scholarly journals Prevalence of Metabolic Syndrome and Its Determinants in the Middle-aged and Elderly Population in A Southern Coastal Region, Iran (the PERSIAN Cohort Study): A Cross-sectional Study

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Ghazal Zoghi ◽  
Azim Nejatizadeh ◽  
Mehdi Shahmoradi ◽  
Zahra Ghaemmaghami ◽  
Masoumeh Kheirandish
Keyword(s):  
Metabolic Syndrome ◽  
Rural Areas ◽  
Central Obesity ◽  
Multiple Correspondence Analysis ◽  
Smoking Status ◽  
Binary Logistic Regression Analysis ◽  
Related Factors ◽  
Cross Sectional ◽  
Screening Programs ◽  
The Government

Background: Metabolic syndrome (MetS) criteria are different but interconnected cardiovascular risk factors, including dysglycemia, hypertension, abdominal obesity, and dyslipidemia. Objectives: We aimed to determine the prevalence of MetS, its components, and related factors in the south coastal area of Iran, Bandare-Kong non-communicable diseases (BKNCD). Methods: This population-based study was performed on the baseline data from participants of BKNCD, which has recruited participants from Bandare Kong city, one of the 18 distinct geographical areas included in the prospective epidemiological research studies in Iran (Persian). MetS was diagnosed based on the National Cholesterol Education Program (NCEP) criteria and the Iranian-specific cut-off for waist circumference (≥ 95 cm). The socioeconomic status (SES) was estimated by multiple correspondence analysis (MCA) based on participants’ different properties. Results: Of 3,927 participants included in this study, 2,230 (56.8%) were female. Age-standardized prevalence of MetS was 34.5%. The most common MetS component was central obesity (45.1%), followed by decreased high-density lipoprotein (42.6%), elevated fasting plasma glucose (39.9%), elevated triglyceride (37.7%), and increased blood pressure (37.5%). Besides, 84.7% of the subjects displayed at least one component of MetS. Binary logistic regression analysis revealed that women aged 65 - 70 years were at higher risk of having MetS compared to those aged 35 - 39 years (aOR = 12.37, 95% CI 7.54 - 20.30, P < 0.001). Also, living in rural areas was a risk for MetS in women (aOR = 1.55, 95% CI 1.18 - 2.03, P = 0.002). Employment and education were protective against MetS in women. Being overweight significantly increased the risk of MetS in both men and women. Obesity was more problematic for men (aOR = 16.66, 95% CI 11.65 - 23.81, P < 0.001) compared to women (aOR = 10.43, 95% CI 7.82 - 13.90, P < 0.001). Marital status, education, smoking status, and SES did not significantly predict MetS in men. Conclusions: A high prevalence of MetS was observed in this study, emphasizing central obesity, high TG, and low HDL. This calls on the government authorities to establish screening programs to identify individuals with a lower number of abnormal MetS components to prevent them from developing MetS and the resultant cardiovascular complications.

scholarly journals Sex-based differences in and risk factors for metabolic syndrome in adults aged 40 years and above in Northeast China: Results from the cross-sectional China national stroke screening survey

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e038671
Author(s):  
Feng-E Li ◽  
Fu-Liang Zhang ◽  
Peng Zhang ◽  
Dong Liu ◽  
Hao-Yuan Liu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Metabolic Syndrome ◽  
Junior High School ◽  
Rural Areas ◽  
Northeast China ◽  
Density Lipoprotein ◽  
High Body Mass Index ◽  
Cross Sectional ◽  
Sample Data ◽  
High Incidence

ObjectivesLow levels of income and education are risk factors for metabolic syndrome in the population of Northeast China, which has a high incidence of metabolic syndrome and cardiovascular diseases. This study aimed to determine sex-based differences associated with the prevalence of and risk factors for metabolic syndrome among people older than 40 years in Northeast China; this has not been previously investigated.DesignThis study analysed a portion of the large sample data of the national cross-sectional screening of China from 2016. Metabolic syndrome was defined as the presence of any three of the following five risk factors: abnormal waist circumference; high levels of triglycerides, high-density lipoprotein cholesterol or fasting plasma glucose; and elevated blood pressure. Multiple regression analysis was used to investigate sex-based differences in the prevalence of, and risk factors for metabolic syndrome.SettingThe study was conducted in Dehui City, Jilin Province, China.ParticipantsA total of 4052 participants with complete questionnaire information and laboratory examination results were included.ResultsThe prevalence of metabolic syndrome was 50.1% overall (38.4% in men and 57.9% in women; p<0.001). High body mass index and hip circumference were associated with metabolic syndrome in both sexes. In addition, physical inactivity (OR and 95% CI 1.44 (1.06 to 1.97); p=0.022) in men and advanced age (OR and 95% CI 1.54 (1.15 to 2.04); p=0.003) in women were factors associated with metabolic syndrome. Women with junior high school education or above and living in rural areas were less likely to have metabolic syndrome. For men, education and rural or urban living had no association with metabolic syndrome.ConclusionsThe risk factors for metabolic syndrome have similarities and differences in different sexes; thus, the prevention and treatment of metabolic syndrome should be based on these sex differences.

scholarly journals Follicle-Stimulating Hormone Positively Associates with Metabolic Factors in Perimenopausal Women

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Chen Zhang ◽  
Meng Zhao ◽  
Zhengyang Li ◽  
Yongfeng Song
Keyword(s):  
Metabolic Syndrome ◽  
Central Obesity ◽  
Follicle Stimulating Hormone ◽  
Premenopausal Women ◽  
Single Center ◽  
Metabolic Factors ◽  
Cross Sectional ◽  
Increased Risk ◽  
Perimenopausal Women ◽  
Cv Disease

Objective. Menopause is associated with the increased risk of metabolic syndrome (MetS) and cardiovascular (CV) disease. Most studies have focused the postmenopausal women and the relationships among estrogen, androgen, and Mets risk. The main aim of the study was to investigate the Mets risk in perimenopausal women and whether the variation of FSH is associated with metabolic factors. Methods. A single-center cross-sectional retrospective analysis including 154 premenopausal women and 124 perimenopausal women was performed. Results. The prevalence of Mets in the perimenopausal group was much higher than the premenopausal group (49.19% vs. 35.71%, p = 0.023 ). The prevalence of central obesity and NAFLD also increased in the perimenopausal group than in the premenopausal group. We grouped the population by FSH tertiles; compared with women in the lowest tertile, women in the highest tertile had higher age, WC, serum TC, LDL-C, AST, ALT, and creatine levels. The prevalence of hypertriglyceridemia, raised BP and Mets also increased in the highest tertile group. Further, we subdivided the perimenopausal women according to FSH tertiles. Compared with perimenopausal women in the lowest tertile, the prevalence of raised BP significantly increased in the highest tertile. Conclusions. The risk of Mets increased in perimenopausal females than in premenopausal women. And a higher FSH level was associated with higher WC, TG, BPs, and the risk of Mets in perimenopausal women. Elevated FSH level appears to be a risk factor of MetS biomarkers in perimenopausal women.

scholarly journals Prostate specific antigen (PSA) screening rates and factors associated with screening in Eastern Canadian men: Findings from cross-sectional survey data

2020 ◽  
Vol 14 (7) ◽  
Author(s):  
Devan Tchir ◽  
Marwa Farag ◽  
Michael Szafron
Keyword(s):  
Prostate Specific Antigen ◽  
Smoking Status ◽  
Specific Antigen ◽  
Age Groups ◽  
Canadian Community Health Survey ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Psa Screening

Introduction: The prostate-specific antigen (PSA) test is used in Canada to detect prostate cancer (PCa) despite mixed recommendations. Complications arising from false-positives are common, posing as a cancer-screening concern. This work estimates some Canadian rates of PSA screening and identifies men at increased odds for PSA screening. Methods: The Canadian Community Health Survey (CCHS) from 2009/10 (Atlantic Canada; ATL), 2011/2012 (Ontario; ON), and 2013/2014 (Quebec; QC) were used. Lifetime and recent PSA screening with confidence intervals were constructed to estimate PSA screening in ATL, ON, and QC. Two logistic regression models (for men <50 and ≥50 years of age) were used to determine associations between factors and lifetime PSA screening. Results: PSA screening rates have increased in most age groups for ATL, ON, and QC since 2000/2001. Factors positively associated with lifetime PSA screening in men of all ages were: having a digital rectal exam, having a regular doctor, and having a colorectal exam. Fruit and vegetables consumption and non-smoking status were positively associated with lifetime PSA screening in men <50 years of age. High income and the presence of chronic health conditions were positively associated with lifetime PSA screening in men ≥50 years of age. Conclusions: PSA screening rates have generally increased since 2000/2001 in Canada. Physician-related factors play a role in men at all ages, while different factors are associated in men <50 years of age and men ≥50 years of age. Limitations include the generalizability to all of Canada and the potential for recall bias.

scholarly journals Medico-legal Study of Suspected Homicide Cases in a Teaching Hospital in Eastern Nepal

1970 ◽  
Vol 9 (1) ◽  
pp. 15-19 ◽  
Author(s):  
A Karn ◽  
S Jha ◽  
BK Yadav ◽  
D Thakur
Keyword(s):  
Rural Areas ◽  
Cross Sectional Study ◽  
Human Being ◽  
Dominant Group ◽  
Cross Sectional ◽  
Surgical Interventions ◽  
Firearm Injury ◽  
Firearm Injuries ◽  
Crime Detection ◽  
The Government

Introduction: Homicide means killing of one human being as a result of conduct of another human being. This study of medico-legal and epidemiological details of homicidal cases would help in enhancement of various stakeholders in law enforcing agencies with the view to benefit the process of scientific crime detection and proper administration of justice at large. Objective: To identify the various medico-legal and epidemiological factors involved in homicide. Materials and method: A prospective cross-sectional study was conducted in fatal homicide victims brought for medico-legal autopsy in BPKIHS, during the period of 15th April 2009 to 14th July 2010.Data were collected using pre tested questionnaire by direct interview to the visitors of victim, information from the police record along with postmortem examination of the victim. Results: Out of the total 50 cases, the ratio of male to female victim was 4:1. More than half of the victims were of age 21-40 years (52%). More of the homicide victims were of rural areas (56%) and illiterate (32%). Injuries by sharp weapon were most common cause of death (36%) very closely followed by firearm injuries (34%). Most of the victim remained totally deprived of any medical help (60%). Conclusion: The homicide victims in eastern Nepal constituted illiterate adult male from rural area a dominant group. Sharp weapons were commonly employed in this region for homicide. Fatality of the victim can be highly minimized if medical and surgical interventions are be promptly prearranged. Proper counselling for developing positive attitude and controlling the aggression in youth have to be Promoted at large by the government. Keywords: Homicide; Medico-legal; sharp weapon injury; firearm injury DOI: 10.3126/hren.v9i1.4356Health Renaissance, 2011: Vol.9 No.1:15-19

scholarly journals Food Fortification: The Level of Awareness among Kenyan Consumers

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Amaya Aura Linda ◽  
Florence Kyallo ◽  
Judith K. Okoth ◽  
Peter Kahenya ◽  
Anselimo Makokha ◽  
...  
Keyword(s):  
Large Scale ◽  
Dietary Habits ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Binary Logistic Regression Analysis ◽  
Food Fortification ◽  
Micronutrient Deficiencies ◽  
Cross Sectional ◽  
The Government ◽  
Study Participants

More than half of the morbidity and mortality cases among children in Kenya are as a result of micronutrient deficiencies (MNDs). Food fortification is considered by the Government of Kenya as a feasible strategy for addressing MNDs. Worldwide, fortification has been proven to be effective since it does not require any change in dietary habits. Success of large-scale food fortification however may depend on consumer awareness of the fortification benefits. A cross-sectional study was conducted in 13 counties to collect information on fortification awareness using structured questionnaires. 1435 respondents were selected using the Lot Quality Assurance Sampling method. Data were analyzed using Stata version 14.0 and statistical significance p<0.05. The study participants were described using descriptive statistics. The association of sociodemographic characteristics and awareness of fortification was performed using binary logistic regression analysis. The median age of the study participants was 35 years. Only 28% of the respondents were aware of the term “fortification.” Of the respondents, about 27% heard of food fortification through radio. Vernacular radio emerged as the most preferred channel for communicating fortification information among 24.9% of the respondents. Although awareness of vitamins (32%) and minerals (1.5%) was limited, most (76%) respondents reported of existence of health risks for lacking micronutrients. Awareness of food fortification was significantly associated with respondents’ occupation (p< 0.001), household size (p=0.012), education levels (p<0.001), and age (p=0.025). There is need for a wider use of broadcast media sources to modify information and education materials to promote fortification awareness among Kenyan consumers.

scholarly journals Identification of Metabolic Syndrome Based on Anthropometric, Blood and Spirometric Risk Factors Using Machine Learning

2020 ◽  
Vol 10 (21) ◽  
pp. 7741
Author(s):  
Sang Yeob Kim ◽  
Gyeong Hee Nam ◽  
Byeong Mun Heo
Keyword(s):  
Machine Learning ◽  
Metabolic Syndrome ◽  
Logistic Regression ◽  
Prediction Model ◽  
Prediction Models ◽  
Strong Association ◽  
Forced Expiratory Volume ◽  
Binary Logistic Regression Analysis ◽  
Cross Sectional Survey ◽  
Cross Sectional

Metabolic syndrome (MS) is an aggregation of coexisting conditions that can indicate an individual’s high risk of major diseases, including cardiovascular disease, stroke, cancer, and type 2 diabetes. We conducted a cross-sectional survey to evaluate potential risk factor indicators by identifying relationships between MS and anthropometric and spirometric factors along with blood parameters among Korean adults. A total of 13,978 subjects were enrolled from the Korea National Health and Nutrition Examination Survey. Statistical analysis was performed using a complex sampling design to represent the entire Korean population. We conducted binary logistic regression analysis to evaluate and compare potential associations of all included factors. We constructed prediction models based on Naïve Bayes and logistic regression algorithms. The performance evaluation of the prediction model improved the accuracy with area under the curve (AUC) and calibration curve. Among all factors, triglyceride exhibited a strong association with MS in both men (odds ratio (OR) = 2.711, 95% confidence interval (CI) [2.328–3.158]) and women (OR = 3.515 [3.042–4.062]). Regarding anthropometric factors, the waist-to-height ratio demonstrated a strong association in men (OR = 1.511 [1.311–1.742]), whereas waist circumference was the strongest indicator in women (OR = 2.847 [2.447–3.313]). Forced expiratory volume in 6s and forced expiratory flow 25–75% strongly associated with MS in both men (OR = 0.822 [0.749–0.903]) and women (OR = 1.150 [1.060–1.246]). Wrapper-based logistic regression prediction model showed the highest predictive power in both men and women (AUC = 0.868 and 0.932, respectively). Our findings revealed that several factors were associated with MS and suggested the potential of employing machine learning models to support the diagnosis of MS.

scholarly journals Observational study of the status of coronary risk biomarkers among Negritos with metabolic syndrome in the east coast of Malaysia

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e021580
Author(s):  
Atiqah Mokhsin ◽  
Siti Shuhada Mokhtar ◽  
Aletza Mohd Ismail ◽  
Fadzilah M Nor ◽  
Syahrul Azlin Shaari ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
East Coast ◽  
International Diabetes Federation ◽  
Peninsular Malaysia ◽  
Secondary Outcome ◽  
Binary Logistic Regression Analysis ◽  
Coronary Risk ◽  
Cross Sectional ◽  
The Status ◽  
Risk Biomarkers

ObjectivesTo determine the prevalence of metabolic syndrome (MS), ascertain the status of coronary risk biomarkers and establish the independent predictors of these biomarkers among the Negritos.SettingsHealth screening programme conducted in three inland settlements in the east coast of Malaysia and Peninsular Malaysia.Subjects150 Negritos who were still living in three inland settlements in the east coast of Malaysia and 1227 Malays in Peninsular Malaysia. These subjects were then categorised into MS and non-MS groups based on the International Diabetes Federation (IDF) consensus worldwide definition of MS and were recruited between 2010 and 2015. The subjects were randomly selected and on a voluntary basis.Primary and secondary outcome measuresThis study was a cross-sectional study. Serum samples were collected for analysis of inflammatory (hsCRP), endothelial activation (sICAM-1) and prothrombogenesis [lp(a)] biomarkers.ResultsMS was significantly higher among the Malays compared with Negritos (27.7%vs12.0%). Among the Malays, MS subjects had higher hsCRP (p=0.01) and sICAM-1 (p<0.05) than their non-MS counterpart. There were no significant differences in all the biomarkers between MS and the non-MS Negritos. However, when compared between ethnicity, all biomarkers were higher in Negritos compared with Malays (p<0.001). Binary logistic regression analysis affirmed that Negritos were an independent predictor for Lp(a) concentration (p<0.001).ConclusionsThis study suggests that there may possibly be a genetic influence other than lifestyle, which could explain the lack of difference in biomarkers concentration between MS and non-MS Negritos and for Negritos predicting Lp(a).

Barriers to low-carbon warehousing and the link to carbon abatement

2019 ◽  
Vol 49 (6) ◽  
pp. 679-704 ◽  
Author(s):  
Shao Hung Goh
Keyword(s):  
Asia Pacific ◽  
Low Carbon ◽  
Sustainable Supply Chain ◽  
Related Factors ◽  
Cross Sectional ◽  
Carbon Abatement ◽  
Content Type ◽  
Logistics Services ◽  
The Government

Purpose Warehouses are large emitters of greenhouse gases and their impact on climate change is under increasing focus. The purpose of this paper is to investigate the barriers that inhibit the adoption of low-carbon warehousing in Asia-Pacific and their links to carbon abatement performance. Design/methodology/approach An exploratory conceptual model was first developed from a literature review of the general barriers to sustainable supply chain practices and hence potentially in low-carbon warehousing. A large contract logistics services provider in the Asia-Pacific served as the subject of a case study. The perceived barriers to low-carbon warehousing were derived from an internal survey of respondents from the case company and regressed against carbon abatement outcomes at that organization’s operations across the region. Findings Results show that the case company reduced carbon emissions by 36 percent on a revenue-normalized basis between 2008 and 2014, but with relatively lower success in emerging markets vs mature markets. An Elastic Net regression analysis confirms that technology and government-related factors are the most important barriers in the case company’s efforts to “decarbonize” its local warehousing operations. However, results suggest that the customer-related barrier, which is highly correlated with the government barrier, is in part driven by the latter. Research limitations/implications This case study is based on a single multinational company in Asia-Pacific, but nonetheless serves as an impetus for more cross-sectional studies to form an industry-wide view. Originality/value An extended stewardship framework based on the natural resource-based view has been proposed, in which logistics services providers take on a proactive boundary-spanning role to lower the external barriers to low-carbon warehousing.

Sign in / Sign up

Export Citation Format

Share Document