Motuma Aboma, Gobena Tesfaye, Teji Roba Kedir, Berhane Yemane, Worku Alemayehu
School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Department of Environmental Health Science, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Diabetes Metab Syndr Obes. 2020 Dec 14;13:4941-4951. doi: 10.2147/DMSO.S283270. eCollection 2020.
Metabolic syndrome (MetS) has become a public health challenge in low-income countries due to changing lifestyle and the food environment. However, studies on the prevalence of metabolic syndrome and associated factors are limited in Ethiopia. Therefore, this study assessed the prevalence of MetS and its associated factors among working adults in eastern Ethiopia.
A cross-sectional study was conducted involving 1,164 working adults from December 2018 to February 2019. Data were collected following the World Health Organization (WHO) STEPwise approach. The data collection tools include a structured questionnaire, anthropometric, and biochemical measurements. Prevalence was calculated using International Diabetes Federation criteria. A Poisson regression model with robust variance estimation was used to investigate the independent variable's association with MetS. An adjusted prevalence ratio with 95% confidence interval was reported to show associations.
The prevalence of MetS was 20.1% (95% CI=17.8-22.4) among the participants. It was more prevalent among females (APR:=1.62, 95% CI=1.31-2.00), those of 35-44 years of age (APR:=3.14, 95% CI=1.19-8.28), 45-54 years of age (APR=4.42, 95% CI=1.66-11.77), and 55-64 years of age (APR=6.03, 95% CI=2.27-16.06), khat chewers (APR=1.30, 95% CI=1.06-1.60), those with 8 or more hours of sedentary behavior (APR=2.29, 95% CI=1.88-2.80), and those consuming alcohol 5-6 days per week (APR=1.81, 95% CI=1.20-2.74). The prevalence was significantly lower in those eating five or more fruits and vegetables servings per day (APR=0.04, 95% CI=0.01-0.27).
A high prevalence of MetS was observed among working adults in eastern Ethiopia. Strengthening workplace health promotion programs is necessary to reduce the negative consequences of MetS in workplaces and protect productivity.
由于生活方式和食物环境的改变，代谢综合征（MetS）已成为低收入国家面临的一项公共卫生挑战。然而，埃塞俄比亚关于代谢综合征患病率及其相关因素的研究有限。因此，本研究评估了埃塞俄比亚东部在职成年人中代谢综合征的患病率及其相关因素。
2018年12月至2019年2月对1164名在职成年人进行了一项横断面研究。按照世界卫生组织（WHO）的逐步调查方法收集数据。数据收集工具包括结构化问卷、人体测量和生化检测。采用国际糖尿病联盟标准计算患病率。使用具有稳健方差估计的泊松回归模型来研究自变量与代谢综合征之间的关联。报告了调整后的患病率比及其95%置信区间以显示关联。
参与者中代谢综合征的患病率为20.1%（95%CI=17.8-22.4）。在女性中更为普遍（调整患病率比：1.62，95%CI=1.31-2.00），35-44岁的人群中（调整患病率比：3.14，95%CI=1.19-8.28），45-54岁的人群中（调整患病率比=4.42，95%CI=1.66-11.77），以及55-64岁的人群中（调整患病率比=6.03，95%CI=2.27-16.06），咀嚼恰特草的人（调整患病率比=1.30，95%CI=1.06-1.60），久坐行为达8小时或更长时间的人（调整患病率比=2.29，95%CI=1.88-2.80），以及每周饮酒5-6天的人（调整患病率比=1.81，95%CI=1.20-2.74）。每天食用五份或更多份水果和蔬菜的人群中患病率显著较低（调整患病率比=0.04，95%CI=0.01-0.27）。
在埃塞俄比亚东部的在职成年人中观察到代谢综合征的高患病率。加强工作场所的健康促进计划对于减少代谢综合征在工作场所的负面影响和保护生产力是必要的。
