Bener Abdulbari, Zirie Mahmoud, Musallam Manal, Khader Yousef S, Al-Hamaq Abdulla O A A
Department of Medical Statistics and Epidemiology, Hamad Medical Corporation, Doha, Qatar.
Metab Syndr Relat Disord. 2009 Jun;7(3):221-9. doi: 10.1089/met.2008.0077.
The objective of the study was to examine the prevalence of metabolic syndrome among adult Qatari population according to the revised criteria of the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) and the International Diabetes Federation (IDF), assess which component contributed to the increased risk of the metabolic syndrome, and identify the characteristics of the subjects with metabolic syndrome.
This was a cross-sectional study.
The survey was carried out in urban and semiurban primary health-care centers.
The survey was conducted from January, 2007, to July, 2008, among Qatari nationals above 20 years of age. Of the 1496 subjects who were approached to participate in the study, 1204 (80.5%) gave their consent. Face-to-face interviews were conducted using a structured questionnaire followed by laboratory tests. Metabolic syndrome was defined using the NCEP ATP III as well as IDF criteria.
The overall prevalence of metabolic syndrome in studied subjects was 26.5% and 33.7% according to ATP III and IDF criteria (P < 0.001). The prevalence of metabolic syndrome by ATP III and IDF increased with age and body mass index (BMI), whereas it decreased with higher education and physical activity. Also, the prevalence of metabolic syndrome was more common in women. Among the components of metabolic syndrome, central obesity was significantly higher in the studied subjects. The IDF definition of metabolic syndrome gave a higher prevalence in all age groups. The overall prevalence of metabolic syndrome and its components according to IDF criteria was higher in the studied subjects than the estimates given by the ATP III. Multivariate logistics regression analysis (ATP III and IDF) showed that age and BMI were significant contributors for metabolic syndrome. Both definitions strongly supported age and obesity as associated factors for metabolic syndrome.
The current study found a high prevalence of metabolic syndrome among Qataris. There was a steady increase in the prevalence of metabolic syndrome through the decades, independent of the definition. Age and BMI were important significant predictors for metabolic syndrome.
本研究的目的是根据美国国家胆固醇教育计划成人治疗小组第三次报告（NCEP ATP III）和国际糖尿病联盟（IDF）的修订标准，调查卡塔尔成年人群中代谢综合征的患病率，评估哪些因素导致代谢综合征风险增加，并确定代谢综合征患者的特征。
这是一项横断面研究。
调查在城市和半城市的初级卫生保健中心进行。
调查于2007年1月至2008年7月在20岁以上的卡塔尔国民中进行。在邀请参与研究的1496名对象中，1204名（80.5%）表示同意。使用结构化问卷进行面对面访谈，随后进行实验室检查。代谢综合征采用NCEP ATP III以及IDF标准进行定义。
根据ATP III和IDF标准，研究对象中代谢综合征的总体患病率分别为26.5%和33.7%（P < 0.001）。ATP III和IDF标准下代谢综合征的患病率随年龄和体重指数（BMI）增加而升高，随受教育程度提高和体力活动增加而降低。此外，代谢综合征在女性中更为常见。在代谢综合征的各组成部分中，研究对象的中心性肥胖显著更高。IDF对代谢综合征的定义在所有年龄组中患病率更高。根据IDF标准，研究对象中代谢综合征及其组成部分的总体患病率高于ATP III的估计值。多因素逻辑回归分析（ATP III和IDF）显示，年龄和BMI是代谢综合征的重要影响因素。两种定义都有力地支持年龄和肥胖是代谢综合征的相关因素。
当前研究发现卡塔尔人中代谢综合征患病率很高。几十年来，代谢综合征的患病率稳步上升，与定义无关。年龄和BMI是代谢综合征的重要显著预测因素。
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