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Metabolic Syndrome in Young Urban Adults : Natural Evolution in One Year

机译:年轻城市成年人的代谢综合征:一年内的自然演变

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Introduction: Metabolic syndrome (MS) is diagnosed in an individual if any three of the five risk factors for metabolic syndrome are present. These five risk factors are elevated waist circumference, blood pressure, fasting blood glucose, serum triglyceride and lowered high density lipoprotein. Although the long term natural evolution of MS has been reported yet there is insufficient research on the changes in risk factors of MS after one year of diagnosis. Objective: To evaluate changes in risk factors of metabolic syndrome after one year of its identification in young college going students of an urban Northern India population Material and method: Height, weight, body mass index and various risk factors for metabolic syndrome such as waist circumference, blood pressure, fasting blood sugar, triglycerides and High Density Lipoprotein were assessed at baseline and after one year. International Physical Activity Questionnaire was used to objectively assess physical activity levels of the participants. Results: Out of 88 participants, 16 participants were diagnosed with MS at baseline but after one year the number reduced to 8. Percentage decrease in triglyceride levels (13.5%) was maximum followed by decline in waist circumference (8.9%) fasting blood glucose showed an increase by 6.6%. However, HDL, blood pressure, weight and BMI showed no significant change after one year. 70.6% of participants showed reduction in WC followed by reduction in fasting blood glucose of and triglyceride levels of 66.7% participants. Elevation of HDL levels was observed in 38.5% of the participants. Thus there was least improvement in HDL in the study population after one year. The increase in IPAQ physical activity scores after one year as compared to baseline was not statistically significant but the total sitting and average sitting time showed a statistically significant decline after one year. Conclusion: The incidence of MS shows a 49.7% decline after one year even when no specific dietary or physical activity advise is given to the participants. Although mean values of triglycerides showed the largest decrease after one year yet decline in waist circumference was seen in maximum percentage of participants. There was least improvement in HDL in the study population after one year.
机译:介绍:如果存在代谢综合征的五种危险因素中的任何三种,则代谢综合征(MS)被诊断为个体。这五种风险因素是腰围升高,血压,空腹血糖,血清甘油三酯和降低高密度脂蛋白。虽然报告了MS的长期自然演进,但诊断一年后MS风险因素的变化也没有足够的研究。目的:评估在城市北部人口材料的年轻大学生识别后一年内代谢综合征风险因素变化及方法:高度,体重,体重指数和腰围等代谢综合征的各种风险因素,在基线和一年后评估血压,禁食血糖,甘油三酯和高密度脂蛋白。国际体育活动调查问卷客观地评估参与者的身体活动水平。结果:在88名参与者中,16名参与者被诊断为基线MS,但在一年后,数量减少到8.甘油三酯水平的百分比(13.5%)最大,然后腰围下降(8.9%)禁食血糖显示增加6.6%。然而,HDL,血压,体重和BMI一年后没有显着变化。 70.6%的参与者显示WC的减少,然后减少血糖和甘油三酯水平66.7%的参与者。在38.5%的参与者中观察到HDL水平的升高。因此,在一年后,研究人群中的HDL最少的改善。与基线相比,一年后IPAQ身体活动的增加并不统计学意义,但总坐着和平均随身时间在一年后略有显着下降。结论:即使没有对参与者提供任何特定的饮食或身体活动,MS的发病率均显示一年后的49.7%。虽然甘油三酯的平均值显示,在一年后的最大减少,但在最大百分比的参与者的最大百分比中看到了腰围的下降。在一年后,研究人口中的HDL最不改善。

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