Al-Qahtani Dhafer A, Imtiaz Mohammed L
Department of Primary Care and Emergency Medicine, Northern Area Armed Forces Hospital, King Khalid Military City, Post Box 10018, Hafr Al-Batin 31991, Kingdom of Saudi Arabia.
Saudi Med J. 2005 Sep;26(9):1360-6.
To estimate the prevalence of metabolic syndrome in Saudi male soldiers aged 20 years and above using the criteria of the National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP III).
We performed a cross-sectional survey involving a group of 2250 Saudi male soldiers aged 20-60 years residing in a military city in Northern Saudi Arabia in 2004. Participants were recruited from a primary care setting. Anthropometric data together with a brief medical history were obtained from the subjects at initial contact. Laboratory investigations were performed on the following day after fasting for 12 hours. Data on all variables required to define the metabolic syndrome according to NCEP ATP III criteria were available only for 1079 subjects who attended the laboratory for investigations (response rate: 47.9%). Data obtained from these subjects were analyzed excluding the non-respondents from the study sample.
The age-adjusted prevalence of metabolic syndrome was found to be 20.8%. Abdominal obesity was the most common component in the study population (33.1%) closely followed by raised serum triglycerides (32.2%) and elevated systolic blood pressure (29.5%). Over two-thirds of the subjects (71%) exhibited at least one criterion for metabolic syndrome. Prevalence of individual factors and mean values of the components of the syndrome showed a steady increase with increase in age and body fat.
The estimated prevalence conforms to the rates found in other studies performed in the Middle East and elsewhere. High rates of this syndrome predict an increased burden of cardiovascular disease and diabetes among Saudis over the next few years and call for effective healthcare planning to contain this epidemic.
采用美国国家胆固醇教育计划成人治疗专家组第三次报告（NCEP-ATP III）的标准，估算20岁及以上沙特男性士兵代谢综合征的患病率。
2004年，我们在沙特阿拉伯北部一座军事城市对2250名年龄在20至60岁的沙特男性士兵进行了横断面调查。参与者从初级保健机构招募。在初次接触时从受试者处获取人体测量数据及简要病史。在禁食12小时后的次日进行实验室检查。仅1079名到实验室接受检查的受试者（应答率：47.9%）有根据NCEP ATP III标准定义代谢综合征所需的所有变量数据。对从这些受试者获得的数据进行分析，研究样本中排除无应答者。
发现年龄调整后的代谢综合征患病率为20.8%。腹部肥胖是研究人群中最常见的组成部分（33.1%），紧随其后的是血清甘油三酯升高（32.2%）和收缩压升高（29.5%）。超过三分之二的受试者（71%）至少表现出一项代谢综合征标准。个体因素的患病率及该综合征各组成部分的平均值随年龄和体脂增加而稳步上升。
估算的患病率与在中东及其他地区进行的其他研究中发现的患病率相符。该综合征的高患病率预示着未来几年沙特人中心血管疾病和糖尿病负担将增加，需要有效的医疗保健规划来控制这一流行趋势。
