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马来西亚东海岸半岛乳腺癌幸存者代谢综合征的患病率。

Prevalence of metabolic syndrome among breast cancer survivors in East Coast of Peninsular Malaysia.

机构信息

Centre for Healthy Ageing and Wellness (H-CARE), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300, Kuala Lumpur, Malaysia.

Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Gong Badak Campus, Kuala Nerus, 21300, Kuala Terengganu, Terengganu, Malaysia.

出版信息

BMC Public Health. 2021 Jan 28;21(1):238. doi: 10.1186/s12889-021-10288-9.

Abstract

BACKGROUND

To date, limited data are available on metabolic syndrome prevalence among breast cancer survivors in Malaysia. Therefore, this study was conducted to determine the prevalence of metabolic syndrome and abnormal metabolic syndrome components among breast cancer survivors in East Coast of Peninsular Malaysia.

METHODS

This cross-sectional study included 95 breast cancer survivors (age 53.7 ± 7.6 years) who have completed main cancer treatments for ≥6 months. Cancer survivors were recruited from two main government hospitals in Kelantan and Terengganu using a purposive sampling method.

RESULTS

According to the Harmonized criteria, the metabolic syndrome prevalence was 50.5%. Among those with metabolic syndrome, the most prevalent abnormal metabolic components were triglycerides (91.2%), fasting blood glucose (79.6%) and HDL-c level (78.4%). Except for total cholesterol and LDL-c, all other metabolic syndrome components were significantly different (p < 0.05) between those with and without metabolic syndrome. Significant differences between metabolic syndrome and non-metabolic syndrome groups were found for weight, BMI, waist circumference, body fat percentage and cancer stages (p < 0.05). However, no significant relationship was reported between sociodemographic, clinical parameters and metabolic syndrome among breast cancer survivors in this study.

CONCLUSIONS

Metabolic syndrome was highly prevalent among breast cancer survivors. It is recommended for health care professionals to closely monitor and improve the triglycerides, blood glucose and HDL-c level of the breast cancer survivors under their care to control the detrimental effect of metabolic syndrome.

摘要

背景

迄今为止,马来西亚乳腺癌幸存者代谢综合征的患病率数据有限。因此,本研究旨在确定马来西亚东海岸半岛乳腺癌幸存者代谢综合征及异常代谢综合征成分的患病率。

方法

本横断面研究纳入了 95 名(年龄 53.7±7.6 岁)完成主要癌症治疗(≥6 个月)的乳腺癌幸存者。采用目的抽样法从吉兰丹和登嘉楼的两家主要政府医院招募癌症幸存者。

结果

根据协调标准,代谢综合征的患病率为 50.5%。在患有代谢综合征的患者中,最常见的异常代谢成分是甘油三酯(91.2%)、空腹血糖(79.6%)和高密度脂蛋白胆固醇水平(78.4%)。除了总胆固醇和 LDL-c 之外,所有其他代谢综合征成分在患有和不患有代谢综合征的患者之间均存在显著差异(p<0.05)。在代谢综合征和非代谢综合征组之间,体重、BMI、腰围、体脂百分比和癌症分期均存在显著差异(p<0.05)。然而,在本研究中,未发现乳腺癌幸存者的社会人口统计学、临床参数与代谢综合征之间存在显著关系。

结论

代谢综合征在乳腺癌幸存者中患病率较高。建议医护人员密切监测并改善其血脂、血糖和 HDL-c 水平,以控制代谢综合征的不良影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f93a/7844947/35363b62c988/12889_2021_10288_Fig1_HTML.jpg

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