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阿联酋年轻成年女性代谢综合征患病率的横断面研究。

A Cross-Sectional Study of the Prevalence of Metabolic Syndrome among Young Female Emirati Adults.

作者信息

Al Dhaheri Ayesha S, Mohamad Maysm N, Jarrar Amjad H, Ohuma Eric O, Ismail Leila Cheikh, Al Meqbaali Fatima T, Souka Usama, Shah Syed M

机构信息

Nutrition and Health Department, College of Food and Agriculture, United Arab Emirates University, Al Ain, UAE.

Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology & Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.

出版信息

PLoS One. 2016 Jul 14;11(7):e0159378. doi: 10.1371/journal.pone.0159378. eCollection 2016.

Abstract

INTRODUCTION

Metabolic syndrome (MetS) is a growing problem in the United Arab Emirates (UAE). Moreover, the prevalence of overweight and obesity is rapidly increasing in the UAE especially among young females. However, few studies have evaluated the prevalence of MetS among young female adults in the UAE. This study determined the prevalence of MetS in Emirati females aged 17-25 years and its relation to overweight and obesity.

METHODS

In total, 555 Emirati female college students were enrolled in a cross-sectional study, conducted during 2013-2014 at United Arab Emirates University in Al Ain, UAE. Anthropometric measurements, blood pressure and biochemical measurements were collected. MetS was defined according to the harmonised International Diabetes Federation criteria.

RESULTS

Of the 555 participants enrolled, 23.1% were overweight and 10.4% were classified as obese. The overall prevalence of MetS was 6.8%. MetS prevalence was highest among obese participants (34.5%), as compared with normal-weight (1.7%) and overweight (10.1%) participants. MetS was significantly associated with overweight (adjusted odds ratio [aOR] = 3.8, 95% confidence interval [CI]; 1.15-12.52) and obesity (aOR = 11.2, 95% CI; 3.1-40.9), as compared with normal-weight. Waist-hip ratio ≥ 0.8 (aOR = 3.04, 95% CI; 1.10-8.44) was significantly associated with MetS, as compared with waist-hip ratio <0.8. The odds of MetS were 22 fold higher in participants with glycated haemoglobin (HbA1c) ≥ 6.5% (aOR = 22.5, 95% CI; 6.37-79.42) compared to HbA1c <6.5%. This difference was 9 fold higher when HbA1c between 5.6%-6.4% was compared to HbA1c <5.6% (aOR = 8.9, 95% CI; 3.4-23.5).

CONCLUSION

The prevalence of MetS among obese Emirati female students was significantly higher than overweight and normal weight students. The high prevalence of MetS highlights the importance of regular screening and intervention programmes targeting weight reduction.

摘要

引言

代谢综合征(MetS)在阿拉伯联合酋长国(阿联酋)正成为一个日益严重的问题。此外,阿联酋超重和肥胖的患病率正在迅速上升,尤其是在年轻女性中。然而,很少有研究评估阿联酋年轻成年女性中代谢综合征的患病率。本研究确定了17至25岁阿联酋女性中代谢综合征的患病率及其与超重和肥胖的关系。

方法

2013年至2014年期间,在阿联酋艾因的阿联酋大学对555名阿联酋女大学生进行了一项横断面研究。收集了人体测量数据、血压和生化测量数据。代谢综合征根据统一的国际糖尿病联盟标准进行定义。

结果

在纳入的555名参与者中,23.1%超重,10.4%被归类为肥胖。代谢综合征的总体患病率为6.8%。与正常体重(1.7%)和超重(10.1%)参与者相比,肥胖参与者中代谢综合征的患病率最高(34.5%)。与正常体重相比,代谢综合征与超重(调整后的优势比[aOR]=3.8,95%置信区间[CI];1.15 - 12.52)和肥胖(aOR = 11.2,95%CI;3.1 - 40.9)显著相关。与腰臀比<0.8相比,腰臀比≥0.8(aOR = 3.04,95%CI;1.10 - 8.44)与代谢综合征显著相关。糖化血红蛋白(HbA1c)≥6.5%的参与者患代谢综合征的几率比HbA1c<6.5%的参与者高22倍(aOR = 22.5,95%CI;6.37 - 79.42)。当将HbA1c在5.6% - 6.4%之间的情况与HbA1c<5.6%的情况进行比较时,这种差异高9倍(aOR = 8.9,95%CI;3.4 - 23.5)。

结论

肥胖的阿联酋女学生中代谢综合征的患病率显著高于超重和正常体重的学生。代谢综合征的高患病率凸显了针对减肥的定期筛查和干预计划的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1b4/4944977/23e3f601de42/pone.0159378.g001.jpg

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