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印度北部代谢综合征患病率超过40%:在情况失控之前,是时候迅速采取行动了。

Prevalence of metabolic syndrome crossing 40% in Northern India: Time to act fast before it runs out of proportions.

作者信息

Khan Yasmee, Lalchandani Arati, Gupta Ajesh Chandra, Khadanga Sagar, Kumar Sanjeev

机构信息

Department of Medicine, AIIMS Bhopal, Bhopal, Madhya Pradesh, India.

Department of Medicine, GSVM Medical College, Kanpur, Uttar Pradesh, India.

出版信息

J Family Med Prim Care. 2018 Jan-Feb;7(1):118-123. doi: 10.4103/jfmpc.jfmpc_10_17.

Abstract

BACKGROUND

Metabolic syndrome (MetS) is a constellation of high blood pressure, hyperglycemia, obesity, and dyslipidemia. Its presence makes the patient more prone for cardiovascular events. Its prevalence has been documented as 11%-41%. The present study was undertaken to find out the demographic profile of the MetS in Kanpur region of northern India.

MATERIALS AND METHODS

This is a hospital based, cross-sectional study with adequate sample size.

RESULTS

Out of the randomly selected 420 patients (232 males and 188 females), 172 cases (61 males and 111 females) were found to have MeTS adopting the National Cholesterol Education Program Adult Treatment Panel III criteria. The overall prevalence of MeTS was found to be 40.9% (26.2% of total males and 59% of total females). Among the 172 cases of MeTS, females were more than males (64.5% vs. 35.4%). Maximum numbers of MeTS cases were in the age range of 50-59 years (55/172 = 31.9%) followed by 40-49 years (50/172 = 29%), >60 years (35/172 = 20.3%), 30-39 years (30/172 = 17.4%), and <30 years (2/172 = 1.1%). In the total study population of 420 cases, hyperglycemia was the most common (29.2%) and hyperglycemia, obesity, and high triglyceride were significantly higher prevalence in females. Among the participants of 111 cases of MeTS, hyperglycemia was the most common (71.5%) and high blood pressure, and low high density lipoprotein was significantly higher among males.

CONCLUSION

The prevalence of MetS was more than 40% and its prevalence in <40 years age group is rapidly increasing. Its high time to be more active physically, before fatal cardiovascular events.

摘要

背景

代谢综合征(MetS)是高血压、高血糖、肥胖和血脂异常的统称。其存在使患者更容易发生心血管事件。据记载,其患病率为11% - 41%。本研究旨在了解印度北部坎普尔地区代谢综合征的人口统计学特征。

材料与方法

这是一项基于医院的横断面研究,样本量充足。

结果

在随机选取的420名患者(232名男性和188名女性)中,采用美国国家胆固醇教育计划成人治疗小组第三次报告标准,发现172例(61名男性和111名女性)患有代谢综合征。代谢综合征的总体患病率为40.9%(占男性总数的26.2%,女性总数的59%)。在172例代谢综合征病例中,女性多于男性(64.5%对35.4%)。代谢综合征病例数最多的年龄范围是50 - 59岁(55/172 = 31.9%),其次是40 - 49岁(50/172 = 29%)、>60岁(35/172 = 20.3%)、30 - 39岁(30/172 = 17.4%)和<30岁(2/172 = 1.1%)。在420例的总研究人群中,高血糖最为常见(29.2%),女性的高血糖、肥胖和高甘油三酯患病率显著更高。在111例代谢综合征参与者中,高血糖最为常见(71.5%),男性的高血压和低高密度脂蛋白患病率显著更高。

结论

代谢综合征的患病率超过40%,其在<40岁年龄组中的患病率正在迅速上升。在发生致命心血管事件之前,是时候更加积极地进行体育锻炼了。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05bc/5958552/1bb770ed802e/JFMPC-7-118-g001.jpg

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