Yahia Najat, Brown Carrie A, Snyder Ericka, Cumper Stephanie, Langolf Andrea, Trayer Chelsey, Green Chelsea
Department of Human Environmental Studies, Central Michigan University, Wightman 108, Mount Pleasant, MI, 48859, USA.
Department of Biostatistics, Boston University, 801 Massachusetts Avenue, Boston, MA, 02118, USA.
J Community Health. 2017 Aug;42(4):674-687. doi: 10.1007/s10900-016-0304-5.
Michigan has the 17th highest adult obesity rate in the United States. Among college-aged adults between 18 and 25 years old, the rate of obesity was 11.6%. Obesity is a key precedent for the development of metabolic syndrome. Accordingly, the purpose of this study was to examine the prevalence of metabolic syndrome and its individual components among a sample of students at Central Michigan University. A cross-sectional survey was conducted among 462 students, aged 18-25 years, in Spring 2015 and Fall/Spring 2016 semesters. Students were recruited throughout the campus via flyers, in-class, and Blackboard announcements. Biochemical, anthropometric, and blood pressure measurements were taken for all students. Prevalence of metabolic syndrome was estimated based on the National Cholesterol Education Program's Adult Treatment Panel III guidelines. Multivariable analysis was used to assess the prevalence of metabolic risk components. To explore the association between metabolic risk factors and lifestyle behaviors, students filled out a validated online questionnaire related to their eating habits, physical activity, and sleep patterns. Metabolic syndrome was not prevalent in our sample. However, about one-third of the students had at least one metabolic abnormality, and 6.0% had two metabolic abnormalities. The most common metabolic abnormalities were low HDL-cholesterol levels (22.0%) and high waist circumference (12.6%), and elevated serum triglyceride (5.8%). Adjusting for other factors, excess adiposity and high visceral fat scores were associated with increased risk of metabolic risk factors, whereas healthy lifestyle practices such as daily breakfast consumption, eating three meals a day, being active, and not smoking were associated with lower risks for MetS. Given the adverse consequences of undiagnosed metabolic abnormalities, efforts to identify and manage MetS among asymptomatic college students, particularly women, is essential and warrants further research.
密歇根州的成人肥胖率在美国排名第17。在18至25岁的大学生中，肥胖率为11.6%。肥胖是代谢综合征发展的一个关键先兆。因此，本研究的目的是调查中密歇根大学学生样本中代谢综合征及其个体组成部分的患病率。2015年春季以及2016年秋季/春季学期，对462名年龄在18 - 25岁的学生进行了横断面调查。通过传单、课堂宣传和在黑板上发布通知在整个校园招募学生。对所有学生进行了生化、人体测量和血压测量。根据美国国家胆固醇教育计划成人治疗专家组第三次报告的指南估计代谢综合征的患病率。采用多变量分析来评估代谢风险因素的患病率。为了探究代谢风险因素与生活方式行为之间的关联，学生们填写了一份经过验证的在线问卷，内容涉及他们的饮食习惯、体育活动和睡眠模式。代谢综合征在我们的样本中并不普遍。然而，约三分之一的学生至少有一项代谢异常，6.0%的学生有两项代谢异常。最常见的代谢异常是高密度脂蛋白胆固醇水平低（22.0%）、腰围高（12.6%）和血清甘油三酯升高（5.8%）。在对其他因素进行调整后，肥胖和高内脏脂肪评分与代谢风险因素风险增加相关，而健康的生活方式，如每天吃早餐、一日三餐规律饮食、积极活动和不吸烟与代谢综合征风险较低相关。鉴于未被诊断出的代谢异常会带来不良后果，在无症状的大学生，尤其是女性中识别和管理代谢综合征的努力至关重要，值得进一步研究。
