Metabolic syndrome among pre- and post-menopausal rural women in Bangladesh: result from a population-based study.
Metabolic syndrome among pre- and post-menopausal rural women in Bangladesh: result from a population-based study.
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孟加拉国的绝经前和后农村妇女的代谢综合征：基于人群的研究。
DOI：
10.1186/1756-0500-6-157
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发表时间：
2013-04-18
影响因子：
1.8
通讯作者：
Mizutani T
中科院分区：
文献类型：
--
作者：
Jesmin S;Islam AM;Akter S;Islam MM;Sultana SN;Yamaguchi N;Okazaki O;Moroi M;Hiroe M;Kimura S;Watanabe T;Saturo K;Mizutani T
非传染性疾病的流行在更年期妇女中是一个具有挑战性的问题，特别是在孟加拉国这样的最不发达国家，大多数妇女在更年期后至少患有一种慢性病。因此，本研究的主要目的是确定孟加拉国农村绝经前和绝经后妇女中代谢综合征的患病率和相关危险因素。本研究基于对1802名年龄≥15岁的农村妇女进行的基于社区的横断面调查。根据NCEP-ATP III标准定义代谢综合征。采用Logistic回归估计绝经状态与代谢综合征及其组成部分之间的关系。25.6%的受访者出现代谢综合征，绝经后（39.3%）比绝经前（16.8%）妇女更普遍。Logistic回归分析显示，绝经后妇女的代谢综合征患病率是绝经前妇女的1.78倍（P = 0.001）。绝经后妇女的高血压、空腹血糖升高和高甘油三酯患病率明显高于绝经前妇女（P < 0.05）。然而，绝经后妇女的低高密度脂蛋白胆固醇患病率明显低于绝经前妇女（P < 0.001）。代谢综合征似乎是孟加拉国等许多发展中国家绝经后妇女的一个主要健康问题，应在政策上适当强调对其预防和控制。
Prevalence of non-communicable diseases are a challenging problems among menopausal women specially in a least developed country like Bangladesh, where majority of women suffering from at least one chronic diseases after menopausal age. So, the main objective of this study was to determine the prevalence of metabolic syndrome and related risk factors in Bangladeshi pre- and post-menopausal women living in the rural setting. This study is based on a community based cross-sectional survey among 1802 rural women aged ≥15 years. Metabolic syndrome was defined according to the criteria of NCEP-ATP III. Logistic regression was used to estimate the association between menopausal status and metabolic syndrome and its components. Metabolic syndrome was presented in 25.6% respondents and it was more prevalent among post-menopausal (39.3%) as compared to pre-menopausal (16.8%) women. Logistic regression analysis reveals that prevalence of metabolic syndrome was 1.78 times higher in post-menopausal women than pre-menopausal women (P = 0.001). Prevalence of high blood pressure, elevated fasting blood glucose, and high triglyceride were significantly higher in post-menopausal women than pre-menopausal women (P < 0.05). However, prevalence of low high-density lipoprotein cholesterol was significantly lower in post-menopausal women than pre-menopausal women (P < 0.001). Metabolic syndrome seems to be a major health problem among post-menopausal women in many developing countries like Bangladesh and proper policy emphasis should be given on its prevention and control.