Department of Nursing, College of Medicine, Chosun University, Gwangju, South Korea.
Department of Nursing, Medical School, Mongolian National University, Ulaanbaatar, Mongolia.
PLoS One. 2021 Sep 27;16(9):e0254141. doi: 10.1371/journal.pone.0254141. eCollection 2021.
In Mongolia, where there is a large regional gap in the quality of healthcare services, metabolic syndrome (MetS) is steadily increasing. However, there are few studies on the risk level of MetS and affecting factors among adults living in rural Mongolia. This study aims to explore the relationship between socio-demographics, clinical characteristics, emotional state, and social support on the risk level of MetS prevalence among adults living in rural Mongolia.
In this cross-sectional study, 143 adults living in the soum area of Dondgovi aimag in Mongolia were recruited. Data collection was conducted from July 2 to 3, 2019. The self-reported questionnaires including socio-demographic, clinical characteristics and emotional status, anthropometric tests using the InBody, and blood sampling tests were conducted. The number of individual diagnostic criteria met was scored as a MetS risk score and classified into 6 groups, from the lowest score of 0 to the highest score of 5. The ordinal logistic regression analysis was used to identify the factors affecting the risk of MetS.
The prevalence of MetS among adults living in rural Mongolia was 58.0%, and the mean MetS risk score was 2.70±1.34 points. In the ordinal logistic regression analysis, age, regular exercise of moderate intensity or higher, InBody score reflecting obesity or sarcopenia, and depression level were statistically significantly associated with the risk score for MetS.
Our study demonstrated that MetS risk levels among adults living in rural Mongolia with limited medical resources were strongly associated with demographic characteristics, body composition and emotional health condition, particularly depression.
在蒙古，医疗服务质量存在较大的地区差异，代谢综合征（MetS）的发病率稳步上升。然而，针对蒙古农村地区成年人中 MetS 的风险水平及其影响因素的研究较少。本研究旨在探讨蒙古农村成年人的社会人口统计学、临床特征、情绪状态和社会支持与 MetS 流行风险水平之间的关系。
本横断面研究招募了 143 名居住在蒙古东戈壁省苏姆地区的成年人。数据收集于 2019 年 7 月 2 日至 3 日进行。采用自报问卷收集社会人口统计学、临床特征和情绪状态数据，使用 InBody 进行人体测量学测试，以及进行血液采样测试。满足个别诊断标准的数量被评分作为 MetS 风险评分，并分为 6 组，从最低评分 0 到最高评分 5。使用有序逻辑回归分析来确定影响 MetS 风险的因素。
蒙古农村成年人的 MetS 患病率为 58.0%，平均 MetS 风险评分 2.70±1.34 分。在有序逻辑回归分析中，年龄、有规律的中高强度运动、反映肥胖或肌肉减少症的 InBody 评分以及抑郁水平与 MetS 风险评分有统计学显著相关性。
我们的研究表明，在医疗资源有限的蒙古农村地区，成年人的 MetS 风险水平与人口统计学特征、身体成分和情绪健康状况密切相关，尤其是抑郁。
