Relationship of sociodemographic and lifestyle factors and diet habits with metabolic syndrome (MetS) among three ethnic groups of the Malaysian population
Relationship of sociodemographic and lifestyle factors and diet habits with metabolic syndrome (MetS) among three ethnic groups of the Malaysian population
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DOI：
10.1371/journal.pone.0224054
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发表时间：
2020-03-19
期刊：
影响因子：
3.7
通讯作者：
Kadir, Khalid Abdul
中科院分区：
文献类型：
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作者：
Iqbal, Saleem Perwaiz;Ramadas, Amutha;Kadir, Khalid Abdul
ObjectivesLiterature显示MetS在马来西亚人中的高患病率，在主要种族中各不相同。由于这些社区的社会人口特征、生活方式因素和饮食习惯据报道是多样的，本研究的目的是调查各种社会人口特征、生活方式因素和饮食习惯与MetS的整体关系，以及与马来西亚三个主要民族社区的关系，材料和方法我们对居住在马来西亚柔佛州的481名18岁及以上的马来西亚人进行了横断面研究。使用结构化问卷收集有关人口统计学、生活方式和饮食习惯的信息。采用统一标准评估MetS的状态。多元Logistic回归，以确定任何社会人口和生活方式的因素和饮食行为与MetS.ResultsMetS之间的关联被发现在32.2%的受访者，更普遍的印度人（51.9%），其次是马来人（36.7%）和中国（20.2%）。总体而言，年龄增长（40-49岁时的AOR = 2.44[95%CI = 1.27-4.70] vs. 60岁及以上时的AOR = 4.14[95%CI = 1.97-8.69]）和印度种族（AOR = 1.95[95%CI = 1.12-3.38）]增加了MetS的几率，而高等教育（AOR = 0.44[95%CI = 0.20-0.94]降低了该人群中MetS的几率。快速完成用餐（AOR = 2.17[95%CI = 1.02-4.60]）和低体力活动（AOR = 4.76[95%CI = 1.49-15.26]）分别与马来人和华人MetS发病几率增加相关。其中一些因素与某些种族的MetS有关。鉴于这些差异，需要采取针对种族的措施，以降低该人群中MetS的患病率。
ObjectivesLiterature shows a high prevalence of MetS among Malaysians, varying across the major ethnicities. Since sociodemographic characteristics, lifestyle factors and diet habits of such communities have been reported to be diverse, the objective of this study was to investigate the association of various sociodemographic characteristics, lifestyle factors and diet habits with MetS overall, as well as with the three major ethnic communities in Malaysia, specifically.Materials and methodsWe conducted a cross-sectional study among 481 Malaysians of ages 18 years and above living in the state of Johor, Malaysia. Information on demographics, lifestyle and diet habits were collected using a structured questionnaire. Harmonized criteria were used to assess the status of MetS. Multiple logistic regression was employed to determine any associations between sociodemographic and lifestyle factors and dietary behaviours with MetS.ResultsMetS was found among 32.2% of the respondents and was more prevalent among the Indians (51.9%), followed by the Malays (36.7%) and the Chinese (20.2%). Overall, increasing age (AOR = 2.44[95%CI = 1.27-4.70] at 40-49 years vs. AOR = 4.14[95%CI = 1.97-8.69] at 60 years and above) and Indian ethnicity (AOR = 1.95[95%CI = 1.12-3.38)] increased the odds of MetS, while higher education (AOR = 0.44[95%CI = 0.20-0.94] decreased the odds of MetS in this population. Quick finishing of meals (AOR = 2.17[95%CI = 1.02-4.60]) and low physical activity (AOR = 4.76[95%CI = 1.49-15.26]) were associated with increased odds of MetS among the Malays and the Chinese, respectively.ConclusionThe population of Johor depicts a diverse lifestyle and diet behaviour, and some of these factors are associated with MetS in certain ethnic groups. In the light of such differences, ethnic specific measures would be needed to reduce the prevalence of MetS among those in this population.