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Epidemiology of Metabolic Syndrome among Adult Nigerians in a Rural Hospital in Eastern Nigeria

Received: 20 March 2014    Accepted: 8 April 2014    Published: 10 April 2014
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Abstract

Background: Biological and socio-behavioural variations exist in the epidemiology of metabolic syndrome (MetS). As the case detection of MetS increases in Nigeria describing its prevalence and risk factors remain relevant for proactive control interventions. Aim: This study was designed to describe the epidemiology of MetS among adult Nigerians in a rural hospital in Eastern Nigeria. Materials and Methods: A cross sectional study was carried out on 365 adult patients who were screened for MetS using International Diabetes Federation(IDF) criteria: An Individual was considered to have MetS in the presence of WC ≥94 cm for men and ≥80 cm for women plus any two or more of the following: systolic and/or diastolic blood pressure ≥130/85 mmHg and/or hypertension on treatment; fasting blood glucose ≥ 100mg/dL and/or diabetes mellitus on treatment; triglyceride level ≥150 mg/dL and/or hypertriglyceridaemia on treatment and high density lipoprotein(HDL-C) cholesterol <40mg/dL for men or <50 mg/dL for women and/or HDL-C dyslipidaemia on treatment. The data collected included basic demographic variables, metabolic and nutri-behavioural risk factors. Results: The prevalence of MetS was 34.0%. MetS was significantly associated with old age(p=0.029), female sex(p=0.016) and physical inactivity(p=0.002). The most significant predictor of MetS was physical inactivity.(p=0.014, OR=4.58(1.52-9.63). The patients with MetS were four and half times more likely to be physically inactive compared to their non-MetS counterparts. Conclusion: This study has shown that MetS exist among the study population. The risk factors significantly associated with MetS were old age, female sex and physical inactivity. The most significant predictor variable was physical inactivity. Early primary and secondary prevention interventions should be a compelling health priority in the study area.

Published in Science Journal of Public Health (Volume 2, Issue 2)
DOI 10.11648/j.sjph.20140202.23
Page(s) 135-143
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

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Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Epidemiology, Hospital, IDF criteria, MetS, Rural Nigeria

References
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Cite This Article
  • APA Style

    Gabriel Uche Pascal Iloh, Godwin Oguejiofor Chukwuebuka Okafor, Agwu NkwaAmadi. (2014). Epidemiology of Metabolic Syndrome among Adult Nigerians in a Rural Hospital in Eastern Nigeria. Science Journal of Public Health, 2(2), 135-143. https://doi.org/10.11648/j.sjph.20140202.23

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    ACS Style

    Gabriel Uche Pascal Iloh; Godwin Oguejiofor Chukwuebuka Okafor; Agwu NkwaAmadi. Epidemiology of Metabolic Syndrome among Adult Nigerians in a Rural Hospital in Eastern Nigeria. Sci. J. Public Health 2014, 2(2), 135-143. doi: 10.11648/j.sjph.20140202.23

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    AMA Style

    Gabriel Uche Pascal Iloh, Godwin Oguejiofor Chukwuebuka Okafor, Agwu NkwaAmadi. Epidemiology of Metabolic Syndrome among Adult Nigerians in a Rural Hospital in Eastern Nigeria. Sci J Public Health. 2014;2(2):135-143. doi: 10.11648/j.sjph.20140202.23

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  • @article{10.11648/j.sjph.20140202.23,
      author = {Gabriel Uche Pascal Iloh and Godwin Oguejiofor Chukwuebuka Okafor and Agwu NkwaAmadi},
      title = {Epidemiology of Metabolic Syndrome among Adult Nigerians in a Rural Hospital in Eastern Nigeria},
      journal = {Science Journal of Public Health},
      volume = {2},
      number = {2},
      pages = {135-143},
      doi = {10.11648/j.sjph.20140202.23},
      url = {https://doi.org/10.11648/j.sjph.20140202.23},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20140202.23},
      abstract = {Background: Biological and socio-behavioural variations exist in the epidemiology of metabolic syndrome (MetS). As the case detection of MetS increases in Nigeria describing its prevalence and risk factors remain relevant for proactive control interventions. Aim: This study was designed to describe the epidemiology of MetS among adult Nigerians in a rural hospital in Eastern Nigeria. Materials and Methods: A cross sectional study was carried out on 365 adult patients who were screened for MetS using International Diabetes Federation(IDF) criteria: An Individual was considered to have MetS in the presence of WC ≥94 cm for men and ≥80 cm for women plus  any two or more of the following: systolic and/or diastolic blood pressure ≥130/85 mmHg and/or hypertension on treatment; fasting blood glucose ≥ 100mg/dL and/or diabetes mellitus on treatment;  triglyceride level ≥150 mg/dL and/or hypertriglyceridaemia on treatment and high density lipoprotein(HDL-C) cholesterol <40mg/dL for men or  <50 mg/dL for women and/or HDL-C dyslipidaemia on treatment.  The data collected included basic demographic variables, metabolic and nutri-behavioural risk factors. Results: The prevalence of MetS was 34.0%. MetS was significantly associated with old age(p=0.029), female sex(p=0.016) and physical inactivity(p=0.002). The most significant predictor of MetS was physical inactivity.(p=0.014, OR=4.58(1.52-9.63). The patients with MetS were four and half times more likely to be physically inactive compared to their non-MetS counterparts. Conclusion: This study has shown that MetS exist among the study population. The risk factors significantly associated with MetS were old age, female sex and physical inactivity. The most significant predictor variable was physical inactivity. Early primary and secondary prevention interventions should be a compelling health priority in the study area.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - Epidemiology of Metabolic Syndrome among Adult Nigerians in a Rural Hospital in Eastern Nigeria
    AU  - Gabriel Uche Pascal Iloh
    AU  - Godwin Oguejiofor Chukwuebuka Okafor
    AU  - Agwu NkwaAmadi
    Y1  - 2014/04/10
    PY  - 2014
    N1  - https://doi.org/10.11648/j.sjph.20140202.23
    DO  - 10.11648/j.sjph.20140202.23
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 135
    EP  - 143
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20140202.23
    AB  - Background: Biological and socio-behavioural variations exist in the epidemiology of metabolic syndrome (MetS). As the case detection of MetS increases in Nigeria describing its prevalence and risk factors remain relevant for proactive control interventions. Aim: This study was designed to describe the epidemiology of MetS among adult Nigerians in a rural hospital in Eastern Nigeria. Materials and Methods: A cross sectional study was carried out on 365 adult patients who were screened for MetS using International Diabetes Federation(IDF) criteria: An Individual was considered to have MetS in the presence of WC ≥94 cm for men and ≥80 cm for women plus  any two or more of the following: systolic and/or diastolic blood pressure ≥130/85 mmHg and/or hypertension on treatment; fasting blood glucose ≥ 100mg/dL and/or diabetes mellitus on treatment;  triglyceride level ≥150 mg/dL and/or hypertriglyceridaemia on treatment and high density lipoprotein(HDL-C) cholesterol <40mg/dL for men or  <50 mg/dL for women and/or HDL-C dyslipidaemia on treatment.  The data collected included basic demographic variables, metabolic and nutri-behavioural risk factors. Results: The prevalence of MetS was 34.0%. MetS was significantly associated with old age(p=0.029), female sex(p=0.016) and physical inactivity(p=0.002). The most significant predictor of MetS was physical inactivity.(p=0.014, OR=4.58(1.52-9.63). The patients with MetS were four and half times more likely to be physically inactive compared to their non-MetS counterparts. Conclusion: This study has shown that MetS exist among the study population. The risk factors significantly associated with MetS were old age, female sex and physical inactivity. The most significant predictor variable was physical inactivity. Early primary and secondary prevention interventions should be a compelling health priority in the study area.
    VL  - 2
    IS  - 2
    ER  - 

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Author Information
  • Department of Family Medicine, Federal Medical Centre, Umuahia, Abia state, Nigeria

  • Department of Community Medicine, Federal Medical Centre, Umuahia, Abia state, Nigeria

  • Department of Public Health Technology, Federal University of Technology, Owerri, Imo state, Nigeria

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