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Metabolic Syndrome according to Three Definitions in Hammam-Sousse Sahloul Heart Study: A City Based Tunisian Study

机译:根据Hammam-Sousse Sahloul心脏研究中的三个定义进行的代谢综合症:基于城市的突尼斯研究

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Objectives. Metabolic syndrome (MetS) is a major risk factor of CVD. The aim of the present study is to determine the prevalence of the MetS, its components, and its different profiles according to NCEP-ATP III 2001, IDF 2005, and JIS 2009 definitions in Hammam-Sousse Sahloul Heart Study (HSHS).Study Design. The study involved 1121 participants (364 men and 757 women; sex-ratio  =  0.48; mean age  =  47.49 ± 16.24 years) living in Hammam Sousse city, located in the east of Tunisia.Methods. Anthropometric parameters, blood pressure, lipids levels, glycemia, insulinemia, and body mass index were measured. Statistical analyses were performed by SPSS16.0.Results. The percentage of participants who had MetS defined according to NCEP ATP III, IDF 2005, and JIS 2009 definitions was respectively, 29.5%, 38.4%, and 39.6%. With regard to gender, the prevalence of MetS is higher in men than in women according to IDF 2005 definition (38.5% men versus 38.3% women,P=0.961) and according to JIS 2009 definition (41.8% men versus 38.6% women,P=0.307), whereas, according to NCEP ATP III definition, the prevalence of MetS is higher in women than in men (30% versus 28.6%,P=0.627). The prevalence of MetS increased with increasing age according to the three definitions (P<0.001) and peaked in the oldest age group (≥70 years) according to IDF 2005 and JIS 2009. Furthermore, a significant difference in the prevalence of MetS components according to gender was observed. Indeed, the abdominal obesity is the most frequent MetS compound in women group, but hypertension and low HDL-C are the most frequent in men. In addition, according to the three definitions, the most frequent MetS profile in our study is “higher waist circumference, hypertension, and low HDL-C.”Conclusion. The high prevalence of MetS is a serious public health problem in Hammam-Sousse Sahloul community. Higher waist circumference, hypertension, and low HDL-C were the most frequent profile in our study.
机译:目标。代谢综合征(MetS)是CVD的主要危险因素。本研究的目的是根据Hammam-Sousse Sahloul心脏研究(HSHS)中的NCEP-ATP III 2001,IDF 2005和JIS 2009定义来确定MetS,其组成及其不同谱的患病率。 。该研究涉及居住在突尼斯东部哈马姆苏斯市的1121名参与者(364名男性和757名女性;性别比= 0.48;平均年龄= 47.49±16.24岁)。测量人体测量学参数,血压,脂质水平,血糖,胰岛素血症和体重指数。用SPSS16.0进行统计分析。根据NCEP ATP III,IDF 2005和JIS 2009定义定义MetS的参与者百分比分别为29.5%,38.4%和39.6%。关于性别,根据IDF 2005的定义,男性中MetS的患病率高于女性(男性38.5%,女性38.3%,P = 0.961)和根据JIS 2009定义(男性41.8%,女性38.6%,P = 0.307),而根据NCEP ATP III的定义,女性MetS的患病率高于男性(30%对28.6%,P = 0.627)。根据三个定义,MetS的患病率随年龄的增加而增加(P <0.001),根据IDF 2005和JIS 2009,在年龄最大的年龄组(≥70岁)中达到峰值。性别。确实,腹部肥胖是女性人群中最常见的MetS化合物,但高血压和低HDL-C男性人群中最常见。此外,根据这三个定义,我们研究中最常见的MetS状况是“腰围高,高血压和低HDL-C”。结论。在Hammam-Sousse Sahloul社区中,MetS的高流行是一个严重的公共卫生问题。高腰围,高血压和低HDL-C是我们研究中最常见的情况。

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