European Journal of Clinical and Biomedical Sciences

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Prevalence and Risk Factors of Metabolic Syndrome in Pregnant Women in the Centre and Littoral Regions of Cameroon

Received: 21 June 2020    Accepted: 09 July 2020    Published: 13 October 2020
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Abstract

Background: The prevalence of metabolic syndrome (MS) has increased exponentially this last decades in sub Saharan Africa. The aim of this study was to determine the prevalence of metabolic syndrome, its components and the risk factors associated with metabolic syndrome in Cameroonian pregnant women. Methods: It was a hospital-based cross sectional study involving pregnant women recruited in 16 public health facilities in the Centre and Littoral Regions of Cameroon. Socio-demographic factors and medical history were recorded using a structured questionnaire. Blood samples were collected and biochemical analyses were performed at the Laboratory Unit of the Bangangté District Hospital. The criteria given by National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III 2004) were modified to adapt in pregnancy state and used for assessment of metabolic syndrome. The Chi-square test, Pearson correlation test, Student-test, and multivariable logistic regression were used in this study. Results: A total of 859 pregnant women aged from 17 to 45 years were enrolled. The prevalence of metabolic syndrome was 7.0%. The prevalence of individual components of metabolic syndrome were: hyperglycaemia (47.1%), obesity (24.0%), hypertension (20.5%), Low High Density Lipoprotein Cholesterol (16.3%) and hypertriglyceridaemia (3.7%). Participants with metabolic syndrome had higher mean values of systolic blood pressure, diastolic blood pressure, fasting blood glucose, body mass index, triglycerides and lower high density lipoprotein cholesterol compared to those without metabolic syndrome. There was no significant association between socio-demographic factors and metabolic syndrome. High parity, family (parents) history of type 2 diabetes mellitus were positively associated with metabolic syndrome. Parity and gravidity were positively correlated with obesity. Obesity, hyperglycaemia, high systolic blood pressure, low high density lipoprotein cholesterol were significantly associated with metabolic syndrome. Furthermore, 72.6% of participants displayed at least one risk factor of metabolic syndrome. Conclusion: Metabolic syndrome is common in the Cameroonian pregnant women and its most prevalent components are hyperglycaemia and obesity. Increased in parity and parent history of type 2 diabetes mellitus were significantly associated with metabolic syndrome. Also, more than two-third of participants have at least one component of metabolic syndrome. The high prevalence of metabolic syndrome, hyperglycemia, obesity and hypertension demonstrates the need to closely follow up pregnant women in order to minimize the risk of metabolic syndrome, cardiovascular diseases, type 2 diabetes mellitus, maternal and foetal adverse outcomes.

DOI 10.11648/j.ejcbs.20200605.16
Published in European Journal of Clinical and Biomedical Sciences (Volume 6, Issue 5, October 2020)
Page(s) 104-115
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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.

Copyright

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

Keywords

Metabolic Syndrome, Prevalence, Pregnancy, Metabolic Syndrome Components, Association, Risk Factors

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Author Information
  • Department of Medical Laboratory Sciences, Faculty of Health Sciences, University of Buea, Buea, Cameroon

  • Department of Medical Laboratory Sciences, Faculty of Health Sciences, University of Buea, Buea, Cameroon

  • Department of Obstetrics and Gynecology, Faculty of Health Sciences, University of Buea, Buea, Cameroon

  • Department of Medical Laboratory Sciences, Faculty of Health Sciences, University of Buea, Buea, Cameroon; Department of Biomedical Sciences, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon

  • Department of Biomedical Sciences, Faculty of Medicine and Biomedical Sciences, University of Dschang, Dschang, Cameroon

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    Jules Destin Djeufouata, Walter Ebot Ojong, Theophile Nana Njamen, Jules Clement Nguedia Assob, Bruno Phelix Telefo. (2020). Prevalence and Risk Factors of Metabolic Syndrome in Pregnant Women in the Centre and Littoral Regions of Cameroon. European Journal of Clinical and Biomedical Sciences, 6(5), 104-115. https://doi.org/10.11648/j.ejcbs.20200605.16

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    Jules Destin Djeufouata; Walter Ebot Ojong; Theophile Nana Njamen; Jules Clement Nguedia Assob; Bruno Phelix Telefo. Prevalence and Risk Factors of Metabolic Syndrome in Pregnant Women in the Centre and Littoral Regions of Cameroon. Eur. J. Clin. Biomed. Sci. 2020, 6(5), 104-115. doi: 10.11648/j.ejcbs.20200605.16

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    AMA Style

    Jules Destin Djeufouata, Walter Ebot Ojong, Theophile Nana Njamen, Jules Clement Nguedia Assob, Bruno Phelix Telefo. Prevalence and Risk Factors of Metabolic Syndrome in Pregnant Women in the Centre and Littoral Regions of Cameroon. Eur J Clin Biomed Sci. 2020;6(5):104-115. doi: 10.11648/j.ejcbs.20200605.16

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  • @article{10.11648/j.ejcbs.20200605.16,
      author = {Jules Destin Djeufouata and Walter Ebot Ojong and Theophile Nana Njamen and Jules Clement Nguedia Assob and Bruno Phelix Telefo},
      title = {Prevalence and Risk Factors of Metabolic Syndrome in Pregnant Women in the Centre and Littoral Regions of Cameroon},
      journal = {European Journal of Clinical and Biomedical Sciences},
      volume = {6},
      number = {5},
      pages = {104-115},
      doi = {10.11648/j.ejcbs.20200605.16},
      url = {https://doi.org/10.11648/j.ejcbs.20200605.16},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ejcbs.20200605.16},
      abstract = {Background: The prevalence of metabolic syndrome (MS) has increased exponentially this last decades in sub Saharan Africa. The aim of this study was to determine the prevalence of metabolic syndrome, its components and the risk factors associated with metabolic syndrome in Cameroonian pregnant women. Methods: It was a hospital-based cross sectional study involving pregnant women recruited in 16 public health facilities in the Centre and Littoral Regions of Cameroon. Socio-demographic factors and medical history were recorded using a structured questionnaire. Blood samples were collected and biochemical analyses were performed at the Laboratory Unit of the Bangangté District Hospital. The criteria given by National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III 2004) were modified to adapt in pregnancy state and used for assessment of metabolic syndrome. The Chi-square test, Pearson correlation test, Student-test, and multivariable logistic regression were used in this study. Results: A total of 859 pregnant women aged from 17 to 45 years were enrolled. The prevalence of metabolic syndrome was 7.0%. The prevalence of individual components of metabolic syndrome were: hyperglycaemia (47.1%), obesity (24.0%), hypertension (20.5%), Low High Density Lipoprotein Cholesterol (16.3%) and hypertriglyceridaemia (3.7%). Participants with metabolic syndrome had higher mean values of systolic blood pressure, diastolic blood pressure, fasting blood glucose, body mass index, triglycerides and lower high density lipoprotein cholesterol compared to those without metabolic syndrome. There was no significant association between socio-demographic factors and metabolic syndrome. High parity, family (parents) history of type 2 diabetes mellitus were positively associated with metabolic syndrome. Parity and gravidity were positively correlated with obesity. Obesity, hyperglycaemia, high systolic blood pressure, low high density lipoprotein cholesterol were significantly associated with metabolic syndrome. Furthermore, 72.6% of participants displayed at least one risk factor of metabolic syndrome. Conclusion: Metabolic syndrome is common in the Cameroonian pregnant women and its most prevalent components are hyperglycaemia and obesity. Increased in parity and parent history of type 2 diabetes mellitus were significantly associated with metabolic syndrome. Also, more than two-third of participants have at least one component of metabolic syndrome. The high prevalence of metabolic syndrome, hyperglycemia, obesity and hypertension demonstrates the need to closely follow up pregnant women in order to minimize the risk of metabolic syndrome, cardiovascular diseases, type 2 diabetes mellitus, maternal and foetal adverse outcomes.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Prevalence and Risk Factors of Metabolic Syndrome in Pregnant Women in the Centre and Littoral Regions of Cameroon
    AU  - Jules Destin Djeufouata
    AU  - Walter Ebot Ojong
    AU  - Theophile Nana Njamen
    AU  - Jules Clement Nguedia Assob
    AU  - Bruno Phelix Telefo
    Y1  - 2020/10/13
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ejcbs.20200605.16
    DO  - 10.11648/j.ejcbs.20200605.16
    T2  - European Journal of Clinical and Biomedical Sciences
    JF  - European Journal of Clinical and Biomedical Sciences
    JO  - European Journal of Clinical and Biomedical Sciences
    SP  - 104
    EP  - 115
    PB  - Science Publishing Group
    SN  - 2575-5005
    UR  - https://doi.org/10.11648/j.ejcbs.20200605.16
    AB  - Background: The prevalence of metabolic syndrome (MS) has increased exponentially this last decades in sub Saharan Africa. The aim of this study was to determine the prevalence of metabolic syndrome, its components and the risk factors associated with metabolic syndrome in Cameroonian pregnant women. Methods: It was a hospital-based cross sectional study involving pregnant women recruited in 16 public health facilities in the Centre and Littoral Regions of Cameroon. Socio-demographic factors and medical history were recorded using a structured questionnaire. Blood samples were collected and biochemical analyses were performed at the Laboratory Unit of the Bangangté District Hospital. The criteria given by National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III 2004) were modified to adapt in pregnancy state and used for assessment of metabolic syndrome. The Chi-square test, Pearson correlation test, Student-test, and multivariable logistic regression were used in this study. Results: A total of 859 pregnant women aged from 17 to 45 years were enrolled. The prevalence of metabolic syndrome was 7.0%. The prevalence of individual components of metabolic syndrome were: hyperglycaemia (47.1%), obesity (24.0%), hypertension (20.5%), Low High Density Lipoprotein Cholesterol (16.3%) and hypertriglyceridaemia (3.7%). Participants with metabolic syndrome had higher mean values of systolic blood pressure, diastolic blood pressure, fasting blood glucose, body mass index, triglycerides and lower high density lipoprotein cholesterol compared to those without metabolic syndrome. There was no significant association between socio-demographic factors and metabolic syndrome. High parity, family (parents) history of type 2 diabetes mellitus were positively associated with metabolic syndrome. Parity and gravidity were positively correlated with obesity. Obesity, hyperglycaemia, high systolic blood pressure, low high density lipoprotein cholesterol were significantly associated with metabolic syndrome. Furthermore, 72.6% of participants displayed at least one risk factor of metabolic syndrome. Conclusion: Metabolic syndrome is common in the Cameroonian pregnant women and its most prevalent components are hyperglycaemia and obesity. Increased in parity and parent history of type 2 diabetes mellitus were significantly associated with metabolic syndrome. Also, more than two-third of participants have at least one component of metabolic syndrome. The high prevalence of metabolic syndrome, hyperglycemia, obesity and hypertension demonstrates the need to closely follow up pregnant women in order to minimize the risk of metabolic syndrome, cardiovascular diseases, type 2 diabetes mellitus, maternal and foetal adverse outcomes.
    VL  - 6
    IS  - 5
    ER  - 

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