Soysal Ahmet, Şimşek Hatice, Doğanay Sinem, Günay Türkan
Department of Public Health, Dokuz Eylül University School of Medicine, İzmir, Turkey.
Gaziemir Community Health Center, Ministry of Health, İzmir, Turkey.
Balkan Med J. 2016 May;33(3):331-8. doi: 10.5152/balkanmedj.2016.141033. Epub 2016 May 1.
The studies have shown that metabolic syndrome (MetS) leads to an increase twice as much in cardiovascular diseases (CVD) and four times as much in diabetes mellitus (DM) prevalence since the second half of the 20(th) century.
This study aims to determine and discuss the prevalence of the MetS and co- factors among individuals at the age of 30 and over in Balcova district of İzmir province according to the American National Cholesterol Education Program - Adult Treatment Panel III (NCEP ATP III) and InternationalDiabetes Federation (IDF) criteria.
Cross-sectional study.
Data obtained from the Balcova Heart Project in İzmir were used in the study. The dependent variable of the study is MetS existence. The independent variables were socio-demographic characteristics (age, gender, education level, and marital status), self-perceived economic status, physical activity, smoking status, healthy nutrition and body mass index (BMI).
The prevalence of MetS was 36.9% according to the diagnostic criteria of IDF, while it was 27.4% according to ATP III criteria. According to the both criteria, increasing age, low education, poor economic status perception, physical inactivity, and obesity increase the risk of MetS. Apart from the IDF criteria, being female and a current smoker increase the risk of the MetS in the NCEP-ATP III.
Compared to educational studies of MetS as of today, which are community and health-oriented studies, it is challenging that the prevalence of MetS was found to be high for both criteria in our study. Therefore, in particular, primary health care doctors must be prompted to protect the public against DM and CVD in particular.
研究表明,自20世纪下半叶以来,代谢综合征(MetS)使心血管疾病(CVD)的发病率增加了两倍,使糖尿病(DM)的患病率增加了四倍。
本研究旨在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)的标准,确定并讨论伊兹密尔省巴尔乔瓦区30岁及以上人群中代谢综合征及其相关因素的患病率。
横断面研究。
本研究使用了从伊兹密尔的巴尔乔瓦心脏项目获得的数据。研究的因变量是代谢综合征的存在情况。自变量包括社会人口统计学特征(年龄、性别、教育水平和婚姻状况)、自我感知的经济状况、身体活动、吸烟状况、健康营养和体重指数(BMI)。
根据IDF的诊断标准,代谢综合征的患病率为36.9%,而根据ATP III标准为27.4%。根据这两个标准,年龄增长、低教育水平、经济状况差、身体不活动和肥胖都会增加患代谢综合征的风险。除IDF标准外,在NCEP-ATP III中,女性和当前吸烟者会增加患代谢综合征的风险。
与目前以社区和健康为导向的代谢综合征教育研究相比,我们的研究发现这两个标准下代谢综合征的患病率都很高,这具有挑战性。因此,尤其必须促使初级卫生保健医生保护公众免受糖尿病和心血管疾病的侵害。