Department of Anthropology, University of Delhi, India.
Diabetes Metab Syndr. 2020 Sep-Oct;14(5):995-999. doi: 10.1016/j.dsx.2020.06.040. Epub 2020 Jun 24.
Metabolic syndrome is rising at an alarming rate in developing countries. In India, increasing influence of urbanization in the rural areas is responsible for transition in lifestyle and diet of the indigenous people. Therefore, this study aims to estimate the prevalence of metabolic syndrome and the associated risk factors among the adolescents of Kukana tribe of Valsad district, Gujarat.
A cross-sectional study was conducted on 296 adolescents (128 boys and 168 girls) aged 14-19 years. Semi-structure interview schedule including demographic characteristics like age, sex, clan, native village was administered. Anthropometric measurements (height, body weight, waist circumference), systolic and diastolic blood pressure, biochemical tests were recorded. Data was entered in MS-Excel, and SPSS was used to analyse descriptive statistics (mean and standard deviations), frequencies and test of significance such t-test and chi-square. Prevalence of metabolic syndrome and associated risk factors was determined by National Cholesterol Education Program Adult Treatment Panel III modified for adolescents by Cook's criteria.
Overall prevalence of metabolic syndrome was estimated as 3.8%, with sex-wise prevalence found to be 3.9% and 3.6% in boys and girls, respectively. Low High-Density Lipoprotein Cholesterol was the most prevalent individual risk factor observed in the present study.
This study is the first study which assessed metabolic syndrome and its components in tribal adolescents in India. Tribal communities are susceptible a triple burden of diseases. Micro-level and grassroot community-based studies should be designed and carried out in tribal communities, in order to provide better healthcare deliveries.
代谢综合征在发展中国家的发病率呈惊人上升趋势。在印度，城市对农村地区的影响不断增加，导致土著人民的生活方式和饮食发生转变。因此，本研究旨在评估古吉拉特邦瓦尔萨德区库卡纳部落青少年代谢综合征的患病率及其相关危险因素。
对 296 名年龄在 14-19 岁的青少年（128 名男孩和 168 名女孩）进行了横断面研究。采用半结构式访谈表，包括年龄、性别、氏族、原籍村等人口统计学特征。记录了身高、体重、腰围等人体测量学指标，收缩压和舒张压，以及生化测试。数据输入到 MS-Excel 中，使用 SPSS 进行分析，包括描述性统计（均值和标准差）、频率和显著性检验（如 t 检验和卡方检验）。采用美国国家胆固醇教育计划成人治疗小组 III 对青少年进行改良的库克斯标准来确定代谢综合征及相关危险因素的患病率。
代谢综合征的总患病率估计为 3.8%，男女患病率分别为 3.9%和 3.6%。本研究中观察到的最普遍的个体危险因素是低高密度脂蛋白胆固醇。
这是第一项评估印度部落青少年代谢综合征及其组成部分的研究。部落社区容易受到三重疾病负担的影响。应在部落社区设计和开展微观层面和基层社区为基础的研究，以提供更好的医疗服务。
