School of Public Health, University of Sydney, Sydney, New South Wales 2006, Australia.
Metab Syndr Relat Disord. 2010 Feb;8(1):69-78. doi: 10.1089/met.2009.0018.
A clustering of metabolic risk factors increases the likelihood of cardiovascular diseases. This study reports the metabolic risk profiles and the prevalence of metabolic risk factors and associated factors among Vietnamese adults in Ho Chi Minh City.
A cross-sectional study was carried out in a representative sample of adults aged 25-64 years in Ho Chi Minh City in 2005. Metabolic risk factors, including central obesity, elevated fasting glucose, elevated total cholesterol, and raised blood pressure, were collected to estimate their prevalence and association with socioeconomic and health-related behavioral risk factors. Multivariate logistic models were performed to examine the associations between socioeconomic and behavioral risk factors and the odds of having metabolic risk factors.
The prevalence of individual risk components was: 28.9% high blood pressure, 18.3% central obesity, 16.8% high total cholesterol, and 6.4% high fasting glucose. There were significant gender differences in central obesity and high blood pressure. The prevalence of metabolic risk cluster (two or more risk factors) was 17.0% in men and 17.6% in women. The metabolic risk cluster appeared earlier in men, but women showed higher rates at older ages. Increasing age and household wealth were associated with the metabolic risk cluster across both genders, but additional risk factors in men were smoking in the past and in women education level and sitting and reclining time.
Strategies to prevent metabolic risk factors through the prevention of abdominal obesity must be established for young adults and should include promoting physical activity, healthy eating, and preventing alcohol abuse and tobacco use.
代谢危险因素的聚集增加了心血管疾病的可能性。本研究报告了胡志明市越南成年人的代谢风险概况以及代谢危险因素和相关因素的流行情况。
2005 年在胡志明市进行了一项针对 25-64 岁成年人的代表性样本的横断面研究。收集了代谢危险因素，包括中心性肥胖、空腹血糖升高、总胆固醇升高和血压升高，以估计其患病率以及与社会经济和与健康相关的行为危险因素的相关性。采用多变量逻辑模型检查社会经济和行为危险因素与存在代谢危险因素的几率之间的关联。
单个危险因素的患病率分别为：28.9%高血压、18.3%中心性肥胖、16.8%高总胆固醇和 6.4%高空腹血糖。中心性肥胖和高血压在性别上存在显著差异。男性的代谢危险因素聚集（两种或两种以上危险因素）患病率为 17.0%，女性为 17.6%。代谢危险因素聚集在男性中出现得更早，但女性在年龄较大时表现出更高的发病率。在两性中，年龄增长和家庭财富与代谢危险因素聚集有关，但男性的其他危险因素为过去吸烟，女性为教育水平和坐卧时间。
必须针对年轻成年人制定通过预防腹型肥胖预防代谢危险因素的策略，其中应包括促进体育活动、健康饮食以及预防酗酒和吸烟。
