Abstract
BackgroundMetabolic syndrome (MetS) is a clustering of metabolic risk factors for cardiovascular diseases and type 2 diabetes. The study aimed to estimate the prevalence of MetS, its components, and their associations among rural middle-aged population in Vietnam.MethodsA cross-sectional study with a representative sample (n = 2443) was conducted to collect data on demographic, socioeconomic, anthropometric, lifestyles, plasma glucose, and lipid profile. The age- and sex-adjusted prevalences of MetS and its components were calculated using the direct standardization. Associations of risk factors with MetS were evaluated using logistic regression, taken into account the confounding factors.ResultsThe total age- and sex-adjusted prevalence (95% CI) of MetS was 16.3% (14.0 - 18.6). The most frequent component of MetS was high triglycerides (43.2%), followed by low HDL-C (42.0%), elevated blood pressure (29.2%), high plasma glucose (14.3%), and central obesity (12.3%). Of the total population, only 17.6% did not have any component of MetS and more than 40% had at least two MetS components. The association of MetS with residence, age, body mass index, marital status, and siesta time per day was statistically significant in univariate analysis and replicated in multivariate analysis.ConclusionThe MetS prevalence and its components are common and major public health burden in the middle-aged adults in Vietnam. Habitants living in urban, being never-married, having an increase in age, BMI, and siesta time per day are significantly associated with MetS, and they should be paid much more attention for screening and implementing preventive activities.
Highlights
Metabolic syndrome (MetS) is a clustering of metabolic risk factors for cardiovascular diseases and type 2 diabetes
Anthropometric measures, and fasting plasma glucose were significantly higher in men compared to
The present study indicated that the total age– and sex–adjusted prevalence of MetS was 16.3% (14.0–18.6) in the middleaged population in the Red River Delta region of Vietnam; and the prevalence of high TG, low high-density lipoprotein cholesterol (HDL-C), elevated blood pressure, high plasma glucose, and central obesity were 43.2, 42.0, 29.2, 14.3, and 12.3%, respectively
Summary
Metabolic syndrome (MetS) is a clustering of metabolic risk factors for cardiovascular diseases and type 2 diabetes. The study aimed to estimate the prevalence of MetS, its components, and their associations among rural middle-aged population in Vietnam. Metabolic syndrome (MetS) is a clustering of metabolic risk factors including central obesity, elevated blood pressure, increased fasting plasma glucose, high serum triglycerides, and low high-density cholesterol levels [1]. People with metabolic syndrome are at increased risk for atherosclerosis, peripheral vascular disease, coronary heart disease, myocardial infarction, stroke, and type 2 diabetes [2,3,4,5], which are the leading causes of death and disability worldwide [6]. Metabolic syndrome and its deadly consequences can be preventable and treated by Despite the worldwide importance of MetS, relatively little has been known about its actual prevalence and its risk factors in Vietnam. We conducted a cross–sectional study to identify the prevalence of MetS and its components, as well as associated factors for MetS in rural Vietnamese population
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