Abolfotouh Mostafa A, Al-Alwan Ibrahim A, Al-Rowaily Mohammed A
King Abdullah International Medical Research Center (KAIMRC), Riyadh 11426, Saudi Arabia ; King Saud bin-Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh 11426, Saudi Arabia.
Int J Hypertens. 2012;2012:819726. doi: 10.1155/2012/819726. Epub 2012 Dec 19.
Aim. (i) To estimate the prevalence of the metabolic abnormalities among Saudi college students in Riyadh, Saudi Arabia, and (ii) to investigate the association between different indicators of body composition and these abnormalities. Methods. A total of 501 college students participated in a cross-sectional study. Anthropometric assessments, BP measurements, and biochemical assessment were done. Metabolic abnormalities were identified. Results. Applying BMI, 21.9 % and 20.6% of students were classified as overweight and obese, respectively. Central obesity was prevalent in 26.9% and 42.2% of students based on WC and WHtR, respectively. Other metabolic abnormalities were hypertension (23.6%) and abnormal FPG level (22.6%). Three or more abnormalities were prevalent in 7.8% of students and increased significantly to 26.4%, 20%, and 17.6 in obese subjects based on BMI, WC, and WHtR, respectively. With the exception of abnormal FPG, prevalence of individual metabolic abnormalities as well as the number of these abnormalities significantly increased with increasing BMI, WC, and WHtR (P < 0.001 each). Conclusion. Our findings provide evidence for the presence of MS in Saudi college students. Central adiposity contributes to the high incidence of individual MS components. College health programs that promote healthful lifestyle and avoidance of adult weight gain are recommended.
目的。（i）估计沙特阿拉伯利雅得的沙特大学生中代谢异常的患病率，以及（ii）研究身体成分的不同指标与这些异常之间的关联。方法。共有501名大学生参与了一项横断面研究。进行了人体测量评估、血压测量和生化评估。确定了代谢异常情况。结果。应用BMI标准，分别有21.9%和20.6%的学生被归类为超重和肥胖。根据腰围（WC）和腰高比（WHtR），分别有26.9%和42.2%的学生存在中心性肥胖。其他代谢异常包括高血压（23.6%）和空腹血糖（FPG）水平异常（22.6%）。7.8%的学生存在三种或更多异常情况，而在基于BMI、WC和WHtR的肥胖受试者中，这一比例分别显著增至26.4%、20%和17.6%。除FPG异常外，随着BMI、WC和WHtR的增加，个体代谢异常的患病率以及这些异常的数量均显著增加（各P<0.001）。结论。我们的研究结果为沙特大学生中存在代谢综合征（MS）提供了证据。中心性肥胖导致了MS各单项指标的高发病率。建议开展促进健康生活方式和避免成年后体重增加的大学健康项目。
