Department of Nutrition, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Department of Nutrition and Dietetics, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.
PLoS One. 2020 Nov 2;15(11):e0241432. doi: 10.1371/journal.pone.0241432. eCollection 2020.
The prevalence of metabolic syndrome is rising at an alarming rate and more common among Type 2 Diabetes Mellitus patients in the world. The risk for cardiovascular disease is greater among individuals who have a combination of Type 2 Diabetes Mellitus and metabolic syndrome compared to those who have either alone.
To assess the proportion of metabolic syndrome and lifestyle factors among Type 2 Diabetes Mellitus Patients in Dessie Referral Hospital, Amhara Region, Ethiopia.
A hospital-based cross-sectional study was conducted from February to March 2017 among 343 randomly selected Type 2 Diabetes Mellitus patients. Three definitions of Metabolic syndrome were considered. Multivariable logistic regression analysis was conducted to identify factors associated with metabolic syndrome. Adjusted odds ratio (AOR) with 95% confidence intervals (CI) were reported to show the strength of association. Statistical significance was declared at P-value < 0.05.
The proportion of metabolic syndrome was 50.3%, 59.4% and 64.5% according to 2005 International Diabetes Federation, revised ATP III and 2009 harmonized criteria, respectively. Being female (AOR = 2.43; 95% CI = 1.40, 4.21), consumption of red meat (AOR = 2.61; 95% CI = 1.28, 5.33), sedentary leisure time activity (AOR = 2.65; 95% CI = 1.47, 4.78), coffee intake (AOR = 0.43; 95% CI = 0.21, 0.86), BMI ≥ 25 kg/m2 (AOR = 9.59; 95% CI = 4.98, 18.47), 40-49 years of age (AOR = 2.74, 95% CI = (1.02, 7.37), 50-59 years of age (AOR = 4.22; 95% CI = 1.60, 11.11) and ≥70 years of age (AOR = 4.51, 95% CI = 1.44, 14.15) were significantly associated with metabolic syndrome.
The proportion of metabolic syndrome was high among Type 2 Diabetes Mellitus patients. Overweight and obesity, being female, age of respondent, intake of coffee, regular red meat consumption, and sedentary leisure-time activity were factors associated with metabolic syndrome. Counseling of Type 2 Diabetes Mellitus patients on the need for spending leisure time with activities, intake of coffee, control of body weight, and avoidance of regular red meat consumption is recommended.
代谢综合征的患病率呈惊人的速度上升，在世界范围内 2 型糖尿病患者中更为常见。与仅有 2 型糖尿病的个体相比，同时患有 2 型糖尿病和代谢综合征的个体发生心血管疾病的风险更高。
评估埃塞俄比亚阿姆哈拉地区德西转诊医院 2 型糖尿病患者代谢综合征及生活方式因素的比例。
2017 年 2 月至 3 月期间，对 343 名随机选择的 2 型糖尿病患者进行了基于医院的横断面研究。考虑了三种代谢综合征的定义。采用多变量逻辑回归分析确定与代谢综合征相关的因素。报告了调整后的优势比（AOR）和 95%置信区间（CI）以显示关联的强度。P 值 < 0.05 表示具有统计学意义。
根据 2005 年国际糖尿病联盟、修订后的 ATP III 和 2009 年协调标准，代谢综合征的比例分别为 50.3%、59.4%和 64.5%。女性（AOR=2.43；95%CI=1.40，4.21）、食用红肉（AOR=2.61；95%CI=1.28，5.33）、久坐的休闲时间活动（AOR=2.65；95%CI=1.47，4.78）、摄入咖啡（AOR=0.43；95%CI=0.21，0.86）、BMI≥25kg/m2（AOR=9.59；95%CI=4.98，18.47）、40-49 岁（AOR=2.74，95%CI=（1.02，7.37）、50-59 岁（AOR=4.22；95%CI=1.60，11.11）和≥70 岁（AOR=4.51，95%CI=1.44，14.15）与代谢综合征显著相关。
2 型糖尿病患者代谢综合征的比例较高。超重和肥胖、女性、受访者年龄、咖啡摄入量、定期食用红肉和久坐的休闲时间活动是与代谢综合征相关的因素。建议对 2 型糖尿病患者进行咨询，使其了解需要通过活动来度过闲暇时间、控制体重和避免定期食用红肉的必要性。
