Nag Tanmay, Ghosh Arnab
Biomedical Research Laboratory, Department of Anthropology, Visva Bharati University, Santiniketan, West Bengal, India.
Am J Hum Biol. 2015 Sep-Oct;27(5):724-7. doi: 10.1002/ajhb.22697. Epub 2015 Mar 25.
Virtually no studies have been undertaken to investigate the prevalence of metabolic syndrome (MS) among the rural elderly in India. The aim of the present study was to identify the effects of sex and age on body fat distribution, blood pressure (BP), and metabolic variables as well as to look at the prevalence of MS and related phenotypes by age-groups and sex.
A total of 312 participants aged ≥55 years took part in the present cross-sectional study. All the participants were grouped into: Group I (55-59 years); Group II (60-64 years); Group III (65-69 years); and Group IV (≥70 years). Anthropometric measures were collected using standard techniques. Metabolic profiles and blood pressure were also measured.
MANOVA revealed significant sex and age group effects on percent body fat, trunk extremity ratio, and diastolic BP. Significant sex effects were evident for BMI, waist-hip ratio, waist-height ratio, total cholesterol, and HDL. The overall prevalence of MS was found to be 28.2% with a higher prevalence in females (36.9%) as compared to males (23.9%).
It seems reasonable to argue that MS is considerably high in the rural elderly of Asian Indian origin and early intervention is warranted to avoid further escalation in cardiovascular disease.
几乎没有研究对印度农村老年人代谢综合征(MS)的患病率进行调查。本研究的目的是确定性别和年龄对体脂分布、血压(BP)及代谢变量的影响,并按年龄组和性别观察MS及相关表型的患病率。
共有312名年龄≥55岁的参与者参加了本横断面研究。所有参与者被分为:第一组(55 - 59岁);第二组(60 - 64岁);第三组(65 - 69岁);第四组(≥70岁)。使用标准技术收集人体测量数据。还测量了代谢指标和血压。
多变量方差分析显示,性别和年龄组对体脂百分比、躯干四肢比例及舒张压有显著影响。在体重指数、腰臀比、腰高比、总胆固醇和高密度脂蛋白方面,性别差异显著。MS的总体患病率为28.2%,女性患病率(36.9%)高于男性(23.9%)。
有理由认为,亚洲印度裔农村老年人中MS的患病率相当高,有必要进行早期干预以避免心血管疾病的进一步恶化。