Assessment of Metabolic Syndrome and Its Risk Factors among Patients with Type 2 DM at Merjan Teaching Hospital, Al-Hilla City

Abstract

Background: Metabolic Syndrome (MS) has become prevalent medical problem globally and the main consequence of Diabetes Mellitus (DM) and Coronary Heart Diseases (CHD). Aim of Study: To determine the proportion of MS among patients with type 2 DM and its association with MS risk factors at Merjan Teaching Hospital in Al-Hilla City. Materials and Methods: Ahospital-based cross sectional study design was carried out on (300) diabetic type 2 DM patients at diabetic outpatient clinic in Merjan Teaching Hospital. The study duration was from December 2011to December 2012. Categorical variables were presented as frequencies and percentages. Continuous variables were presented as means with their 95% confidence interval (CI) and standard deviation. The Pearson's chi-square test (x 2 ) was used to determine the associations between categorical variables. Binary Logistic regression was done for multivariate analysis. A p-value of < 0.05 was considered as statistically significant. Results: The results showedthat, out of 300 diabetic patients, the proportion of MS was 226 (75.3%). The overall mean age of patients was 57.26± 7.07 years. (60.0%) patients were male and (45.7%) ofthe patients were from urban area. (60.0%) of patients had abdominal obesity and (61.0%) of patients adapt sedentary life style. (76.7%) of patients had high triglyceride, meanwhile,only (39.7%) had normal HDL. Hypertension was presented in (73.7%) of patients. Metabolic syndrome was statistically significant with male, urban area, abdominal obesity, sedentary lifestyle, high triglyceride and hypertension.Patients with high triglyceride were 71 times more likely to develop MS than patients with normal triglyceride. Conclusion: High proportion of MS among diabetic type 2patients in this study. High triglyceride, urban area and sedentary lifestyle were the strongest predictors of MS.