Abstract
Prevalence of Metabolic Syndrome in a Rural and Urban Community in South-West Nigeria Using Three Different Definitions
Highlights
Metabolic syndrome (MetS) considered an abnormality of energy utilization and storage is a complex disorder composed of interconnected risk factors [1]
The prevalence of MetS was higher in the urban than rural community irrespective of the definition used (28.2% vs 13.7% NCEP, 30.8% vs 12.2% International Diabetes Federation (IDF), 33.3% vs 12.2% Joint Interim Statement (JIS)) (P< .001)
Several formal definitions consisting of specified diagnostic parameters for identifying individuals with the syndrome have been made available by the World Health Organization (WHO) [5], the International Diabetes Federation (IDF) [6], National Cholesterol Education Program—Third Adult Treatment Panel (NCEP ATPIII) [7] and the Joint Interim Statement (JIS) was proposed by IDF and AHA/NHLBI to harmonize the definition of MetS [1]
Summary
Metabolic syndrome (MetS) considered an abnormality of energy utilization and storage is a complex disorder composed of interconnected risk factors [1]. The characterizing features include hypertension, hyperglycaemia, hypertriglyceridaemia, decreased high density lipoprotein cholesterol (HDL-C) and excess adiposity most especially abdominal obesity [2] Clustering of these interlinked metabolic abnormalities in a single individual has been reported to considerably increase the risk for developing several non-communicable diseases such as Type 2 diabetes mellitus (T2DM). Rural-urban comparison of prevalence of Metabolic syndrome using the International Diabetes Federation (IDF), National Cholesterol Education Program—Third Adult Treatment Panel (NCEP ATP III) and the Joint Interim Statement (JIS) definitions was done. The prevalence of MetS was higher in the urban than rural community irrespective of the definition used (28.2% vs 13.7% NCEP, 30.8% vs 12.2% IDF, 33.3% vs 12.2% JIS) (P< .001). Conclusion: Prevalence of MetS was high in rural and urban communities in South-west Nigeria regardless of the criteria used. The need for public health measures to reduce the prevalence of MetS in Nigeria cannot be over emphasized
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