Tladi Dawn, Mokgatlhe Lucky, Nell Theo, Shaibu Sheila, Mitchell Ronel, Mokgothu Comfort, Gabonthone Tebogo, Hubona Omphile
Department of Sport Science, University of Botswana, Gaborone, Botswana.
Department of Statistics, University of Botswana, Gaborone, Botswana.
Diabetes Metab Syndr Obes. 2021 Jun 4;14:2505-2514. doi: 10.2147/DMSO.S285898. eCollection 2021.
The metabolic syndrome (MetS) is on the rise in Sub-Saharan Africa, attributed to increased and uncontrollable urbanization accompanied by its lifestyle changes. Non-communicable diseases, such as hypertension, diabetes, and obesity, which are components of the (MetS) are also on the increase in Botswana. To date, no study has determined the prevalence of the MetS in the apparently healthy Batswana adults. The objective of the study was to determine the prevalence of the MetS among the 25-65-year-old Batswana residing in urban and neighboring semi-urban areas of Gaborone.
A cross-sectional study was used to collect data from N=794 participants, n=383 men and n=411 women, residing in Gaborone and two surrounding semi-urban areas. Data collected included demographic, anthropometric measurements, blood pressure (BP), blood glucose, triglycerides, high-density lipoprotein cholesterol (HDL-C) and total cholesterol.
A high prevalence of 26.8% was reported, with women mostly afflicted (35.0% vs 18.0%). The MetS risk factors found to be common in women were low HDL-C at (50% vs 48.7%) compared to men, while proportions with elevated BP (50.3% vs 39.4%) were prominent in men. The prevalence increased with age, with the oldest age group showing a higher prevalence in both women and men, respectively (55-65 years; 38.5% vs 41.2%).
An unprecedented high MetS prevalence was revealed among perceived to be healthy Batswana adults, with women at a higher risk. This public health concern creates an opportunity to establish evidence of risk factors, develop guidelines and strategies with appropriate public health measures to prevent and control the MetS.
代谢综合征（MetS）在撒哈拉以南非洲地区呈上升趋势，这归因于城市化进程加速且难以控制，同时伴随着生活方式的改变。作为代谢综合征组成部分的非传染性疾病，如高血压、糖尿病和肥胖症，在博茨瓦纳也日益增多。迄今为止，尚无研究确定表面健康的博茨瓦纳成年人中代谢综合征的患病率。本研究的目的是确定居住在哈博罗内市区及周边半城市地区、年龄在25至65岁之间的博茨瓦纳人中代谢综合征的患病率。
采用横断面研究收集了来自居住在哈博罗内及其周边两个半城市地区的N = 794名参与者的数据，其中男性n = 383人，女性n = 411人。收集的数据包括人口统计学、人体测量学指标、血压（BP）、血糖、甘油三酯、高密度脂蛋白胆固醇（HDL-C）和总胆固醇。
报告的患病率高达26.8%，女性受影响更为严重（35.0%对18.0%）。发现女性中常见的代谢综合征危险因素是HDL-C水平低（50%对48.7%），而男性中血压升高的比例更为突出（50.3%对39.4%）。患病率随年龄增长而增加，两个年龄最大的年龄组中，女性和男性的患病率分别更高（55 - 65岁；38.5%对41.2%）。
在看似健康的博茨瓦纳成年人中发现了前所未有的高代谢综合征患病率，女性风险更高。这一公共卫生问题为确定危险因素证据、制定指南和策略以及采取适当的公共卫生措施来预防和控制代谢综合征创造了机会。
