Lower Prevalence Of Metabolic Syndrome Research Articles

The Mediterranean lifestyle (MEDLIFE) index and metabolic syndrome in a non-Mediterranean working population

The Mediterranean lifestyle (MEDLIFE), as an overall lifestyle pattern, may be associated with a lower prevalence of metabolic syndrome. We assessed the association of a validated MEDLIFE index with metabolic syndrome and its components in a non-Mediterranean working population. A cross-sectional analysis was conducted at baseline among 249 US career firefighters in Feeding America's Bravest 2016-2018. The MEDLIFE index consisted of 26 items on food consumption, dietary habits, physical activity, rest, and social interactions that scored 0 or 1 point. Thus, total scores could range from 0 to 26 points. Multivariable logistic regression models were used to determine the associations across tertiles of MEDLIFE adherence with metabolic syndrome and each of its individual components. Multivariable linear models further assessed each component as a continuous outcome. The prevalence of metabolic syndrome was 17.7%. Participants with higher MEDLIFE adherence (T3: 11-17 points) had 71% lower odds of having metabolic syndrome compared to those with lower MEDLIFE adherence (T1: 2-7 points) (OR=0.29; 95%CI: 0.10 to 0.90, p for trend=0.04). Furthermore, significant inverse associations were found for T3 versus T1 on abdominal obesity (OR=0.42; 95%CI: 0.18 to 0.99, p for trend=0.07) and hypertriglyceridemia (OR=0.24; 95%CI: 0.09 to 0.63, p for trend=0.002). Significant inverse associations for continuous outcomes included total-cholesterol (total-c), low-density lipoprotein (LDL) cholesterol, and total-c:high-density lipoprotein (HDL) cholesterol (p for trend <0.05). Higher adherence to traditional Mediterranean lifestyle habits, as measured by a comprehensive MEDLIFE index, was associated with a lower prevalence of metabolic syndrome and a more favorable cardiometabolic profile in a non-Mediterranean working population. Future studies employing the MEDLIFE index in other populations are warranted to support this hypothesis.

Comparative Analysis of Metabolic Syndrome Diagnostic Criteria and Its Effects on Prevalence in a Multiethnic Population.

Background: Accurate prevalence measurement and diagnosis to prevent type 2 diabetes mellitus and cardiovascular disease cannot occur without consistent diagnostic criteria that can be applied to varying populations. Objective: The objective of this study was to determine the prevalence of metabolic syndrome in Caucasian, Filipino, Native Hawaiian, and Japanese populations utilizing different definitions. Methods: This study utilized cross-sectional study data from the Native Hawaiian/Multiethnic Health Research Project, collected from a population living in Kohala, Hawai'i. The National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATPII), International Diabetes Federation (IDF), and World Health Organization (WHO) definitions were utilized, and each of the 1452 participants were evaluated on the criteria for metabolic syndrome based on all three definitions. Additionally, the average biomarker values associated with the diagnosis were taken for each ethnic group represented in the study and compared with Caucasians. Results: The overall prevalence of metabolic syndrome in this population varied from 22.31% to 39.05% using the different definitions. Ethnic disparities also occur, implying that certain populations are more prone to having severe abnormalities than others-shown when comparing the average biomarker values associated with metabolic syndrome diagnosis. Of all ethnic groups included in the study, Caucasians had the lowest prevalence of metabolic syndrome, while part-Hawaiians had the highest prevalence. Additionally, within the same ethnic group, the definitions yielded varying prevalence values. Conclusions: This implies that discrepancies exist among the criteria alone. Implications of this study revolve around not only the correct definition to apply to the population being studied but also the most accurate way to detect certain biomarker abnormalities to accurately assess the prevalence of metabolic syndrome in a multiethnic population.

An Investigation of the Genetic Variability of Metabolic Syndrome and Hemoglobin A1c among African Americans: Rethinking Current Standards of Type 2 Diabetes Diagnosis

Biological markers for Metabolic Syndrome, such as serum lipids and Hemoglobin A1c may have genetic variability among African Americans versus their Caucasian American counterparts. Although cases of Type 2 diabetes and its sequela significantly outweigh Caucasian Americans in the US, paradoxically research has found a lower prevalence of Metabolic Syndrome among blacks versus whites despite there being higher rates of Type 2 diabetes among the former population. Research has shown Metabolic Syndrome lipid parameters among African Americans are more favorable despite outstanding Type 2 diabetes incidence. With the emergence of the Human Genome Project and Genome Wide Association Studies, genetic differences in these parameters have been uncovered and genetic variability may play a role in such paradoxical mismatch. It may be reasonable to consider modifying Metabolic Syndrome parameters as given this new biological evidence. Hemoglobin A1c, also a biological marker used to monitor glucose levels over time, shows variability in its measurements with respect to African Americans. Genetic factors may play a role in the discrepancies among African Americans populations when using this parameter to monitor blood glucose. Precision medicine is now at the forefront of a biomedical new age, to find therapies that cater to specific populations based on genetic research. African Americans may not benefit from such a revolutionary paradigm shift in medicine due to evidence of lack of inclusivity in such studies like the Human Genome Project. Consideration should be made to the future of molecular medicine to include more minority populations such as African Americans in order to cater to specific differences rather than generalized standards of care.

Childbearing age is correlated with components of metabolic syndrome and parameters of insulin resistance in Chinese menopausal women

Objective To assess the relationship between childbearing age and elements of metabolic syndrome (MS) among menopausal women in China. Materials and methods One thousand one hundred and forty-one subjects were divided into four interim average childbearing age (ACA) groups: ≥16 < 24 years old, ≥24 < 29 years old, ≥29 < 34 years old, and ≥34 years old. The group with the lowest prevalence of MS was used as a control. Body mass index, waist circumference (WC) and waist-to-hip ratio were assessed. Plasma glucose, lipids, glycated hemoglobin (HbA1c) and fasting insulin (FINS) were measured. Insulin resistance (IR) was assessed using the homeostasis model assessment (HOMA) method. Results The prevalence of MS in the 16–24 and 29–34 age groups was higher than that in the control group (p < .05). Compared with the control group, the odds ratios of MS were 1.431 for the 16-24 group (p < .05) and 1.553 for the 29-34 group (P < 0.01). ACA was correlated with FINS, HOMA-IR, WC, fasting plasma glucose, and triglycerides independent of age (p < .05). Conclusions Average childbearing age was correlated with parameters of IR and components of MS independent of age in Chinese menopausal women.

Lipid Accumulation Product Index to Predict Metabolic Syndrome in People Living with HIV.

Dyslipidemia and central obesity are the main components of metabolic syndrome, which represent important risk factors for cardiovascular diseases in people living with human immunodeficiency virus (HIV). The lipid accumulation product (LAP) index has been shown in studies as an efficient marker of metabolic syndrome in general adult population and its applicability in HIV-infected population is not discussed. We aimed to assess the accuracy of the LAP index to identify metabolic syndrome in people living with HIV. It is a cross-sectional study with 141 HIV-infected patients on antiretroviral therapy, conducted in a reference centre of infectious diseases in southeast Brazil. Evaluations included LAP index, anthropometric measurements and clinical and laboratorial variables. Metabolic syndrome was defined by International Diabetes Federation (IDF) criteria. The prevalence of metabolic syndrome in our sample was 10.6%. A positive and significant correlation was found between the metabolic syndrome and LAP (r=0.401; P<0.01), metabolic syndrome and body mass index (r=0.361; P<0.01) and metabolic syndrome and waist circumference (r=0.427; P<0.01) in our sample. The analysis of the receiver-operating characteristic (ROC) curve revealed that the best cut-off value for LAP index to define metabolic syndrome was 59.4 (sensitivity 80%, specificity 79% and area under the curve (AUC) of 0.875. In female and male, analysis of the ROC curve revealed that the best cut-off value for LAP index to define metabolic syndrome was 56.3 (sensitivity 100%, specificity 82% and AUC of 0.929) and 52.0 (sensitivity 78%, specificity 74% and AUC of 0.838), respectively. Despite the low prevalence of metabolic syndrome in our sample, the ROC curves analyzes demonstrated a good diagnostic accuracy as an additional screening tool of metabolic syndrome according to the IDF.

The epidemiological profile of metabolic syndrome in Indian population: A comparative study between men and women

BackgroundMetabolic syndrome is one of the most important risk factors that increase the likelihood of developing chronic diseases. Therefore, the aim of this study is to determine the prevalence of metabolic syndrome and its component as well as to find out the predictors in India. It has also tried to see the coexistence of metabolic syndrome and other morbid conditions. MethodsThis study has utilized the secondary data collected in fourth round of National Family Health Survey (NFHS-4), which was conducted during 2015–2016 in India. Since this study is concentrated on metabolic syndrome among women and men, so various information regarding biomarker measurements and various socio-economic, demographic and lifestyle characteristics have been used. Appropriate bivariate and multivariate analysis have been done to carry out the results. ResultsIn this representative sample of Indian men, about 1.1% have met the International Diabetes Federation (IDF) criteria for metabolic syndrome whereas almost 1.5% women aged 15–49 have met this criteria. The results of multivariate analysis revealed that the risk of metabolic syndrome increase steadily with age and the risk is quite high among people belonging to higher wealth quintiles and postmenopausal period. ConclusionThough this study has shown a comparatively lower prevalence of metabolic syndrome but at the same time it has highlighted some high prevalence for the components of metabolic syndrome. So emphasis should be focused on prevention, early detection of metabolic risk factors and treatment of its components that will have a significant impact on future adult health.

Metabolic syndrome in native populations living at high altitude: a cross-sectional survey in Derong, China

ObjectiveThe metabolic syndrome is a major risk factor for cardiovascular disease. Little information exists on the prevalence of the metabolic syndrome at high-altitude areas in China. We aimed to estimate...

Associations of Meal Timing and Frequency with Obesity and Metabolic Syndrome among Korean Adults.

Emerging studies indicate that meal timing is linked to cardiometabolic risks by deterioration of circadian rhythms, however limited evidence is available in humans. This large-scale cross-sectional study explored the associations of meal timing and frequency with obesity and metabolic syndrome among Korean adults. Meal timing was defined as nightly fasting duration and morning, evening, and night eating, and meal frequency was estimated as the number of daily eating episodes using a single-day 24-hour dietary recall method. Meal frequency was inversely associated with prevalence of abdominal obesity, elevated blood pressure, and elevated triglycerides in men only. Independent of the nightly fasting duration and eating episodes, morning eating was associated with a lower prevalence of metabolic syndrome (odds ratio (OR), 0.73; 95% confidence interval (CI), 0.57–0.93 for men and OR, 0.69; 95% CI, 0.54–0.89 for women) than no morning eating, whereas night eating was associated with a 48% higher prevalence of metabolic syndrome (OR, 1.48; 95% CI, 1.15–1.90) than no night eating in men only. Longer fasting duration and less sleep were associated with obesity and metabolic syndrome. These findings suggest that overall eating patterns, including energy distribution across the day, eating frequency, and sleep duration, rather than fasting duration alone, are related to cardiometabolic risks in free-living Korean adults.

Phenotype and genotype of polycystic ovary syndrome in Asia: Ethnic differences.

Polycystic ovary syndrome (PCOS) is a common endocrine disorder in reproductive-aged women, and ethnic diversity has been reported in its manifestation. This review addressed phenotype and genetic studies in Asian women with PCOS. Generally, East Asians are less hirsute, and the hirsutism score cutoff is lower than the Caucasian counterpart. It is not clear whether there are any significant differences in the prevalence or severity of irregular menstruation (IM) or characteristics of polycystic ovary (PCO) across ethnicities. Interestingly, the IM/PCO subgroup is a relatively common phenotype in East Asian patients but not in Caucasian patients. The prevalence of insulin resistance in PCOS patients varies depending on the index used and the cutoff, but women with PCOS showed a higher degree of insulin resistance than those of controls across ethnicities. Lower body mass index (BMI) and lower prevalence of metabolic syndrome were reported in East Asian patients, but despite lower BMI, a comparative study reported that Asian women with PCOS were more likely to have diabetes compared with Caucasian patients, suggesting they also have metabolic complications. Unlike East Asian patients, South Asian patients showed an increased degree of hirsutism, early onset of symptoms, and severe insulin resistance and metabolic risks compared with Caucasians. Genetic components play important roles in the pathogenesis of PCOS, and genome-wide association studies of PCOS suggest that similar genetic risk factors exist between Asian and Caucasian patients. Continuous comparative studies are needed to standardize the diagnosis and management of PCOS across different ethnicities.

Relationship between metabolic syndrome and total bilirubin in nonagenarians and centenarians living in Hubei Zhongxiang Province

Metabolic syndrome is closely related to target organ injury such as heart, brain, and kidney. And bilirubin is an effective antioxidant. At present, there is a lack of research data on metabolic syndrome and serum total bilirubin in longevity elderly people. This study aimed to study the prevalence of the metabolic syndrome and its correlation with serum total bilirubin level in nonagenarians and centenarians living in Hubei Zhongxiang Province. According to the demographic information provided by Zhongxiang Civil Affairs Bureau, 128 elderly people were interviewed and 11 of them were excluded. A total of 117 population were included in the study. Questionnaires, physical examination, and blood test were made. 117 subjects aged 90-113 years with an average age of (98.6±4.8) years old were analysed. The prevalence of metabolic syndrome and its diagnostic components were obesity 19.7%, hyperglycemia 29.9%, hypertension 94.0%, hypertriglyceridemia 33.3%, low high density lipoprotein-cholesterol (HDL-C) levels 17.1%, and metabolic syndrome 23.9%. Logistic regression analysis found that the total bilirubin level was negatively correlated with metabolic syndrome and triglyceride levels(P 0.05). The nonagenarians and centenarians have a low prevalence of metabolic syndrome in Zhongxiang, Hubei Province, total bilirubin was negatively correlated with metabolic syndrome and triglyceride. Key words: Elderly people; Metabolic syndrome; Total bilirubin

CVD risk factors and surrogate markers - Urban-rural differences.

Aims: Disparity in cardiovascular disease (CVD) mortality and risk factor levels between urban and rural regions has been confirmed worldwide. The aim of this study was to examine how living in different community types (urban-rural) in childhood and adulthood are related to cardiovascular risk factors and surrogate markers of CVD such as carotid intima-media thickness (IMT) and left ventricular mass (LVM). Methods: The study population comprised 2903 participants (54.1% female, mean age 10.5 years in 1980) of the Cardiovascular Risk in Young Finns Study who had been clinically examined in 1980 (age 3-18 years) and had participated in at least one adult follow-up (2001-2011). Results: In adulthood, urban residents had lower systolic blood pressure (-1 mmHg), LDL-cholesterol (-0.05 mmol/l), lower body mass index (-1.0 kg/m2) and glycosylated haemoglobin levels (-0.05 mmol/mol), and lower prevalence of metabolic syndrome (19.9 v. 23.7%) than their rural counterparts. In addition, participants continuously living in urban areas had significantly lower IMT (-0.01 mm), LVM (1.59 g/m2.7) and pulse wave velocity (-0.22 m/s) and higher carotid artery compliance (0.07%/10 mmHg) compared to persistently rural residents. The differences in surrogate markers of CVD were only partially attenuated when adjusted for cardiovascular risk factors. Conclusions: Participants living in urban communities had a more favourable cardiovascular risk factor profile than rural residents. Furthermore, participants continuously living in urban areas had less subclinical markers related to CVD compared with participants living in rural areas. Urban-rural differences in cardiovascular health might provide important opportunities for optimizing prevention by targeting areas of highest need.

Metabolic Syndrome Prevalence among Armed Forces Personnel (Military Personnel and Police Officers): A Systematic Review and Meta-Analysis.

Metabolic syndrome (MetS) is closely linked to type 2 diabetes and cardiovascular disease. Various studies have reported the prevalence of MetS in different armed forces personnel in different countries. However, performing a systematic review and meta-analysis on this subject seems necessary. The aim of this study was to estimate the pooled prevalence of MetS among armed forces personnel including members of the military and police forces. A systematic review was carried out on all associated papers published in PubMed, Scopus, Web of Science and Cochrane Library, encompassing the timeframe: November, 2018 to January 2000. The overall prevalence of MetS, and its prevalence based on different diagnostic criteria [National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III), American Heart Association (AHA) and International Diabetes Federation (IDF)] were pooled using a random-effects model. Twenty five eligible studies were selected for the meta-analysis. Among all police officers contained in this study group, the overall prevalence of MetS was 26.2% (95% CI: 19.7-34%; Q = 229.45, p = 0.00). Among different military personnel contained in this study group, the overall estimation of MetS prevalence was 8.3% (95% CI: 6.3-11%; Q = 540.88, p = 0.00) the prevalence of MetS was 8.0% (95% CI: 5.7-11%; Q = 409.76, p = 0.00) according to the NCEP-ATP III criterion. The findings from the present meta-analyses displayed a low prevalence of metabolic syndrome in armed forces in general. These findings will allow healthcare providers and policy-makers to find solutions in order to take action to reduce MetS risks on a wider scale, especially among police officers.

Association Between Intake of Antioxidant Vitamins and Metabolic Syndrome Prevalence Among Korean Adults (P24-001-19)

ObjectivesThe purpose of this study was to examine the association between intake of antioxidant vitamins and prevalence of metabolic syndrome among Korean adults. MethodsBased on the data from the 2013∼2016 Korea National Health and Nutrition Examination Survey (KNHANES), a total of 10,351 adults aged 19∼64 years were included. Presence of metabolic syndrome was determined using the National Cholesterol Education Program Adult Treatment Panel Ⅲ criteria. Intakes of antioxidant vitamins (vitamin A, vitamin C, and vitamin E) were estimated by combining a 24-h dietary recall data with an antioxidant vitamin database for common Korean foods. We analyzed through the multiple logistic regression method to assess the association between dietary antioxidant vitamins and metabolic syndrome. ResultsMen in the highest tertile of vitamin C (OR = 0.75, 95% CI = 0.58–0.95, p for trend = 0.0212) and vitamin E (OR = 0.76, 95% CI = 0.60–0.96, p for trend = 0.0212) intakes showed a significantly lower prevalence of metabolic syndrome than those in the lowest tertiles. Women in the highest intake group of vitamin A had a lower OR for increased waist circumference (OR = 0.80, 95% CI = 0.66–0.99, p for trend = 0.0618) than the lowest intake group. The OR for elevated triglycerides was lower among women in the highest tertile of vitamin C compared with those in the lowest tertile (OR = 0.75, 95% CI = 0.61–0.93, p for trend = 0.0016). ConclusionsThese results suggest that the dietary intake of antioxidant vitamins might be associated with the prevalence of metabolic syndrome among Korean adults. Further prospective research is required to elucidate the association between dietary antioxidants intake and the incidence of metabolic syndrome and other chronic diseases. Funding SourcesThis research was supported by Basic Science Research Program through the National Research Foundation of Korea(NRF) funded by the Ministry of Science and ICT(NRF-2018R1A2B6007070). Supporting Tables, Images and/or Graphs▪

Independent relationships of daily life activity and leisure-time exercise with metabolic syndrome and its traits in the general Japanese population.

This study aimed to investigate independent relationships of daily non-exercise life activity and leisure-time exercise volume and intensity with the prevalence of metabolic syndrome and its traits in Japanese adults. Data of 24,625 eligible subjects (12,709 men, 11,916 women) who participated in the baseline survey of the Japan Multi-Institutional Collaborative Cohort (J-MICC) Study were analyzed. Information about lifestyle characteristics was obtained from a questionnaire. Logistic regression analyses were performed to evaluate the independent associations of daily life activity as well as leisure-time exercise volume and intensity with the prevalence of metabolic syndrome and its traits by sex. Male subjects with higher daily life activity as well as with higher leisure-time exercise volume had a lower prevalence of metabolic syndrome, independently with each other. Female subjects with higher daily life activity also had a lower prevalence of metabolic syndrome. Particularly, male and female subjects with the highest daily life activity quartile showed considerably low odds ratios of 0.66 (95% CI, 0.53-0.81) and 0.64 (0.52-0.79), respectively, for low HDL-cholesterol even after the adjustment for BMI compared with the first quartile. Meanwhile, male subjects with the higher leisure-time exercise showed a quite lower prevalence of elevated triglycerides. Higher moderate-intensity exercise was more intensely associated with a lower prevalence of metabolic syndrome and some of its traits in both sexes. Our results suggest that higher daily life activity and higher moderate-intensity exercise may be independently associated with a lower risk of metabolic syndrome in Japanese adults.

Prevalence of metabolic syndrome in dialysis and transplant patients.

Background: Several epidemiological studies have assessed various components of Metabolic Syndrome (MS) in different populations, but only a few compared the prevalence of metabolic syndrome in dialysis and transplant patients.Aim: The aim of this study is to compare the prevalence of MS in dialysis and transplant patients. Two groups of patients were included; hemodialysis patients and patients with transplanted kidneys.Methods: Demographic and clinical history, and lab data were collected. A total of 108 patients were included in this study with a mean age of 52.3 (±16.29) years. Study groups included 61 (56.5%) dialysis patients, and 47 (43.5%) patients with transplanted kidneys.Results: Upon comparing the prevalence of metabolic syndrome between the two study groups, transplant patients had significantly lower prevalence of metabolic syndrome (34%) compared to that of metabolic syndrome in patients on dialysis (55.7%; P=0.016).Conclusion: As metabolic syndrome plays an important role in the pathology of elderly patients, especially those with transplanted kidneys, such findings indicate the need for close monitoring of kidney transplant patients for the manifestations of metabolic syndrome.

251. The Prevalence of Metabolic Syndrome In Adolescents With Polycystic Ovary Syndrome Under Different Diagnostic Criteria

There is ample evidence that increased risk of metabolic dysfunction is present in women with polycystic ovary syndrome (PCOS). Existing literature on the prevalence of metabolic syndrome (MBS) in the adolescent population with PCOS is inconsistent. A recently conducted meta-analysis found that the prevalence of MBS ranged from 4.9% to 43.6% in adolescent girls with PCOS. The discrepancy in the prevalence of MBS in adolescents is likely due to application of differing diagnostic criteria for both PCOS and MBS. The impact of the specific PCOS diagnostic criteria used on the prevalence of MBS in adolescents has not yet been evaluated. As such, the objective of the current study was to assess the prevalence of MBS in adolescents with PCOS under different diagnostic criteria. A retrospective chart review was conducted on female patients (N=37), ages 11-22 years, with PCOS who were seen at Nationwide Children’s Hospital between January 2013 and December 2017. Patients were included in the study only if they had received screening that would allow comparison across all PCOS diagnostic criteria including the National Institute of Health (NIH), Rotterdam, Androgen Excess Society (AES), Amsterdam, Endocrine Society (ES) and the Pediatric Endocrine Society (PES). The presence of MBS was established using the International Diabetes Federation criteria. Patients were categorized according to the 6 different PCOS diagnostic criteria and then the presence of MBS and risk factors were evaluated. Mean age of the study population was 15.4 ±1.66 years (range: 11.5-20.4). All patients met the diagnosis of PCOS utilizing the Rotterdam criteria; whereas only 15/37 (40.5%) met the diagnosis using the Amsterdam criteria. The prevalence of a PCOS diagnosis among the other diagnostic guidelines was 30/37 (81.1%) NIH, 32/37 (86.5%) AES, 29/37 (78.4%) ES, and 25/37 (67.6%) with the PES criteria. For the entire study cohort, MBS was present in 17/37 (45.9%) patients. Arterial hypertension was evident in 10/37 (27.0%), and no patients were on antihypertensive medication. Low HDL was observed in 28/37 (75.7%), high triglyceride in 12/37 (32.4%) and no patients were on lipid lowering medication. Elevated blood glucose was found in 9/37 (24.3%), and no patients had Type 2 diabetes mellitus. The highest prevalence of MBS was found among the subgroup of patients meeting the PES diagnostic criteria (13/25, 52.0%), while the lowest prevalence of MBS was in the subgroup meeting the Amsterdam criteria (6/15, 40.0%). Those diagnosed using the PES criteria also had the highest percentage of patients with 3 or more risk factors for MBS. This study of adolescents evaluated for PCOS found that the prevalence of MBS varied according to the specific PCOS diagnostic criteria used and ranged from 40 % to 52 % in the same patient population. Prevalence of MBS was highest when PES guidelines were used. The PES criteria are adolescent-specific, and thus have refined the definition of clinical hyperandrogenism and ovulatory dysfunction for this population. These results highlight the importance of validated adolescent specific PCOS diagnostic criteria.

Metabolic syndrome in adolescents and its association with diet quality

ABSTRACT Objective Analyzing the prevalence of metabolic syndrome and its association with adolescent diet quality. Methods Cross-sectional research with 327 adolescents from public and private high schools of Teresina, Piauí. Socioeconomic, anthropometric, and food consumption data were analyzed to obtain the Brazilian Healthy Eating Index-Revised. Moreover, data related to metabolic syndrome (blood glucose, blood pressure, waist circumference, triglycerides, and high-density lipoprotein cholesterol) were also analyzed. Continuous variables were described by means, standard deviations, and 95% confi dence intervals. To verify the association between dependent and explanatory variables, we calculated the adjusted odds ratio. The level of signifi cance was set at p&lt;0.05. Results The prevalence of metabolic syndrome was 3.3%, with low high-density lipoprotein cholesterol concentration being the most frequent alteration (50.5%). The mean score on the Brazilian Healthy Eating Index-Revised was 55.4 points. The worst scores were obtained in whole cereals, dark-green and orange vegetables, oils, milk and dairy products, and whole fruits. In contrast, total cereals, meat, eggs, and legumes had scores close to the maximum stipulated. The lowest tertile of dark-green, orange, and leguminous vegetables showed risk for low high-density lipoprotein cholesterol, and the second tertile was protective against high blood glucose levels. As for the milk group, its lower intake increased the chances for high triglyceride and blood pressure levels. Conclusion Despite the low prevalence of metabolic syndrome, there were significant alterations in its components,associated with less consumption of important Brazilian Healthy Eating Index-Revised items.

Effectiveness of an Interdisciplinary Health Education Intervention on Metabolic Syndrome in Community Residents: A Study of Four Towns in Northern Taiwan

Metabolic syndrome, a widespread condition in Taiwan, increases the risks of cardiovascular diseases. Cardiovascular disease is the second leading cause of death in Taiwan after cancer. Thus, this health problem is a priority issue of concern. To study the effects of active intervention of interdisciplinary health education on the prevalence of metabolic syndrome in community residents. This longitudinal study was conducted from 2014 to 2015 on 661 participants who were all over 30 years old and living in four towns in northern Taiwan. The data were collected into two steps. In the first step, participants completed a blood study, body measurement, and pretest questionnaires and participated in the entire course of metabolic syndrome health education. The results of the blood test and body measurement were blinded to the experienced metabolic physicians before and after the education courses. In the second step, one year after administering the interdisciplinary health education course, the participants repeated the blood study, body measurement, and posttest questionnaires. 1. The participants had a higher incidence of metabolic syndrome. However, gender and marital status had no significant correlation with metabolic syndrome. Higher education levels were associated with a lower prevalence of metabolic syndrome. 2. The average scores for literacy rose from 2.30 pretest to 5.65 posttest. There were significant correlations (p < .05) between pretest and posttest health education. 3. The diagnosis of metabolic syndrome in this study changed from 215 participants (32.5%) to 170 participants (25.7%) between pretest and posttest (p < .05). 4. active health education had significant and positive effects on the cessation of smoking and chewing betel nut (p <.05). The active interdisciplinary health education intervention used in this study significantly decreased the smoking and betel-nut chewing habits and decreased the overall risk of metabolic syndrome in participants. Therefore, providing active health education on metabolic syndrome holds the potential to significantly decrease the prevalence of metabolic syndrome in at-risk populations. In addition, healthcare providers should make appropriately targeted health education more accessible to elderly patients who are prone to metabolic syndrome. Finally, the cessation of chewing betel nut should be seen as a major factor in the prevention and alleviation of metabolic syndrome.

Relationship between meat consumption and metabolic syndrome in adults in China

Objective: To explore the relationship between meat consumption and metabolic syndrome (MS) in Chinese adults aged ≥18 years. Methods: The data were obtained from 2010- 2012 National Nutrition and Health Survey. A total of 34 923 subjects who completed the dietary survey, the physical examination and had the testing results of blood sugar and blood lipid levels were enrolled in this study. MS was defined according to the diagnostic criteria of China Diabetes Society 2013. The prevalence ratios of MS and each form of MS and related 95%CI were calculated after post stratification weight according to the population data (2009) released by the national bureau of statistics. Results: The average meat intake among subjects was 94.8 g/d. People who had meat consumption between 100 g/d and 199 g/d had the lowest prevalence of MS, abdominal obesity and hyperglycemia. As the meat consumption increased, the prevalence of MS in men increased. Men who had meat consumption of ≥300 g/d had a higher risk of MS than those who had low level of meat consumption, with prevalence ratio equaled to 1.46 (95%CI: 1.14~1.87). Similar trend was not observed in women. Conclusion: Moderate intake of meat is associated with reduced risk of MS in Chinese adults.

The Association of Dietary Fiber Intake with Cardiometabolic Risk in Four Countries across the Epidemiologic Transition.

The greatest burden of cardiovascular disease is now carried by developing countries with cardiometabolic conditions such as metabolic syndrome, obesity and inflammation believed to be the driving force behind this epidemic. Dietary fiber is known to have protective effects against obesity, type 2 diabetes, cardiovascular disease and the metabolic syndrome. Considering the emerging prevalence of these cardiometabolic disease states across the epidemiologic transition, the objective of this study is to explore these associations of dietary fiber with cardiometabolic risk factors in four countries across the epidemiologic transition. We examined population-based samples of men and women, aged 25–45 of African origin from Ghana, Jamaica, the Seychelles and the USA. Ghanaians had the lowest prevalence of obesity (10%), while Jamaicans had the lowest prevalence of metabolic syndrome (5%) across all the sites. Participants from the US presented with the highest prevalence of obesity (52%), and metabolic syndrome (22%). Overall, the Ghanaians consumed the highest dietary fiber (24.9 ± 9.7 g), followed by Jamaica (16.0 ± 8.3 g), the Seychelles (13.6 ± 7.2 g) and the lowest in the USA (14.2 ± 7.1 g). Consequently, 43% of Ghanaians met the fiber dietary guidelines (14 g/1000 kcal/day), 9% of Jamaicans, 6% of Seychellois, and only 3% of US adults. Across all sites, cardiometabolic risk (metabolic syndrome, inflammation and obesity) was inversely associated with dietary fiber intake, such that the prevalence of metabolic syndrome was 13% for those in the lowest quartile of fiber intake, compared to 9% those in the highest quartile of fiber intake. Notably, twice as many of participants (38%) in the lowest quartile were obese compared to those in the highest quartile of fiber intake (18%). These findings further support the need to incorporate strategies and policies to promote increased dietary fiber intake as one component for the prevention of cardiometabolic risk in all countries spanning the epidemiologic transition.