Comprehensive assessment of metabolic syndrome among rural Bangladeshi women.

Comprehensive assessment of metabolic syndrome among rural Bangladeshi women.
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DOI:
10.1186/1471-2458-12-49
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发表时间:
2012-01-19
期刊:
影响因子:
4.5
通讯作者:
Watanabe T
Watanabe T
中科院分区:
医学2区
文献类型:
--
作者:
Jesmin S;Islam MR;Islam AM;Mia MS;Sultana SN;Zaedi S;Yamaguchi N;Iwashima Y;Hiroe M;Watanabe T

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代谢综合征(MS)被定义为一系列心血管疾病(CVD)危险因素,是亚太地区增长最快的公共卫生负担之一。尽管这个地区的人并不比欧洲人和美国人超重,但这一趋势仍然存在。不幸的是,在南亚,除了孟加拉国,只有少数国家进行了多发性硬化症筛查。因此,本研究旨在对孟加拉国农村妇女进行MS的全面筛查,包括患病率估计和风险因素评估。采用基于人口的横断面调查对1535名年龄≥15岁的孟加拉国农村妇女进行了研究。采用NCEP ATP III、修改后的NCEP ATP III和IDF标准估计MS的患病率。NCEP ATP III组MS患病率为25.60%,改良NCEP ATP III组为36.68%,IDF组为19.80%。此外,根据NCEP ATP III标准,11.60%的受试者腰围超标;29.12%的患者血压升高,30.42%的患者空腹血糖升高,85.47%的患者HDL低,26.91%的患者甘油三酯升高。低血浆HDL水平被发现是目标人群中最常见的异常,而腰围升高是最不常见的成分。本研究揭示了孟加拉国农村妇女多发性硬化症及其相关危险因素的高患病率。这些发现很重要,因为它们提供了有助于制定有效的公共卫生政策的见解,特别是有助于在孟加拉国制定未来的卫生预防战略。
Metabolic 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. A 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. The 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. The 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.
DOI: 10.1001/archinte.164.10.1066
发表时间: 2004-05-24
影响因子: --
作者:
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通讯作者: Pyorala, K
DOI: 10.1007/bf00400196
发表时间: 1991-12-01
期刊: DIABETOLOGIA
影响因子: 8.2
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影响因子: 5.4
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影响因子: 5.1
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DOI: 10.1016/j.jacc.2005.11.074
发表时间: 2006-04-18
影响因子: 24
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