Selvaraj Pradeep, Muthunarayanan Logaraj
Department of Community Medicine, SRM Medical College Hospital and Research Centre, Kattankulathur, Kanchipuram District, Tamil Nadu, India.
J Lifestyle Med. 2019 Jan;9(1):44-51. doi: 10.15280/jlm.2019.9.1.44. Epub 2019 Jan 31.
MetS is one of the emerging health problems of the world with prevalence higher among Asians, including Indians, and is rising especially in the rural area. Hence, the objectives were to estimate the prevalence of MetS and its association with life style risk factors among adult men.
Cross-Sectional based study conducted in the rural area of Kancheepuram District recruiting 360 participants at the age group of 20-40 years by PPS from 9 villages and from each village participants were selected by simple random sampling. Using modified NCEP-ATP III guidelines, criteria for MetS were defined and the prevalence and its associated lifestyle risk factors were evaluated.
The prevalence of MetS was found to be 16.7%. Higher prevalence was observed among the older age group 31-40 years with 32.4%. Among the five components of MetS, most observed component was Hypertriglyceridemia followed by high WC, abnormal DBP with 31%, 14% and 7% respectively. In Logistic Regression analysis, variables like Increased age, alcohol intake, high WC, raised TG level, raised FBS level and high average DBP were strongly associated with MetS as it was statistically significant.
The present study showed a high prevalence of MetS amongst men 31-40 years and strong association between MetS and lifestyle risk factors could be a major health problem in rural area, indicating that it was not necessarily a result of modernization. These findings make it critical to plan further healthcare interventions to prevent the adverse consequences of the disease.
代谢综合征是全球新出现的健康问题之一，在包括印度人在内的亚洲人中患病率较高，且在农村地区尤其呈上升趋势。因此，本研究旨在评估成年男性中代谢综合征的患病率及其与生活方式风险因素的关联。
在金奈市坎契普尔姆区农村地区开展横断面研究，通过多阶段整群抽样从9个村庄招募了360名年龄在20 - 40岁的参与者，每个村庄的参与者通过简单随机抽样选取。采用修改后的美国国家胆固醇教育计划成人治疗组第三次报告（NCEP-ATP III）指南定义代谢综合征的标准，并评估其患病率及其相关的生活方式风险因素。
发现代谢综合征的患病率为16.7%。在31 - 40岁的年龄组中患病率更高，为32.4%。在代谢综合征的五个组成部分中，最常见的组成部分是高甘油三酯血症，其次是高腰围、舒张压异常，分别为31%、14%和7%。在逻辑回归分析中，年龄增加、饮酒、高腰围、甘油三酯水平升高、空腹血糖水平升高和平均舒张压升高与代谢综合征密切相关，具有统计学意义。
本研究表明，31 - 40岁男性中代谢综合征的患病率较高，且代谢综合征与生活方式风险因素之间存在密切关联，这可能是农村地区的一个主要健康问题，表明这不一定是现代化的结果。这些发现使得规划进一步的医疗保健干预措施以预防该疾病的不良后果至关重要。
