Abstract
BackgroundMacau has recently experienced expansive socioeconomic growth, leading to lifestyle changes that could have contributed to the development of certain diseases. Little information exists on the prevalence of metabolic syndrome (MetS) and associated risk factors. This information is important, since the management of MetS is tightly connected with prevention of cardiovascular diseases in the population.MethodsThis study is based on the cross-sectional Macau Health Survey 2006. Information on anthropometry, physical measurements, socio-demographics, laboratory tests and life-style habits was collected by trained health professionals from a random sub-population sample, aged 18-44 (32.6 ± 8.3). Body Mass Index (BMI) cut-offs were based on WHO criteria for Asian population. The prevalence of MetS, as defined by the International Diabetes Federation was calculated and the associated lifestyle factors were analysed.ResultsAmong Macau’s adults (n = 1592), the age-adjusted prevalence of MetS was over two times higher in men (10.5%) than in woman (3.7%), (p <0.01). 15.8% were overweight (BMI ≥23 < 25) and 18.8% were obese (BMI ≥25). Man had significantly higher risk profile in almost all components of MetS (p <0.001), except the waist circumference and HDL. BMI, age and education were significantly related to MetS in both genders (p <0.001).ConclusionsWe found significant gender differences in MetS among the 18 – 44 year old population of Macau, which should be addressed separately in the gender-specific preventive strategies.
Highlights
Macau has recently experienced expansive socioeconomic growth, leading to lifestyle changes that could have contributed to the development of certain diseases
More men than women had a higher individual income (USD 501+ per month; 87.8% vs 72.2%); 21.2% women and 38% men earned more than 1500 US dollars (USD) per month (Table 1)
The prevalence reached over 20% in men during the age range of 35 – 39.9 years (p < 0.001), (Figure 1, Table 2). 15.8% were overweight (BMI ≥23 < 25) and 18.8% were obese (BMI ≥25)
Summary
Macau has recently experienced expansive socioeconomic growth, leading to lifestyle changes that could have contributed to the development of certain diseases. Due to its large geographical area, varies substantially in demographic characteristics, cultural behaviours and lifestyle habits This may result in different disease prevalence across the regions, especially those tightly connected with lifestyle behaviours. A recent study found gender differences in the prevalence and development of MetS in Chinese population with abdominal a rapid economic transition from a less industrialized area to a major city in the region. It has a population of 520 000 (95% of Chinese, 2% Portuguese and 1% Filipinos and 2% of other ethnicities). This particular age was chosen as it represents a possible target for future health promotion in families
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