Prevalence of metabolic syndrome and components in rural, semi-urban and urban areas in the littoral region in Cameroon: impact of physical activity

Journal of Health, Population and Nutrition

Research

Laurent Serge Etoundi Ngoa¹  Noel Babayana Etaga²  Jerson Mekoulou Ndongo²  Clarisse Noel Ayina Ayina²  Elysée Claude Bika Lele²  Nadine Carole Bilog²  Josiane Gertrude Bwegne Ngasse Bindi²  Samuel Honoré Mandengue³  Peguy Brice Assomo-Ndemba⁴  Abdou Temfemo⁵  Wiliam Richard Guessogo⁶  Jessica Guyot⁷  Caroline Dupré⁷  Nathalie Barth⁷  Yves Julien Mbama Biloa⁷  Bienvenu Bongue⁷ 

[1] Department of Animal Science, Higher Teacher’s Training College, University of Yaoundé I, Yaounde, Cameroon;Department of Biology of Animal Organisms, Faculty of Science, University of Douala, Douala, Cameroun;Exercise and Sport Physiology Unit, Faculty of Science, University of Douala, Douala, Cameroon;Department of Biology of Animal Organisms, Faculty of Science, University of Douala, Douala, Cameroun;Exercise and Sport Physiology Unit, Faculty of Science, University of Douala, Douala, Cameroon;Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon;Exercise and Sport Physiology Unit, Faculty of Science, University of Douala, Douala, Cameroon;Department of Physiology, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon;Exercise and Sport Physiology Unit, Faculty of Science, University of Douala, Douala, Cameroon;Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon;Exercise and Sport Physiology Unit, Faculty of Science, University of Douala, Douala, Cameroon;National Institute for Youth and Sports Yaounde, University of Yaounde I, Yaounde, Cameroon;Mines Saint-Etienne, INSERM, SAINBIOSE U1059, 42023, Saint-Étienne, France;

关键词: Physical activity;    Metabolic syndrome;    Urban;    Semi-urban;    And rural areas;    Littoral;    Cameroon;   

DOI  :  10.1186/s41043-023-00415-0

 received in 2023-03-08, accepted in 2023-07-09,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundLiving areas in developing countries impact seriously lifestyle by modifying energy consumption and energy expenditure. Thus, urbanization is associated with less practice of physical activity (PA), a leading cause of metabolic syndrome (MetS) which prevalence vary in African countries. The present study aimed to assess the effect of PA on MetS according to urbanization level in the littoral region, Cameroon.MethodsA cross-sectional study was conducted in three geographical settings (urban, semi-urban, and rural) in the littoral region in Cameroon. A total of 879 participants were included (urban: 372, semi-urban: 195 and rural: 312). MetS was defined according to the International Federation of Diabetes 2009. The level of PA was assessed using the Global Physical Activity questionnaire.ResultsLow level of PA was (P < 0.0001) reported in urban (54.5%), semi-urban (28.7%) and rural (16.9%) and high level in rural area (77.9%). The prevalence of MetS was higher in urban areas (37.2%), then rural (36.8%) and finally semi-urban (25.9%). Hyperglycemia (p = 0.0110), low HDL-c (p < 0.0001) and high triglyceridemia (p = 0.0068) were most prevalent in urban residents. Participants with low level of PA were at risk of MetS (OR: 1.751, 95% CI 1.335–2.731, p = 0.001), hyperglycemia (OR: 1.909, 95% CI 1.335–2.731, p = 0.0004) abdominal obesity(OR: 2.007, 95% CI 1.389–2.900, p = 0.0002), low HDL-c (OR: 1.539, 95% CI 1.088–2.179, p = 0.014) and those with moderate level of PA were protected against high blood pressure(OR: 0.452, 95% CI 0.298–0.686, p = 0.0002) and compared to those with high level of PA. Urban dwellers were at the risk of MetS compared to rural residents (OR: 1.708, 95% CI. 1.277–2.285, p = 0.003) and protected against high blood pressure (OR:0.314, 95% CI 0.212–0.466, p < 0.0001), abdominal obesity (OR: 0.570, 95% CI 0.409–0.794, p = 0.0009), and low HDL-c (OR: 0.725, 95% CI 0.534–0.983, p = 0.038) compared to rural residents.ConclusionsMetS was more prevalent in urban dwellers and was associated with a low level of PA.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

Fig. 5

Fig. 4