Abstract
Objective: To assess the metabolic syndrome (MetS) status in pre and post menopausal women of Bangladesh.Materials and Methods: Secondary analysis from a cross-sectional study on 276 willing females from an urban and a rural area. The socio-epidemiologic factors were studied with anthropometric examination, blood pressure recording and fasting blood for analysis of triglyceride (TG), high density lipoprotein (HDL), fasting blood sugar (FBS) between pre and post menopausal women.Results and Discussion: Only 19.8% premenopausal women had MetS (95% CI=15.7%-24.7%) compared to that of 50% (95% CI=39.9%-60.1%) menopausal (p<0.001). Low HDL cholesterol prevailed in almost 97% respondents in both groups (p=0.12). The menopausal women had higher TG (51.6%, p=0.07), obesity (10.9%, 0=0.004), high FBS (40.6%, p<0.001) and hypertension (HTN, 32.8%, p<0.001) compared to those of (TG 39.3%, obesity 6.1%, high FBS 19.8% and HTN 9.9% respectively) premenopausal women. On logistic regression, HTN (OR=3.8, 95%CI: 1.9-7.7) and high FBS (OR=2.2, 95%CI: 1.1-4.2) produced significantly higher odds of being associated with menopause. Only menopause became significantly associated with MetS (OR=4.3, 95%CI: 23.0-7.9) after adjusted with residence and education of the respondents.Conclusion: MetS is highly prevalent in post menopausal women in Bangladesh. Women approaching menopause should be brought under health education scheme for awareness of MetS while aging.Bangladesh Journal of Medical Science Vol.17(1) 2018 p.42-46
Highlights
Menopause is the unavoidable event to conclude reproductive life of women
The components of metabolic syndrome were categorised by threshold value according to ATP III and MetS was calculated with all possible combination of components
MetS in menopause has clinical and public health implications[31] with a possibility of associating menopause and diabetes risk. It is associated with HTN32-34 which in turn has been identified as risk factors for cardiovascular disease (CVD)
Summary
A days more women are passing a longer period of their life after menopause due to increased life expectancy associating an increased risk[1] of metabolic syndrome (MetS). It had been recognized a public health problem[2] involving multiple systems. Identifying the community risk for MetS in menopausal women had been chosen an important study to reject the primary null hypothesis that there was no difference of MetS factors between pre and post menopausal Bangladeshi women. 1. Syed Muhammad Baqui Billah, Assistant Professor, Department of Epidemiology, Suleman Al Rajhi Medical University, Al Bukayriyah, Al Qassim, KSA. 2. Muna Shalima Jahan, Department of Obstetrics &Gynaecology, Sir Salimullah Medical, College, Dhaka
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