American Journal of Health Research

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Clustering of Metabolic Syndrome and its Risk Factors among Adult Nigerians in a National Health Insurance Scheme Primary Care Clinic of a Tertiary Hospital in South-Eastern Nigeria

Received: 26 January 2014    Accepted:     Published: 10 March 2014
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Abstract

Background: The increasing incidence of MetS in Nigeria is a national health problem. As the case detection of MetS increases in different Nigerian populations evaluating for its clusters among NHIS patients in primary care setting is an important health service challenge that is often overlooked. Aim: This study was designed to determine the prevalence of MetS and its risk factors among adult Nigerians in a NHIS primary care clinic of a tertiary hospital in South-eastern Nigeria.Materials and Methods: This was a primary care clinic-based cross sectional study carried out on 210 adult NHIS patients using International Diabetes Federation(IDF) criteria: An Individual was considered to have MetS in the presence of waist circumference(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. Data was collected using pretested, structured and researcher administered questionnaire. Results: The prevalence of MetS was 38.6%. MetS was significantly associated with old age≥40 years(p=.002), female sex(p=.044), family history of hypertension(p=.036) and physical inactivity(p=.001). The most significant predictor of MetS was physical inactivity.[OR=3.09 , CI=(1.81-10.06), p=.001]. The patients with MetS were three 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 and was significantly associated with old age ≥40 years, female sex, family history of hypertension and physical inactivity. The most significant predictor variable was physical inactivity. NHIS patients in the primary care clinic should be the focus of primary and secondary preventive interventions for MetS.

DOI 10.11648/j.ajhr.20140202.11
Published in American Journal of Health Research (Volume 2, Issue 2, March 2014)
Page(s) 33-42
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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

Adult Nigerians, Mets, NHIS, Prevalence, Primary Care Clinic, Risk Factors

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

  • Department of Family Medicine, Federal Medical Centre, Umuahia, Nigeria

  • Department of Family Medicine, Federal Medical Centre, Umuahia, Nigeria

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

  • Department of Family Medicine, Federal Teaching Hospital Abakiliki, Nigeria

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    Gabriel Uche Pascal Iloh, Orji Udo Nnorom, Patrick Uchenna Njoku, Godwin Oguejiofor Chukwuebuka Okafor, Augustine Obiora Ikwudinma. (2014). Clustering of Metabolic Syndrome and its Risk Factors among Adult Nigerians in a National Health Insurance Scheme Primary Care Clinic of a Tertiary Hospital in South-Eastern Nigeria. American Journal of Health Research, 2(2), 33-42. https://doi.org/10.11648/j.ajhr.20140202.11

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    Gabriel Uche Pascal Iloh; Orji Udo Nnorom; Patrick Uchenna Njoku; Godwin Oguejiofor Chukwuebuka Okafor; Augustine Obiora Ikwudinma. Clustering of Metabolic Syndrome and its Risk Factors among Adult Nigerians in a National Health Insurance Scheme Primary Care Clinic of a Tertiary Hospital in South-Eastern Nigeria. Am. J. Health Res. 2014, 2(2), 33-42. doi: 10.11648/j.ajhr.20140202.11

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    AMA Style

    Gabriel Uche Pascal Iloh, Orji Udo Nnorom, Patrick Uchenna Njoku, Godwin Oguejiofor Chukwuebuka Okafor, Augustine Obiora Ikwudinma. Clustering of Metabolic Syndrome and its Risk Factors among Adult Nigerians in a National Health Insurance Scheme Primary Care Clinic of a Tertiary Hospital in South-Eastern Nigeria. Am J Health Res. 2014;2(2):33-42. doi: 10.11648/j.ajhr.20140202.11

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  • @article{10.11648/j.ajhr.20140202.11,
      author = {Gabriel Uche Pascal Iloh and Orji Udo Nnorom and Patrick Uchenna Njoku and Godwin Oguejiofor Chukwuebuka Okafor and Augustine Obiora Ikwudinma},
      title = {Clustering of Metabolic Syndrome and its Risk Factors among Adult Nigerians in a National Health Insurance Scheme Primary Care Clinic of a Tertiary Hospital in South-Eastern Nigeria},
      journal = {American Journal of Health Research},
      volume = {2},
      number = {2},
      pages = {33-42},
      doi = {10.11648/j.ajhr.20140202.11},
      url = {https://doi.org/10.11648/j.ajhr.20140202.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajhr.20140202.11},
      abstract = {Background: The increasing incidence of MetS in Nigeria is a national health problem. As the case detection of MetS increases in different Nigerian populations evaluating for its clusters among NHIS patients in primary care setting is an important health service challenge that is often overlooked. Aim: This study was designed to determine the prevalence of MetS and its risk factors among adult Nigerians in a NHIS primary care clinic of a tertiary hospital in South-eastern Nigeria.Materials and Methods: This was a primary care clinic-based cross sectional study carried out on 210 adult NHIS patients using International Diabetes Federation(IDF) criteria: An Individual was considered to have MetS in the presence of waist circumference(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.  Data was collected using pretested, structured and researcher administered questionnaire. Results: The prevalence of MetS was 38.6%. MetS was significantly associated with old age≥40 years(p=.002), female sex(p=.044), family history of hypertension(p=.036) and physical inactivity(p=.001). The most significant predictor of MetS was physical inactivity.[OR=3.09 , CI=(1.81-10.06), p=.001]. The patients with MetS were three 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 and was significantly associated with old age ≥40 years, female sex, family history of hypertension and physical inactivity. The most significant predictor variable was physical inactivity. NHIS patients in the primary care clinic should be the focus of primary and secondary preventive interventions for MetS.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - Clustering of Metabolic Syndrome and its Risk Factors among Adult Nigerians in a National Health Insurance Scheme Primary Care Clinic of a Tertiary Hospital in South-Eastern Nigeria
    AU  - Gabriel Uche Pascal Iloh
    AU  - Orji Udo Nnorom
    AU  - Patrick Uchenna Njoku
    AU  - Godwin Oguejiofor Chukwuebuka Okafor
    AU  - Augustine Obiora Ikwudinma
    Y1  - 2014/03/10
    PY  - 2014
    N1  - https://doi.org/10.11648/j.ajhr.20140202.11
    DO  - 10.11648/j.ajhr.20140202.11
    T2  - American Journal of Health Research
    JF  - American Journal of Health Research
    JO  - American Journal of Health Research
    SP  - 33
    EP  - 42
    PB  - Science Publishing Group
    SN  - 2330-8796
    UR  - https://doi.org/10.11648/j.ajhr.20140202.11
    AB  - Background: The increasing incidence of MetS in Nigeria is a national health problem. As the case detection of MetS increases in different Nigerian populations evaluating for its clusters among NHIS patients in primary care setting is an important health service challenge that is often overlooked. Aim: This study was designed to determine the prevalence of MetS and its risk factors among adult Nigerians in a NHIS primary care clinic of a tertiary hospital in South-eastern Nigeria.Materials and Methods: This was a primary care clinic-based cross sectional study carried out on 210 adult NHIS patients using International Diabetes Federation(IDF) criteria: An Individual was considered to have MetS in the presence of waist circumference(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.  Data was collected using pretested, structured and researcher administered questionnaire. Results: The prevalence of MetS was 38.6%. MetS was significantly associated with old age≥40 years(p=.002), female sex(p=.044), family history of hypertension(p=.036) and physical inactivity(p=.001). The most significant predictor of MetS was physical inactivity.[OR=3.09 , CI=(1.81-10.06), p=.001]. The patients with MetS were three 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 and was significantly associated with old age ≥40 years, female sex, family history of hypertension and physical inactivity. The most significant predictor variable was physical inactivity. NHIS patients in the primary care clinic should be the focus of primary and secondary preventive interventions for MetS.
    VL  - 2
    IS  - 2
    ER  - 

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