Faculté de Médecine, Université d'Oran 1 and LABoratoire des Systèmes d'Information en Santé, Université d'Oran 1, Oran, Algeria.
Caisse Nationale des Assurances Sociales des travailleurs salariés, Clinique Spécialisée en Orthopédie et Rééducation des Victimes des Accidents de Travail, Oran, Algeria.
Ethn Dis. 2016 Jan 21;26(1):99-106. doi: 10.18865/ed.26.1.99.
Aging and lifestyle changes had led to an epidemiological transition, with a significant impact on the incidence of cardiovascular diseases in North Africa.
The aim of this study was to determine the prevalence of metabolic syndrome and its associated factors, which were unknown, among an urban population in Algeria.
During 2007-2009, 787 individuals aged 30-64 years, randomly selected from the list of insured persons residing in the city of Oran, participated in a clinical, anthropometric and biological survey. Participants were classified according to the National Cholesterol Education Program - Adult Treatment Panel (NCEP-ATP) III definition of metabolic syndrome.
The prevalence of metabolic syndrome was 20%, higher in women than men (25.9 vs 13.7%; P<.0001). Among the components of the syndrome, the most common risk factors observed in women were a low high-density lipoprotein (HDL) cholesterol concentration (60.4% vs 44.2% in men) and abdominal obesity (46.8% vs 30.1% in men) whereas men displayed more high blood pressure (42.5% vs 34.8% in women). In men, metabolic syndrome was more frequent in married and highly educated participants. In contrast, women with a high level of education and who had an intermediate level of physical activity seemed to be protected.
Metabolic syndrome, prevalent in the urban population of North Algeria, is associated with a high proportion of low HDL-cholesterol and abdominal obesity, especially among women. There is a need for prevention strategies involving promotion of physical activity for the whole population and screening for hypertension among men.
老龄化和生活方式的改变导致了流行病学的转变，对北非心血管疾病的发病率产生了重大影响。
本研究旨在确定代谢综合征的流行情况及其在阿尔及利亚城市人群中的相关因素，这些因素尚不清楚。
在 2007-2009 年期间，从居住在奥兰市的参保人员名单中随机选择了 787 名 30-64 岁的个体参加了临床、人体测量和生物学调查。参与者根据国家胆固醇教育计划-成人治疗小组 (NCEP-ATP) III 代谢综合征的定义进行分类。
代谢综合征的患病率为 20%，女性高于男性（25.9%比 13.7%；P<.0001）。在该综合征的各个组成部分中，女性最常见的危险因素是低高密度脂蛋白（HDL）胆固醇浓度（60.4%比男性 44.2%）和腹部肥胖（46.8%比男性 30.1%），而男性则显示出更多的高血压（42.5%比女性 34.8%）。在男性中，已婚和受教育程度较高的参与者中代谢综合征更为常见。相比之下，受教育程度较高且身体活动水平中等的女性似乎受到保护。
代谢综合征在阿尔及利亚北部城市人群中较为普遍，与高比例的低 HDL-胆固醇和腹部肥胖有关，尤其是女性。需要采取预防策略，包括促进全民身体活动和筛查男性高血压。
