among the two groups (SMD: −0.21 (95%CI: −0.54, 0.12) & SMD: −0.15 (95%CI: −0.38, 0.07), respectively). MD may have a positive impact on all parameters of MetS. However, further research is needed in this field.

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Cortisol, DHEAS, their ratio and the metabolic syndrome: evidence from the Vietnam Experience Study

Acta Endocrinologica ◽

10.1530/eje-09-1078 ◽

2010 ◽

Vol 162 (5) ◽

pp. 919-923 ◽

Cited By ~ 28

Author(s):

Anna C Phillips ◽

Douglas Carroll ◽

Catharine R Gale ◽

Janet M Lord ◽

Wiebke Arlt ◽

...

Keyword(s):

Metabolic Syndrome ◽

Military Service ◽

Fasting Blood Glucose ◽

Density Lipoprotein ◽

Cross Sectional ◽

Us Army ◽

Telephone Interviews ◽

The Metabolic Syndrome ◽

Increased Risk ◽

Vietnam Era

ObjectivesThe aim of these analyses was to examine the association of cortisol, DHEAS and the cortisol:DHEAS ratio with the metabolic syndrome (MetS) and its components.DesignThe analyses were cross-sectional.MethodsParticipants were 4255 Vietnam era US army veterans. From military service files, telephone interviews and a medical examination, occupational, socio-demographic and health data were collected. MetS was ascertained from data on body mass index; fasting blood glucose or a diagnosis of diabetes; blood pressure or a diagnosis of hypertension; high-density lipoprotein cholesterol; and triglyceride levels. Contemporary morning fasted cortisol and DHEAS concentrations were determined. The outcomes were MetS and its components. Analysis was by logistic regression, first adjusting for age and then additionally for an array of candidate confounders.ResultsCortisol, although not in the fully adjusted analysis, and DHEAS were both related to MetS. Whereas high cortisol concentrations were associated with an increased risk of MetS, high DHEAS concentrations appeared protective. By far, the strongest associations with MetS were observed for the cortisol:DHEAS ratio; the higher the ratio, the greater the risk of having MetS. The ratio was also significantly related to four of the five MetS components.ConclusionsThe cortisol:DHEAS ratio is positively associated with MetS. Prospective analyses are needed to help untangle direction of causality, but this study suggests that the cortisol:DHEAS ratio is worthy of further study in this and other health contexts.

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The Endocrine and Metabolic Characteristics of a Large Bardet-Biedl Syndrome Clinic Population

The Journal of Clinical Endocrinology & Metabolism ◽

10.1210/jc.2017-01459 ◽

2018 ◽

Vol 103 (5) ◽

pp. 1834-1841 ◽

Cited By ~ 12

Author(s):

Safa Mujahid ◽

Katharine F Hunt ◽

Yee S Cheah ◽

Elizabeth Forsythe ◽

Jonathan M Hazlehurst ◽

...

Keyword(s):

Metabolic Syndrome ◽

Subclinical Hypothyroidism ◽

Matched Control ◽

Genetic Diagnosis ◽

International Diabetes Federation ◽

Density Lipoprotein ◽

Bardet Biedl Syndrome ◽

Metabolic Characteristics ◽

Control Subjects ◽

The Metabolic Syndrome

Abstract Context Bardet-Biedl syndrome (BBS) is a rare autosomal recessive disorder in which previous reports have described obesity and a metabolic syndrome. Objective We describe the endocrine and metabolic characteristics of a large BBS population compared with matched control subjects. Design We performed a case-control study. Setting This study was performed at a hospital clinic. Patients Study patients had a clinical or genetic diagnosis of BBS. Main Outcome Measurements Our study determined the prevalence of a metabolic syndrome in our cohort. Results A total of 152 subjects were studied. Eighty-four (55.3%) were male. Mean (± standard deviation) age was 33.2 ± 1.0 years. Compared with age-, sex-, and body mass index–matched control subjects, fasting glucose and insulin levels were significantly higher in subjects with BBS (glucose: BBS, 5.2 ± 1.2 mmol/L vs control, 4.9 ± 0.9 mmol/L, P = 0.04; insulin: BBS, 24.2 ± 17.0 pmol/L vs control, 14.2 ± 14.8 pmol/L, P < 0.001). Serum triglycerides were significantly higher in subjects with BBS (2.0 ± 1.2 mmol/L) compared with control subjects (1.3 ± 0.8 mmol/L; P < 0.001), but total cholesterol, high-density lipoprotein, and low-density lipoprotein were similar in both groups. Systolic blood pressure was higher in the BBS group (BBS, 135 ± 18 mm Hg vs control subjects, 129 ± 16 mm Hg; P = 0.02). Alanine transaminase was raised in 34 (26.8%) subjects with BBS, compared with five (8.9%) control subjects (P = 0.01). The rate of metabolic syndrome, determined using International Diabetes Federation criteria, was significantly higher in the BBS group (54.3%) compared with control subjects (26% P < 0.001). Twenty-six (19.5%) of male subjects with BBS were hypogonadal (serum testosterone, 9.9 ± 5.3 mmol/L), but significant pituitary abnormalities were uncommon. Subclinical hypothyroidism was present in 24 of 125 (19.4%) patients with BBS, compared with 3 of 65 (4.6%) control subjects (P = 0.01). Conclusions Insulin resistance and the metabolic syndrome are increased in adult patients with BBS compared with matched control subjects. Increased subclinical hypothyroidism in the BBS cohort needs further investigation.

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The Role of Bioactive Compounds from Dietary Spices in the Management of Metabolic Syndrome: An Overview

Nutrients ◽

10.3390/nu14010175 ◽

2021 ◽

Vol 14 (1) ◽

pp. 175

Author(s):

Dana Hasan Alkhatib ◽

Abdul Jaleel ◽

Maryam Naveed Muhammad Tariq ◽

Jack Feehan ◽

Vasso Apostolopoulos ◽

...

Keyword(s):

Blood Pressure ◽

Metabolic Syndrome ◽

Blood Glucose ◽

Dietary Supplements ◽

Bioactive Compounds ◽

Fasting Blood Glucose ◽

Density Lipoprotein ◽

Preventive Measure ◽

Blood Lipid ◽

Lifestyle Changes

Metabolic syndrome (MetS) is a combination of physiologically dysregulated parameters that can include elevated fasting blood glucose, high blood pressure, central obesity, increased triglyceride levels, insulin resistance, diabetes, elevated low density lipoprotein levels, and reduced high density lipoprotein levels in the blood. Effective clinical management of MetS is critical as it is strongly associated with long lasting and fatal complications in patients. Alongside standard care of lifestyle changes and medication, dietary supplements derived from herbal resources could be an alternative therapeutic strategy that is safe, efficient, culturally acceptable, and has few side effects. Of the dietary supplements, spicy foods have always been considered a great source of functional bioactive compounds. Herbal therapy is broadly used in many countries as a treatment or as a preventive measure in the management of MetS risk factors, including blood glucose, blood pressure, and blood lipid levels. Herein, an attempt is made to evaluate the recent studies in the management of MetS with herbal alternatives, and to explore the possibility of their use as therapeutic treatments or supplements.

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Investigating The Definitions of Metabolic Syndrome Among High School Students in Taipei and The Optimal Cutoff Points of Relevant Risk Factors

10.21203/rs.3.rs-34076/v1 ◽

2020 ◽

Author(s):

Shao Chia Chiu Lin ◽

Mei-Ju Chen

Keyword(s):

Risk Factors ◽

High School ◽

Metabolic Syndrome ◽

High School Students ◽

International Diabetes Federation ◽

Density Lipoprotein ◽

Discriminatory Power ◽

School Students ◽

Optimal Cutoff ◽

Cutoff Points

Abstract Background: The effects of different definitions for metabolic syndrome (MetS) on its prevalence were examined, and the differences in the discriminatory power, as well as the optimal cutoff points of relevant risk factors, were analyzed in this study. Methods: 45,756 health checkup data sets from 2011 to 2014 of high school students aged between 15 to 17 years were sourced in Taipei city. The database included the students’ gender, age, height, weight, waist circumference (WC), systolic and diastolic blood pressure, as well as biochemical markers such as triglycerides (TG), high-density lipoprotein cholesterol, and fasting glucose (FG) levels. The ROC curve statistical approach was used to analyze the discriminatory power and optimal cutoff points of the relevant MetS risk factors. Results: The prevalence of MetS among adolescents in Taipei was 2.3% and 1.2%, according to the criteria of the modified National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) and the International Diabetes Federation (IDF) respectively. The prevalence increased to 4.3% when this study’s criteria were used. Among the components of MetS analyzed, WC and TG had stronger discriminatory powers, while FG had the weakest. The optimal cutoff point for WC was approximately the 90 th percentile, while that for the TG was similar to the criteria of the modified NCEP ATP III. About 44.6% of adolescents had at least one MetS component. Body mass index also had good discriminatory power. Conclusions: The prevalence of MetS differs depending on the diagnostic criteria used. Redefining the cutoff points for the components of MetS in adolescents in different regions, as well as further screening and intervention, are crucial to prevent cardiovascular disease and type 2 diabetes mellitus in the future.

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