Metabolic Syndrome and its components among Qatari population

M. Musallam, A. Bener, M. Zirie, Yousef K. Al-Gaud, Abdullah A. Al-Hamaq, M. Othman, I. Tewfik
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引用次数: 15

Abstract

Metabolic Syndrome (MeS) is a cluster of abnormalities including impaired glucose metabolism, central obesity, dyslipidemia and hypertension. The MeS has not been widely studied among the Arab populations, but the data available suggests that it is an increasingly common problem. Prevalence of MeS and its associated components are not available in Qatar. To estimate the prevalence of MeS and its associated components among the Qatari population and to determine its associated risk factors, a cross-sectional study was carried out among Qatari adults aged 20 years and above. Face to face interviewing using a structured questionnaire followed by laboratory tests were conducted. MeS was defined using the Adult Treatment Panel III (ATP III) criteria as well as the International Diabetes Federation criteria (IDF). The crude prevalence rate of MeS according to ATP III criteria and IDF criteria were 26.4 and 34.0%, respectively. The age-standardised prevalence of the MeS according to ATP III was 27.7% (95% CI 23.3?32.0%), (23.6% among men (95% CI 19.5?27.7%) and 32.6% among women (95% CI 28.0?37.2%)) and according to IDF criteria, the age standardised prevalence was 35.4% (95% CI 30.7?40.0%), 38.7% (95% CI 34.0?43.5%) for women and 35.8% (95% CI 31.2?40.5%) for men. Age, Body Mass Index and HbA1c were significantly associated with MeS after adjustment for a number relevant variables including; gender, marital status, educational level, exercise, smoking, etc. Prevalence of the MeS in Qatar is considerably higher than anticipated. A well-designed health education programmes to increase the awareness of the public as well as healthcare providers are highly recommended. The programme should focus on the risk factors and the health consequences of MeS.
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卡塔尔人群代谢综合征及其组成因素
代谢综合征(MeS)是一组包括糖代谢异常、中枢性肥胖、血脂异常和高血压在内的异常。在阿拉伯人口中,MeS尚未得到广泛研究,但现有数据表明,这是一个日益普遍的问题。在卡塔尔,MeS的流行程度及其相关组成部分尚不清楚。为了估计卡塔尔人口中MeS及其相关成分的患病率,并确定其相关风险因素,在20岁及以上的卡塔尔成年人中进行了一项横断面研究。采用结构化问卷进行面对面访谈,随后进行实验室测试。MeS的定义采用成人治疗小组III (ATP III)标准和国际糖尿病联合会(IDF)标准。根据ATP III和IDF标准,MeS的粗患病率分别为26.4%和34.0%。根据ATP III的年龄标准化患病率为27.7% (95% CI 23.3 ~ 32.0%),男性为23.6% (95% CI 19.5 ~ 27.7%),女性为32.6% (95% CI 28.0 ~ 37.2%),根据IDF标准,年龄标准化患病率为35.4% (95% CI 30.7 ~ 40.0%),女性为38.7% (95% CI 34.0 ~ 43.5%),男性为35.8% (95% CI 31.2 ~ 40.5%)。年龄、体重指数和HbA1c与MeS有显著相关,这些变量包括:性别、婚姻状况、文化程度、运动情况、吸烟情况等。卡塔尔中小企业的流行率大大高于预期。强烈建议制订精心设计的健康教育方案,以提高公众和保健提供者的认识。该方案应侧重于中小企业的风险因素和健康后果。
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