Comprehensive assessment of metabolic syndrome among rural Bangladeshi women

BMC Public Health

Research Article

Naoto Yamaguchi¹  Tetsu Watanabe²  Yoshio Iwashima³  Michiaki Hiroe⁴  Subrina Jesmin⁵  Md Reazul Islam⁵  Md Sohag Mia⁵  A M Shahidul Islam⁵  Sayeeda Nusrat Sultana⁵  Sohel Zaedi⁶ 

[1] Center for Medical Sciences, Ibaraki Prefectural University of Health Sciences, 300-0394, Ami-machi, Inashiki-gun, Ibaraki, Japan;Department of public Health, Tokai University Graduate School of Medicine, Isehara, Japan;Division of Hypertension and Nephrology, National Cardiovascular Center of Japan, 5-7-1, Fujishirodai, Suita City, Osaka, Japan;National Center for Global Health and Medicine, 1-21-1 Toyama, 162-8655, Shinjuku-ku, Tokyo, Japan;National Center for Global Health and Medicine, 1-21-1 Toyama, 162-8655, Shinjuku-ku, Tokyo, Japan;Health and Disease Research Center for Rural Peoples, Ena Arista, Flat # B-3, House # 802, Road # 3, Baitul Aman Housing Society, 1207, Adabor, Dhaka, Bangladesh;National Center for Global Health and Medicine, 1-21-1 Toyama, 162-8655, Shinjuku-ku, Tokyo, Japan;Health and Disease Research Center for Rural Peoples, Ena Arista, Flat # B-3, House # 802, Road # 3, Baitul Aman Housing Society, 1207, Adabor, Dhaka, Bangladesh;Center for Medical Sciences, Ibaraki Prefectural University of Health Sciences, 300-0394, Ami-machi, Inashiki-gun, Ibaraki, Japan;

关键词: Metabolic syndrome X;    Asia;    Western;    Bangladesh;    Rural populations;    Women;   

DOI  :  10.1186/1471-2458-12-49

 received in 2011-09-03, accepted in 2012-01-19,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundMetabolic syndrome (MS), defined as a constellation of cardiovascular disease (CVD) risk factors, is one of the fastest growing public health burdens in the Asia-Pacific region. This trend is despite the fact that people in this region are no more overweight than Europeans and Americans. Unfortunately, in South Asia, MS screening has only been performed in a few countries other than Bangladesh. Therefore the present study is designed to conduct a comprehensive screening of MS in Bangladeshi rural women, which includes estimation of prevalence and assessment of risk factor.MethodsA total of 1535 rural Bangladesh women aged ≥ 15 years were studied using a population based cross-sectional survey. The prevalence of MS was estimated using NCEP ATP III, modified NCEP ATP III and IDF criteria.ResultsThe prevalence rates of MS were 25.60% (NCEP ATP III), 36.68% (modified NCEP ATP III), and 19.80% (IDF), as revealed by the present study. Furthermore, based on the NCEP ATP III criteria, 11.60% of the subjects were found to have excess waist circumference; 29.12% had elevated blood pressure, 30.42% had elevated fasting plasma glucose level, 85.47% had low HDL values and 26.91% had increased triglyceride values. Low plasma HDL level was found to be the most common abnormality in the target population and elevated waist circumference was the least frequent component.ConclusionsThe present study reveals a high prevalence of MS and its associated risk factors in rural Bangladeshi women. These findings are important in that they provide insights that will be helpful in formulating effective public health policy, notably the development of future health prevention strategies in Bangladesh.

【 授权许可】

CC BY   
© Jesmin et al; BioMed Central Ltd. 2012