科威特成年人身体活动水平与代谢综合征的关系

M. Alkatan, Dhari E Alown, Ahmed J Alsarraf
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摘要

背景:在科威特人群中,人们对身体活动(PA)与代谢综合征之间的关系知之甚少。这是第一个在全国代表性的科威特成年人样本中检查PA和代谢综合征之间关系的研究。方法:来自科威特非传染性疾病(NCD)危险因素STEPS调查的数据被用于这项二级横断面研究,共有1616名成年人(726名男性;和890名女性),年龄在18-69岁之间,从目标人群中随机抽取,使用公共民事信息管理局(PACI)的数据库。结果:女性体重指数(BMI)高于男性(31.5±7.7∶29.4±5.1)。男性代谢当量高于女性(2202±3394.8 vs. 1180±2379.5)。科威特男性和女性中代谢综合征的总患病率为28.4%。总代谢当量与代谢综合征呈负相关(r=-0.196),家庭年收入与代谢综合征呈负相关;收入水平越高,代谢综合征的发生率越低。最后,代谢综合征评分可以通过性别、年龄、BMI和总代谢当量(MET)作为预测因子来预测,这可以解释代谢综合征评分约32.6%的方差。结论:代谢综合征在科威特的患病率高得惊人。久坐不动的生活方式和高热量的摄入是少数负责任的因素。因此,卫生部和决策者应调整战略,促进更高水平的身体活动,如使用人行道和自行车设施,并宣传减少热量摄入的公共卫生信息。
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The Relationship Between Physical Activity Levels and Metabolic Syndrome in Kuwaiti Adults
BACKGROUND: Little is known about the relationship between physical activity (PA) and metabolic syndrome in the Kuwaiti population. This is the first study to examine the relationship between PA and metabolic syndrome in a nationally representative sample of adult Kuwaitis. METHODS: Data from the STEPS survey of noncommunicable disease (NCD) risk factors in Kuwait were used for this secondary cross-sectional study with a total of 1616 adults (726 males; and 890 females) aged 18-69 randomly sampled from the target population using the database of the Public Authority of Civil Information (PACI). RESULTS: The Body Mass Index (BMI) of females was higher than males (31.5±7.7 vs. 29.4±5.1). Males had higher metabolic equivalent than females (2202±3394.8 vs. 1180±2379.5). The total prevalence of metabolic syndrome in Kuwaiti males and females was 28.4%. The relationship between total metabolic equivalent and the Metabolic syndrome was negatively correlated (r=-0.196), also annual household income was negatively correlated with Metabolic syndrome; the higher level of income the lower presence of metabolic syndrome. Finally, Metabolic Syndrome Score can be predicted by gender, age, BMI and Total Metabolic Equivalent (MET) as a predictors which explain approximately 32.6% of the variance in Metabolic Syndrome Score. CONCLUSIONS: The prevalence of metabolic syndrome in Kuwait is alarmingly high. Sedentary lifestyles and high caloric intake are few of the responsible factors. Therefore, the Ministry of Health and Policy makers should adapt strategies to promote higher levels of physical activity such as using sidewalks and bicycling facilities and promoting public health messages to decrease caloric intake.
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