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Metabolic syndrome among overweight and obese adults in Palestinian refugee camps
BACKGROUND: Metabolic syndrome (MetS) is one of the main reasons for elevated cardiovascular morbidity and mortality worldwide. Obese and overweight individuals are at high risk of developing these chronic diseases. The aim of this study was to characterize and establish sex-adjusted prevalence of m...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5907715/ https://www.ncbi.nlm.nih.gov/pubmed/29713387 http://dx.doi.org/10.1186/s13098-018-0337-2 |
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author | Damiri, Basma Abualsoud, Mohammed S. Samara, Amjad M. Salameh, Sakhaa K. |
author_facet | Damiri, Basma Abualsoud, Mohammed S. Samara, Amjad M. Salameh, Sakhaa K. |
author_sort | Damiri, Basma |
collection | PubMed |
description | BACKGROUND: Metabolic syndrome (MetS) is one of the main reasons for elevated cardiovascular morbidity and mortality worldwide. Obese and overweight individuals are at high risk of developing these chronic diseases. The aim of this study was to characterize and establish sex-adjusted prevalence of metabolic syndrome and its components. METHODS: A cross-sectional study was conducted in 2015, 689 (329 men and 360 women) aged 18–65 years from three refugee camps in the West Bank. International Diabetes Federation and modified National Cholesterol Education Program-Third Adult Treatment Panel definitions were used to identify MetS. RESULTS: The overall prevalence of obesity and overweight was high, 63.1%; Obesity (42 and 29.2% in women men; respectively and overweight 25.8 and 28.9% in women and men; respectively. The prevalence of MetS among obese and overweight was significantly higher (69.4%) according to IDF than NCEP definition (52%) (p < 0.002) with no significant differences between men and women using both definitions; (IDF; 71.8% men vs. 67.6% women, and (NCEP/ATP III; 51.9% men vs. 52.2% women). The prevalence of MetS increased significantly with increasing obesity and age when NCEP criterion is applied but not IDF. The prevalence of individual MetS components was: high waist circumference 81.3% according to IDF and 56.5% according to NCEP, elevated FBS 65.3% according to IDF and 56% according to NCEP, elevated blood pressure 48%, decreased HDL 65.8%, and elevated triglycerides 31.7%. Based on gender differences, waist circumferences were significantly higher in women according to both criteria and only elevated FBS was higher in women according to IDF criteria. Physical activity was inversely associated with MetS prevalence according to NCEP but not IDF. No significant associations were found with gender, smoking, TV watching, and family history of hypertension or diabetes mellitus. CONCLUSION: In this study, irrespective of the definition used, metabolic syndrome is highly prevalent in obese and overweight Palestinian adults with no gender-based differences. The contribution of the metabolic components to the metabolic syndrome is different in men and women. With the increase of age and obesity, the clustering of metabolic syndrome components increased remarkably. More attention through health care providers should, therefore, be given to the adult population at risk to reduce adulthood obesity and subsequent cardiovascular diseases. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13098-018-0337-2) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5907715 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-59077152018-04-30 Metabolic syndrome among overweight and obese adults in Palestinian refugee camps Damiri, Basma Abualsoud, Mohammed S. Samara, Amjad M. Salameh, Sakhaa K. Diabetol Metab Syndr Research BACKGROUND: Metabolic syndrome (MetS) is one of the main reasons for elevated cardiovascular morbidity and mortality worldwide. Obese and overweight individuals are at high risk of developing these chronic diseases. The aim of this study was to characterize and establish sex-adjusted prevalence of metabolic syndrome and its components. METHODS: A cross-sectional study was conducted in 2015, 689 (329 men and 360 women) aged 18–65 years from three refugee camps in the West Bank. International Diabetes Federation and modified National Cholesterol Education Program-Third Adult Treatment Panel definitions were used to identify MetS. RESULTS: The overall prevalence of obesity and overweight was high, 63.1%; Obesity (42 and 29.2% in women men; respectively and overweight 25.8 and 28.9% in women and men; respectively. The prevalence of MetS among obese and overweight was significantly higher (69.4%) according to IDF than NCEP definition (52%) (p < 0.002) with no significant differences between men and women using both definitions; (IDF; 71.8% men vs. 67.6% women, and (NCEP/ATP III; 51.9% men vs. 52.2% women). The prevalence of MetS increased significantly with increasing obesity and age when NCEP criterion is applied but not IDF. The prevalence of individual MetS components was: high waist circumference 81.3% according to IDF and 56.5% according to NCEP, elevated FBS 65.3% according to IDF and 56% according to NCEP, elevated blood pressure 48%, decreased HDL 65.8%, and elevated triglycerides 31.7%. Based on gender differences, waist circumferences were significantly higher in women according to both criteria and only elevated FBS was higher in women according to IDF criteria. Physical activity was inversely associated with MetS prevalence according to NCEP but not IDF. No significant associations were found with gender, smoking, TV watching, and family history of hypertension or diabetes mellitus. CONCLUSION: In this study, irrespective of the definition used, metabolic syndrome is highly prevalent in obese and overweight Palestinian adults with no gender-based differences. The contribution of the metabolic components to the metabolic syndrome is different in men and women. With the increase of age and obesity, the clustering of metabolic syndrome components increased remarkably. More attention through health care providers should, therefore, be given to the adult population at risk to reduce adulthood obesity and subsequent cardiovascular diseases. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13098-018-0337-2) contains supplementary material, which is available to authorized users. BioMed Central 2018-04-19 /pmc/articles/PMC5907715/ /pubmed/29713387 http://dx.doi.org/10.1186/s13098-018-0337-2 Text en © The Author(s) 2018 Open AccessThis article is 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, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Damiri, Basma Abualsoud, Mohammed S. Samara, Amjad M. Salameh, Sakhaa K. Metabolic syndrome among overweight and obese adults in Palestinian refugee camps |
title | Metabolic syndrome among overweight and obese adults in Palestinian refugee camps |
title_full | Metabolic syndrome among overweight and obese adults in Palestinian refugee camps |
title_fullStr | Metabolic syndrome among overweight and obese adults in Palestinian refugee camps |
title_full_unstemmed | Metabolic syndrome among overweight and obese adults in Palestinian refugee camps |
title_short | Metabolic syndrome among overweight and obese adults in Palestinian refugee camps |
title_sort | metabolic syndrome among overweight and obese adults in palestinian refugee camps |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5907715/ https://www.ncbi.nlm.nih.gov/pubmed/29713387 http://dx.doi.org/10.1186/s13098-018-0337-2 |
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