Disease burden and associated risk factors for metabolic syndrome among adults in Ethiopia.

Abstract:

BACKGROUND:Metabolic Syndrome (MetS) and Non-communicable diseases (NCDs) are alarmingly increasing in low-income countries. Yet, very limited is known about the prevalence and risk factors associated with MetS in Ethiopia. METHODS:A cross-sectional study was conducted among adult outpatients (N = 325) at St. Paul's Hospital Millennium Medical College in Addis Ababa, Ethiopia. The study was conducted in accordance with STEPwise approach of the World Health Organization. MetS was defined using modified National Cholesterol Education Program's Adult Treatment Panel III criteria. Univariate and multivariate analyses were performed. RESULTS:The overall prevalence of MetS was 20.3%. Among the 325 participants, 76.9% had at least one MetS components. Reduced high-density lipoprotein cholesterol was the most common MetS component at 48.6%, followed by elevated blood pressure at 36.3%, and elevated fasting glucose at 32.6%. Older age (odds ratio [OR] = 4.15; 95% confidence interval [CI] = 1.43-12.04), Amhara ethnicity (OR = 2.36; 95%CI = 1.14-4.88), overweight status (OR = 2.21; 95%CI = 1.03-4.71), higher income (OR = 3.31; 95%CI = 1.11-9.84) and higher education levels (OR = 2.19; 95%CI = 1.05-4.59) were risk factors for MetS. CONCLUSION:The disease burden of MetS among Ethiopians is high, and is associated with age, weight, income, education and ethnicity. Comprehensive screening and assessment of MetS is needed along with effective preventive and treatment strategies in low-income countries, such as Ethiopia.

journal_name

BMC Cardiovasc Disord

authors

Solomon S,Mulugeta W

doi

10.1186/s12872-019-1201-5

subject

Has Abstract

pub_date

2019-10-26 00:00:00

pages

236

issue

1

issn

1471-2261

pii

10.1186/s12872-019-1201-5

journal_volume

19

pub_type

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