Urban and rural variation in clustering of metabolic syndrome components in the Thai population: results from the fourth National Health Examination Survey 2009

BMC Public Health

Research Article

Surasak Taneepanichskul¹  Rassamee Sangthong²  Wannee Nitiyanant³  Suwat Chariyalertsak⁴  Pattapong Kessomboon⁵  Panwadee Putwatana⁶  Wichai Aekplakorn⁷  Rungkarn Inthawong⁸ 

[1] College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand;Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand;Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand;Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand;Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand;Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Rama VI Rd., Rajdevi, 10400, Bangkok, Thailand;Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Rama VI Rd., Rajdevi, 10400, Bangkok, Thailand;National Health Examination Survey Office, Health System Research Institute, Nonthaburi, Thailand;National Health Examination Survey Office, Health System Research Institute, Nonthaburi, Thailand;

关键词: Waist Circumference;    High Density Lipoprotein;    High Blood Pressure;    Abdominal Obesity;    Leisure Time Physical Activity;   

DOI  :  10.1186/1471-2458-11-854

 received in 2011-07-26, accepted in 2011-11-10,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundInformation on the distribution of Metabolic syndrome (MetS) and its combinations by urban/rural areas in lower-middle income countries has been limited. It is not clear how the various combinations of MetS components varied by urban/rural population and if particular combinations of MetS are more common. This study aimed to estimate the prevalence of MetS and combinations of MetS components according to sex and urban/rural areas from a nationally representative sample of Thai adults.MethodsData from the fourth National Health Examination Survey of 19,256 Thai adults aged 20 years and over were analyzed. MetS was defined using the harmonized criteria of six international expert groups with Asian-specific cut-point for waist circumference.ResultsThe prevalence of MetS was 23.2% among adults aged ≥ 20 years (19.5% in men and 26.8% in women). Among men, the prevalence of MetS in urban was higher than those in rural areas (23.1% vs 17.9%, P < 0.05), but among women, the prevalence was higher in rural areas (27.9% vs 24.5%, P < 0.05). Overall, an individual component of low high density lipoprotein (HDL) and hypertriglyceridemia were more common in rural areas, while obesity, high blood pressure and hyperglycemia were more common in urban areas. The most common combination of MetS components in men was the clustering of low HDL, hypertriglyceridemia, and high blood pressure (urban: 3.4% vs. rural: 3.9%, adjusted OR 0.9, 95%CI 0.7, 1.1). Among women, the most common combination was the clustering of obesity, low HDL, and hypertriglyceridemia (urban: 3.9% vs rural: 5.9%, adjusted OR 0.8, 95%CI 0.6, 0.9), followed by the clustering of these three components with high blood pressure (urban: 3.1% vs. rural 4.5%, adjusted OR 0.8, 95%CI 0.7, 0.9).ConclusionMetabolic syndrome affects both urban and rural population with different pattern of MetS combinations. Dyslipidemia and obesity were the most common components among women in rural areas, hence, interventions to prevent and control these factors should be strengthened.

【 授权许可】

CC BY   
© Aekplakorn et al; licensee BioMed Central Ltd. 2011