scholarly journals Prevalence of the metabolic syndrome in the Pech district

2018 ◽  
Vol 10 (2) ◽  
pp. 40-47
Author(s):  
Ardita Kerveshi-Sulejmani ◽  
Aferdita Selmanaj ◽  
Igor Isjanovski ◽  
Rozalinda Isjanovska

The metabolic syndrome (MS) is the main clinical and public health challenge in the world, in the wake of urbanization, excess energy intake, increased obesity, sedentary lifestyle and habits. MS leads to a 5-fold increase the risk of diabetes mellitus type 2 (T2DM) and 2 times the risk of cardiovascular disease (CVD) over the next 5 to 10 years. The aim of the research is to determine the prevalence of metabolic syndrome syndrome in the Pech District according to NCEP ATD III / 2001. Material and methods: Cross sectional study was carried out at the General Hospital in Pec, which represents a regional hospital for the Pec District. A total of 1667 patients from the Pech district were interviewed for a period of one year. Results: In the group, MS was present in 506 patients. In the majority of cases, we found the systolic blood pressure condition ≥ 130 mmHg -99.4%, followed by diastolic blood pressure ≥ 85 mmH-96.4%, elevated triglycerides ≥ 1.7 mmol / l- 94.7%, waist circumference> 88 cm in women-94.0% , increased glycemia ≥ 6.1mmol / L in 80.0%, waist circumference > 102cm in men-65.5%, HDL values ​​<1.03mmol / L in men - 56.9%  and HDL values ​​<1.03mmol / L in females 51.5%. The mean value of systolic blood pressure in patients with MS is 151.1 ± 9.3 mmHg. The average value of diastolic blood pressure in patients with MS is 91.0 ± 4.7 mmHg. The average waist circumference of patients with MC was 103.6 ± 9.2 cm. The mean HDL of patients with MS is 1.1 ± 0.2 mmol / L. The average glycemic value in patients with MS is 6.5 ± 0.6 mmol / Average triglyceride value in patients with MS and is 2.5 ± 0.8 mmol / L. The most common in patients with MS is obesity / obesity - 70.8%, overweight is 27.8%, and 1.4% normal weight is registered. Conclusions: The prevalence of MS in the Pech district is 30.4% and was approximately as in Croatia 34% and Tetovo region with 28.25%, but it was dependent on the population and definitions used. The metabolic syndrome is one of the major public health problems, and a socioeconomic problem around the world and in  Kosovo, too.

2019 ◽  
Vol 2 (2) ◽  
pp. 82
Author(s):  
Husin Thamrin ◽  
Ari Sutjahjo ◽  
Agung Pranoto ◽  
Soebagijo Adi Soelistijo

Background : Metabolic syndrome is a risk factor for cardiovascular disease as well as the occurrence of chronic kidney disease. According to the IDF, the metabolic syndrome is diagnosed when central obesity obtained with 2 or more metabolic abnormalities that include impaired glucose metabolism, increased blood pressure, hypertriglyceridemia, and low HDL-C. Several previous studies reported an  significant association found between the metabolic syndrome with albuminuria. In Indonesia, the association of metabolic syndrome with albuminuria in type 2 diabetes have not been.reported.Objectives : To investigate the association of metabolic syndrome with albuminuria in type 2 diabetes patients.Methods : This is an analytic observational study, cross-sectional design in type 2 diabetes mellitus patients and we studied 131 subjects. Criteria metabolic syndrome according to IDF consensus and albuminuria assessed using the ACR method and the classification of albuminuria was based on consensus of Perkeni 2006. As for Statistical analysis using spearman correlation and Mann-whitney test. Significance level used was 0.05.Results : Of the 131 type 2 diabetes patients with metabolic syndrome were found  normoalbuminuria proportion 65.4%, microalbuminuria 27.1% and macroalbuminuria 7.5%. Obtained a significant association between systolic blood pressure with albuminuria, p = 0.000, r = 0.325. Fasting blood sugar with albuminuria, p = 0.01, r = 0.223. But not found significant association between diastolic blood pressure with albuminuria, p = 0.153, r = 0.125, waist circumference with albuminuria, p = 0.311, r = 0.089, low HDL with albuminuria p = 0.771, r = -0.025. Hypertriglyceridemia with albuminuria, p = 0.727 and r=0,031  Conclusion : The results of this study indicate a strong association between the components of metabolic syndrome, systolic blood pressure with albuminuria, and fasting blood sugar with albuminuria. Whereas diastolic blood pressure, waist circumference, low HDL, and hypertriglyceridemia were not found significant associations.


Author(s):  
MI Diah P ◽  
Banundari Rachmawati ◽  
Purwanto AP

The incidence of metabolic syndrome (MetS) is significantly increasing. The elevated serum uric acid (SUA) level is correlated with the metabolic risk of cardiovascular. The relationship between SUA levels and components of MetS has been inconsistent. The aim of this study was to know the correlation between SUA level and component of MetS by analyzng. This study was a cross-sectional design conducted on healthy people at the Medical Check Up (MCU) Clinic, Dr. Moewardi Hospital, Surakarta from June 2012 until February 2013. MetS was defined according to the 2005 International Diabetes Federation (IDF) criteria. The statistical analysis was done by Student’s T test, Pearson or Spearman correlation coefficients. The researchers considered p<0.05 as statistically significant with a 95% confidence interval. A total of 80 healthy subjects, (range 19–57 years) were enrolled into this study. MetS was diagnosed in 40 persons where men (62.5%) were more than women and the non-MetS in women (62.5%) were more than men. In this study, a positive correlation was found between SUA and systolic blood pressure, diastolic blood pressure and waist circumference (Pearson r=0.354, 0.495, 0.399, respectively, p<0.05) in women, but not in men. The SUA was positively correlated with systolic blood pressure, diastolic blood pressure and waist circumference, particularly in women. A long term study is needed to investigate the consequence of increasing the SUA level in metabolic disorders and hormonal influences as well.


Author(s):  
Aina M. Galmes-Panades ◽  
Veronica Varela-Mato ◽  
Jadwiga Konieczna ◽  
Julia Wärnberg ◽  
Miguel Ángel Martínez-González ◽  
...  

Abstract Background This study explored the association between inactive time and measures of adiposity, clinical parameters, obesity, type 2 diabetes and metabolic syndrome components. It further examined the impact of reallocating inactive time to time in bed, light physical activity (LPA) or moderate-to-vigorous physical activity (MVPA) on cardio-metabolic risk factors, including measures of adiposity and body composition, biochemical parameters and blood pressure in older adults. Methods This is a cross-sectional analysis of baseline data from 2189 Caucasian men and women (age 55–75 years, BMI 27–40 Kg/m2) from the PREDIMED-Plus study (http://www.predimedplus.com/). All participants had ≥3 components of the metabolic syndrome. Inactive time, physical activity and time in bed were objectively determined using triaxial accelerometers GENEActiv during 7 days (ActivInsights Ltd., Kimbolton, United Kingdom). Multiple adjusted linear and logistic regression models were used. Isotemporal substitution regression modelling was performed to assess the relationship of replacing the amount of time spent in one activity for another, on each outcome, including measures of adiposity and body composition, biochemical parameters and blood pressure in older adults. Results Inactive time was associated with indicators of obesity and the metabolic syndrome. Reallocating 30 min per day of inactive time to 30 min per day of time in bed was associated with lower BMI, waist circumference and glycated hemoglobin (HbA1c) (all p-values < 0.05). Reallocating 30 min per day of inactive time with 30 min per day of LPA or MVPA was associated with lower BMI, waist circumference, total fat, visceral adipose tissue, HbA1c, glucose, triglycerides, and higher body muscle mass and HDL cholesterol (all p-values < 0.05). Conclusions Inactive time was associated with a poor cardio-metabolic profile. Isotemporal substitution of inactive time with MVPA and LPA or time in bed could have beneficial impact on cardio-metabolic health. Trial registration The trial was registered at the International Standard Randomized Controlled Trial (ISRCTN: http://www.isrctn.com/ISRCTN89898870) with number 89898870 and registration date of 24 July 2014, retrospectively registered.


2013 ◽  
Vol 25 (1) ◽  
pp. 28-31
Author(s):  
N Habib ◽  
M Rashid ◽  
USN Begum ◽  
N Ahter ◽  
D Akhter

This cross-sectional study was carried out to assess blood pressure parameters among adult male smokers and smokeless tobacco users. For this purpose, 105 male respondents were selected. They were divided into two groups; Group A-consisting of 30 were smokeless tobacco users and group B consisting of 75 smoker patients The participants were selected from medicine outdoor of Dhaka Medical College Hospital. In this study, the mean (±SD) of systolic blood pressure were 154.50±26.793 mm of Hg in Group A and 151.67±19.248 mm of Hg in group B respectively. Statistical analysis was done by unpaired‘t’ test, there were no statistical significant differences (P>0.05) of systolic blood pressure between Group A and Group B. The mean (±SD) of diastolic blood pressure were 96.67±10.933 mm of Hg in Group A and 86.47±14.745 mm of Hg in group B respectively. The mean (± SD) of diastolic blood pressure were significantly higher (P<0.05) in Group A than Group B. DOI: http://dx.doi.org/10.3329/medtoday.v25i1.16066 Medicine Today 2013 Vol.25(1): 28-31


Author(s):  
M Saraei ◽  
A Najafi ◽  
E Heidarbagi ◽  
A Rahimi-Golkhandan

Introduction: Screening of risk factors for metabolic syndrome among commercial and train drivers that are considered safety sensitive jobs, is an important issue in safety of transportation system. Metabolic syndrome is consisted of disturbed lipid profile, high blood pressure, and high waist circumference. It can lead to decrease the quality of life and higher health associated costs for these patients. This study aimed to assess risk factors for metabolic syndrome among train drivers. Methods: This cross-sectional study was conducted on 281 train drivers referred to their annual health examinations to Occupational Medicine Clinic of Baharloo Hospital, Tehran University of Medical Sciences. Demographic characteristics of participants were recorded. Blood pressure, body mass index and waist circumference of drivers were measured. Participants’ blood sample for fasting blood sugar, triglyceride, high and low density lipoproteins were collected. Metabolic syndrome was defined according to the NCEP ATP III criteria. Results: All of the participants were males.  Their mean age and BMI was 43±10 year and 26.60±3.67 Kg/m2, respectively. Fifty three (21%) of the participants were diagnosed with metabolic syndrome. The more frequent risk factor for metabolic syndrome was triglyceride more than 150mg/dl. Conclusion: Findings of the present study revealed high prevalence of metabolic syndrome among train drivers. Further studies are needed for screening the metabolic syndrome in this occupational group as it is a sensitive occupation.


2021 ◽  
Vol 28 (11) ◽  
pp. 1546-1551
Author(s):  
Muhammad Umar Khan ◽  
Akhtar Ali Baloch ◽  
Muhammad Arsalan ◽  
Syed Muhammad Adnan

Objectives: To determine the prevalence of metabolic syndrome in patients with newly diagnosed type 2. Study Design: Descriptive Cross Sectional study. Setting: Dow University Hospital. Period: October 2018 to January 2019. Material & Methods: A total 342 patients prevalence of metabolic syndrome in patients with newly diagnosed type II diabetes at Dow University Hospital, Karachi, Pakistan. Data was collected through a questionnaire which is designed to record the age, gender, BMI, FBS, Waist circumference, blood pressure, HDL and triglyceride level of newly diagnosed of diabetic patients. Frequency and percentages were calculated for these variables. SPSS version 21 was used to analyze the overall results. Results: A total of 342 new diagnosed diabetic were included in this study. 189 (55.26%) were males and 153 (44.74%) were females. The mean + SD of age was 48.21±9.28 years. The mean + SD of FBS was about 192±43 mg/dl with ranges from 98 to 482 mg/dl. The mean + SD of Serum TG was about 243±152 mg/dl with ranges from 189 to 325 mg/dl. The mean + SD HDL was about 38.9±9.23 mg/dl with ranges from 12 to 102 mg/dl. The mean + SD of waist circumference was about 110.5±11.90 cm. The mean + SD systolic & diastolic blood pressure was about 150 + 8.23 & 98 + 11.28 respectively. The mean + SD of BMI was 29.23+ 11.23. Metabolic syndrome was diagnosed in 252 (73.68%) in newly diabetic patients. Conclusion: Metabolic syndromes were highly associated with newly diagnosed type II diabetes patients.


2014 ◽  
Vol 23 (4) ◽  
pp. 995-1003 ◽  
Author(s):  
Aline Viana de Oliveira ◽  
Ana Cristina Pereira de Jesus Costa ◽  
Lívia Maia Pascoal ◽  
Leonardo Hunaldo dos Santos ◽  
Emilia Soares Chaves ◽  
...  

The objective of the present study was to analyze the correlation between anthropometric indicators and blood pressure of adolescents from Imperatriz, state of Maranhão, Brazil. It is a quantitative cross-sectional study, developed between September and November of 2012 with 218 students. We used a questionnaire to collect data regarding identification, anthropometrics, and systolic and diastolic blood pressure. Considering blood pressure, we found that 4.6%, 2.4% and 1.3% of the sample were included in the borderline, stage 1 and stage 2 hypertension categories, respectively. Among female participants, body adiposity index and skinfold presented higher mean values than those of their male counterparts. Furthermore, we observed a positive correlation between systolic blood pressure and height (r=0.18), weight (r=0.20) and waist circumference (r=0.17), and a negative correlation between diastolic blood pressure and body adiposity index (r=-0.18). The measures of neck and waist circumference were the only anthropometric measures with positive and simultaneous correlations with systolic blood pressure for both genders.


2021 ◽  
Author(s):  
Qing Ye ◽  
Chao Li ◽  
Tianxin Pan ◽  
Zhiyong Wang ◽  
Huafeng Yang ◽  
...  

Abstract BackgroundWe aim to investigate the association between socioeconomic status (SES) and metabolic syndrome (MetS) among general population in Nanjing, China.MethodsA cross-sectional study was conducted in 2017 among adults aged 18 years or older in Nanjing, China. Participants were selected using multistage sampling approach. Diagnosed MetS was the outcome variable. Education and monthly family average income (FAI) was used to separately indicate SES. Mixed-effects models were used to calculate the association between SES and MetS.ResultsThe prevalence of MetS was 19.7% (95%CI=19.0%, 20.4%) among overall sample population. After controlling for covariates, educational attainment was negatively associated with MetS prevalence in women. As for men, the most well-educated subjects were at the lowest risk (OR=0.72, 95%CI=0.57, 0.92) of having MetS compared to the least educated subjects. Relative to those who from lower FAI sub-group, participants from upper tertile were less likely to have MetS for both genders (OR=0.73, 95%CI=0.617, 0.87; OR=0.85, 95%CI=0.73, 0.99). Among all participants, higher education level predicted lower waist circumference, triglycerides, systolic and diastolic blood pressure, and fasting glucose concentration. Higher FAI was associated with lower waist circumference and systolic and diastolic blood pressure in women, and with lower systolic and diastolic blood pressure in men.ConclusionsEducation and family average income each was inversely related to MetS and its components prevalence in Nanjing, China in 2017. It has important public health implications that the tailored prevention strategies should be implemented for people with different socioeconomic status.


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Maria M. Erro

Abstract: Increased abdominal circumference and hip circumference will potentially increase blood pressure. Blood pressure can be used as an indicator to assess the cardiovascular system. This study was aimed to determine the relationship between waist circumference as well as hip circumference and blood pressure among employees at Faculty of medicine Sam Ratulangi University Manado. This was an analytical study with a cross sectional design. Samples were obtained by using the accidental sampling method. Measurements of abdominal circumference, hip circumference and direct blood pressure were performed on all subjects. Data were analysed univariately and bivariately using the Pearson test. The results showed that there were 30 employees as subjects consisted of 17 males and 13 females. The mean of abdominal circumference and hip circumference in males and females were 80.03 ± 11.14 cm and 83.76 ± 12.61 cm consecutively. There were 33.3% of the employees that had high blood pressure (hypertension). In male employees, there was a moderate significant correlation between hip circumference and diastolic blood pressure (r=0.48; P=0.004) meanwhile in female employees there was a moderate significant correlation between waist circumference and systolic blood pressure (r=0.489; P=0.006). Conclusion: There was a significant relationship between hip circumference and diastolic blood pressure among male employees as well as between waist circumference and systolic blood pressure among female employees.Keywords: waist hip circumference ratio, blood pressureAbstrak: Peningkatan lingkar perut dan lingkar pinggul berpotensi meningkatkan tekanan darah. Tekanan darah dapat dipakai sebagai indikator untuk menilai sistem kardiovaskular. Penelitian ini bertujuan untuk mengetahui hubungan lingkar perut dan lingkar pinggul dengan tekanan darah pada pegawai Fakultas Kedokteran Universitas Sam Ratulangi Manado. Jenis penelitian ialah observasional. Sampel diperoleh dengan menggunakan metode accidental sampling dari pengukuran lingkar perut, lingkar pinggul, dan tekanan darah langsung. Analisis data menggunakan univariat dan bivariat dengan uji Pearson. Hasil penelitian mendapatkan sebanyak 30 orang pegawai sebagai subyek penelitian, terdiri dari 17 laki-laki dan 13 perempuan. Rerata lingkar perut dan lingkar pinggul pada laki-laki dan perempuan ialah 80,03±11,14 cm dan 83,76±12,61 cm. Sebesar 33,3% pegawai memiliki tekanan darah tinggi (hipertensi). Pada subyek laki-laki terdapat korelasi sedang dan bermakna antara lingkar pinggul dan tekanan darah diastolik (r=0,48; P=0,004) sedangkan pada subyek perempuan terdapat korelasi sedang dan bermakna antara lingkar perut dengan tekanan darah sistolik (r=0,489; P=0,006). Simpulan: Pada laki-laki terdapat hubungan bermakna antara lingkar pinggul dan tekanan darah diastolik sedangkan pada perempuan terdapat hubungan bermakna antara lingkar perut dengan tekanan darah sistolik.Kata kunci: RLPP, tekanan darah


e-CliniC ◽  
2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Angelica Talumepa ◽  
Frans E.N. Wantania ◽  
Bisuk Parnigotan

Abstract: Central obesity is one of the multifactorial diseases which occurs due to accumulation of excessive fat in the intraabdominal adipose tissue contributed toward the main causes of mortality and morbidity, including heart attack, stroke and hypertension. Hypertension is the independent risk factor of cardiovascular diseases meanwhile the independent risk factor of hypertension is obesity. This study was aimed to determine the correlation between waist circumference and blood pressure among students of Faculty of Medicine, Sam Ratulangi University Manado. This was an observational analytical study with a cross-sectional design. Data of physical examination were waist circumference and blood pressure. There were 70 subjects in this study. The results of the Pearson correlation and simple linier regression test showed a significant correlation of waist circumference and systolic blood pressure (P=0.000) as well as waist circumference and diastolic blood pressure (P=0.000). Furthermore, the study obtained that waist circumference affected systolic blood pressure by 29.70% and diastolic blood pressure by 18.50%. Conclusion: There was a significant correlation between waist circumference and blood pressure among students of Faculty of Medicine, Sam Ratulangi University Manado.Keywords: waist circumference, systolic blood pressure, diastolic blood pressure. Abstrak: Obesitas sentral merupakan suatu penyakit multifaktor yang terjadi akibat akumulasi lemak yang berlebihan di jaringan adiposa intra-abdomen. Akumulasi lemak tersebut berkontribusi terhadap penyebab utama kematian dan kecacatan, termasuk serangan jantung, stroke dan tekanan darah tinggi. Hipertensi merupakan faktor risiko independen terhadap penyakit kardiovaskular, dan salah satu faktor risiko independen hipertensi ialah obesitas. Penelitian ini bertujuan untuk mengetahui hubungan antara ukuran lingkar pinggang dengan tekanan darah pada mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi. Jenis penelitian ialah analitik obeservasional dengan desain potong lintang. Data diperoleh melalui pemeriksaan fisik yaitu pengukuran lingkar pinggang dan tekanan darah. Penelitian ini menggunakan uji korelatif Pearson serta analisis regresi linier sederhana. Hasil penelitian mendapatkan subyek berjumlah 70 orang mahasiswa. Uji korelatif Pearson menunjukkan adanya hubungan bermakna, baik antara lingkar pinggang dengan tekanan darah sistolik (P=0,000) maupun antara lingkar pinggang dengan tekanan darah diastolik (P=0,000). Pengaruh lingkar pinggang terhadap tekanan darah sistolik sebesar 29,70% dan terhadap tekanan darah diastolik sebesar 18,50%. Simpulan: Terdapat hubungan bermakna antara lingkar pinggang dengan tekanan darah pada mahasiswa Fakultas kedokteran Universitas Sam Ratulangi.Kata kunci: lingkar pinggang, tekanan darah sistolik, tekanan darah diastolik


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