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首页> 外文期刊>American Journal of Health Research >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
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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

机译：尼日利亚东南部一家三级医院的国家健康保险计划初级护理诊所的成年尼日利亚人中代谢综合征及其危险因素的聚集

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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.
机译：背景：尼日利亚的MetS发病率上升是一个国家健康问题。随着在不同尼日利亚人群中对MetS的病例检测增加，评估初级保健机构中NHIS患者中MetS的簇是一项重要的卫生服务挑战，这一挑战通常被忽略。目的：本研究旨在确定尼日利亚东南部一家三级医院的NHIS初级保健诊所中成年尼日利亚人中MetS的患病率及其危险因素。材料与方法：这是一项基于初级保健诊所的横断面研究根据国际糖尿病联合会（IDF）标准对210名成年NHIS患者进行了以下研究：男性腰围（WC）≥94 cm，女性腰围（WC）≥80 cm的患者被认为患有MetS，并且其中任何两个或多个下列情况：治疗时收缩压和/或舒张压≥130/ 85 mmHg和/或高血压;空腹血糖≥100mg / dL和/或糖尿病治疗;治疗时甘油三酯水平≥150mg / dL和/或高甘油三酯血症，男性高密度脂蛋白（HDL-C）胆固醇<40mg / dL，女性和/或HDL-C血脂异常<50 mg / dL。使用预先测试，结构化和研究人员管理的问卷收集数据。结果：MetS的患病率为38.6％。 MetS与年龄≥40岁（p = .002），女性（p = .044），高血压家族史（p = .036）和缺乏运动能力（p = .001）显着相关。 MetS的最重要预测因子是身体不活动。[OR = 3.09，CI =（1.81-10.06），p = .001]。与非MetS患者相比，MetS患者身体不活动的可能性高出三倍。结论：该研究表明，研究人群中存在MetS，并且与≥40岁，女性，高血压家族史和缺乏体育活动密切相关。最重要的预测变量是身体不活动。初级保健门诊的NH​​IS患者应成为MetS一级和二级预防干预的重点。

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