Pavithra H, Naik Poonam R
Department of Community Medicine, Yenepoya Medical College, Mangalore, Karnataka, India.
Indian J Community Med. 2023 Nov-Dec;48(6):861-866. doi: 10.4103/ijcm.ijcm_743_22. Epub 2023 Dec 1.
Metabolic syndrome (MS) consists of interconnected factors responsible for increased risk of cardiovascular diseases and development of type 2 diabetes mellitus. Early identification and treatment of components of MS leads to improved cardiovascular outcomes.
To determine the prevalence of metabolic syndrome among adults >18 years of age and to study the various socio-demographic and behavioral factors associated with MS.
This was a cross-sectional study conducted among 280 adults of >18 years in a rural area of Dakshina Kannada district. Probability proportional to size and random sampling was used to select the study participants. Data was collected by interviews, anthropometry, blood investigations.
Prevalence of MS was 33.9% and majority were females (71.8%). The mean age was 49.35 (±15.22) years. The prevalence (raised levels/on treatment) of hypertension, hyperlipidemia and hyperglycemia were 56.79% (systolic), 38.93% (diastolic), 38.57% (raised triglycerides), and 45% respectively. Majority of the subjects were obese (52.9%). Participants of 18-49 years age group had 2.30 times higher odds of having MS than ≥50 years age group ( value < 0.001). Female gender and low socio-economic status had 1.49- and 1.31-times higher odds of having MS respectively. Family history of diabetes and presence of co-morbidities had 1.20- and 1.02-times higher odds of developing MS.
There is a high prevalence of MS in rural areas. Intervention based on lifestyle modifications needs to be developed.
代谢综合征（MS）由相互关联的因素组成，这些因素会增加心血管疾病的风险以及2型糖尿病的发生。早期识别和治疗代谢综合征的各个组成部分可改善心血管疾病的预后。
确定18岁以上成年人中代谢综合征的患病率，并研究与代谢综合征相关的各种社会人口学和行为因素。
这是一项在南卡纳塔克邦农村地区对280名18岁以上成年人进行的横断面研究。采用与规模成比例的概率抽样和随机抽样来选择研究参与者。通过访谈、人体测量和血液检查收集数据。
代谢综合征的患病率为33.9%，大多数为女性（71.8%）。平均年龄为49.35（±15.22）岁。高血压、高脂血症和高血糖的患病率（升高水平/正在接受治疗）分别为56.79%（收缩压）、38.93%（舒张压）、38.57%（甘油三酯升高）和45%。大多数受试者肥胖（52.9%）。18 - 49岁年龄组的参与者患代谢综合征的几率比≥50岁年龄组高2.30倍（ 值<0.001）。女性性别和低社会经济地位患代谢综合征的几率分别高1.49倍和1.31倍。糖尿病家族史和合并症的存在使患代谢综合征的几率分别高1.20倍和1.02倍。
农村地区代谢综合征的患病率很高。需要制定基于生活方式改变的干预措施。
