Kruger Maritza J, Nell Theo A
Department of Physiological Sciences, Stellenbosch University, Mike De Vries Building, Merriman Avenue, Stellenbosch, 7600, South Africa.
BMC Public Health. 2017 Jan 11;17(1):61. doi: 10.1186/s12889-016-3973-1.
In South Africa, not much is known about MetS in farm working communities. This study aimed to describe the prevalence of the MetS in a farm working population from the Boland winelands district of the Western Cape, South Africa.
A cross-sectional study was followed among farm workers (aged 20-60 years) from surrounding wine estates. The questionnaires used described socio-demographic status, ethnic background, alcohol consumption, smoking, exercise and daily medication. Anthropometric assessments were performed and blood pressure measurements taken prior to blood sampling for serum insulin, glucose and fasting lipogram profiles.
The prevalence of the MetS was higher in women (46.3 vs 29.3%). Both men and women in the MetS group had a significantly higher waist circumferences (WC; p < 0.001 for both), whilst higher glucose levels were only significantly higher in the women (p < 0.001). Correlations showed significant differences between body mass index (BMI), WC and waist to hip ratio (W:H) and the different MetS risk factors.
The female population in this study showed higher prevalence rates for the individual risk factors and the MetS overall. There is an urgent need to develop culturally sensitive health promotion programs addressing risk factors for metabolic syndrome among farm workers.
在南非，人们对农业工作社区中的代谢综合征了解不多。本研究旨在描述南非西开普省博兰葡萄酒产区农业工作人群中代谢综合征的患病率。
对周边葡萄酒庄园的农场工人（年龄在20至60岁之间）进行了一项横断面研究。所使用的问卷描述了社会人口统计学状况、种族背景、饮酒、吸烟、运动和日常用药情况。在采集血清胰岛素、血糖和空腹血脂谱血样之前，进行了人体测量评估并测量了血压。
代谢综合征的患病率在女性中更高（46.3%对29.3%）。代谢综合征组的男性和女性腰围均显著更高（两者p均<0.001），而血糖水平仅在女性中显著更高（p<0.001）。相关性分析显示体重指数（BMI）、腰围（WC）和腰臀比（W:H）与不同的代谢综合征风险因素之间存在显著差异。
本研究中的女性人群在个体风险因素和总体代谢综合征方面显示出更高的患病率。迫切需要制定针对农场工人代谢综合征风险因素的、对文化敏感的健康促进项目。
