南昌大学大学生代谢综合征的评估

Dabou Solange, T. P. Bruno, Sama Leonard Fonkeng
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摘要

代谢综合征(MetS)是心血管疾病(CVD)的一组危险因素,如肥胖、血脂异常、高血压和高血糖;它增加了心血管疾病的发病率和死亡率。MetS影响成人和青少年,导致生活质量受损和预期寿命降低。本研究旨在评估南昌大学本科生代谢综合征的各个方面。对307名男女学生进行问卷调查;203例符合入选标准的患者进行人体测量和血压测量,随后采集血样,测定生化标志物(血糖、总胆固醇、LDL胆固醇、HDL胆固醇、甘油三酯血症和c反应蛋白)的剂量。结果表明,研究人群中代谢综合征的患病率为11.33%。与正常患者相比,在肥胖和超重患者中有显著优势(P值小于0.05)。在研究人群中,血压升高(OR= 23.4)和高密度脂蛋白胆固醇水平降低(OR= 20.4)似乎是代谢综合征的最决定性因素。我们发现,经常食用“Koki”(P=0.023)、“Achu”(P=0.01)、“玉米蒸粗麦粉”(P=0.012)、沙拉(P=0.031)、“Ndole”(P=0.039)和猪肉(P=0.04)会增加代谢综合征的患病率。相反,随着绿色蔬菜的频繁食用,代谢综合征的患病率明显降低(P=0.016)。代谢综合征存在于南昌大学的本科生中,这是脂肪储存过多的结果。它的主要特征是血压升高和低高密度脂蛋白胆固醇水平。关键词:肥胖;代谢综合征;心血管危险因素;学生;南昌大学
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Evaluation of metabolic syndrome in undergraduate students at the University of Dschang
Metabolic syndrome (MetS) is a cluster of risk factors for cardiovascular diseases (CVD), such as obesity, dyslipidemia, high blood pressure, and high blood glucose; it increases morbidity and mortality of CVD. MetS affects both adults and youths, leading to an impaired quality of life and a lowering of life expectancy. This study aimed to assess various aspects of metabolic syndrome, in undergraduate students at the University of Dschang. A questionnaire was distributed to 307 students of both sex; 203 meeting inclusion criteria were selected for anthropometric and blood pressure measurements followed by blood sample collection, for the dosage of biochemical markers (blood glucose, total cholesterol, LDL cholesterol, HDL cholesterol, triglyceridemia, and C-reactive protein). Results indicate that the prevalence of metabolic syndrome within the study population was 11.33 %. It has a significant predominance among obese and overweight patients (P˂0.05), compared to normal ones. Elevated blood pressure (OR= 23.4) and low HDL cholesterol levels (OR= 20.4) appeared to be the most determinant components of metabolic syndrome in the study population. We found an increase of metabolic syndrome prevalence with frequent consumption (3 to 4 times per week) of ‘‘Koki’’ (P=0.023), ‘‘Achu’’ (P=0.01), ‘’Corn couscous’’ (P=0.012), Salads (P=0.031), ‘‘Ndole’’ (P=0.039) and pork (P=0.04). On the contrary, the prevalence of metabolic syndrome decreases significantly, with frequent consumption of green vegetables (P=0.016). Metabolic syndrome is present in undergraduate students of the University of Dschang, as a consequence of excess fat storage. Its main features are elevated blood pressure and low HDL-cholesterol level.Keywords: Obesity; Metabolic syndrome; cardiovascular risk factor; students; University of Dschang
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