The Epidemic Of The Metabolic Syndrome Among The Palestinians In The Gaza Strip

被引:5
|
作者
Jamee, Amal Shahwan [1 ,2 ,3 ]
Aboyans, Victor [1 ,2 ,4 ]
Magne, Julien [1 ,2 ,4 ]
Preux, Pierre Marie [1 ,2 ]
Lacroix, Philippe [1 ,2 ,5 ]
机构
[1] INSERM, Trop Neuroepidemiol, UMR 1094, Limoges, France
[2] Univ Limoges, Sch Med, Inst Neuroepidemiol & Trop Neurol, CNRS FR GEIST 3503, Limoges, France
[3] Minist Hlth, Dept Cardiol, Nablus, Palestine
[4] Dupuytren Univ Hosp, Dept Cardiol, Limoges, France
[5] Dupuytren Univ Hosp, Dept Thorac & Vasc Surg Vasc Med, Limoges, France
来源
DIABETES METABOLIC SYNDROME AND OBESITY-TARGETS AND THERAPY | 2019年 / 12卷
关键词
metabolic syndrome; risk factors; cardiovascular disease; Palestine; CARDIOVASCULAR-DISEASE; MORTALITY; RISK; PREVALENCE; STATEMENT; MORBIDITY; OBESITY;
D O I
10.2147/DMSO.S207781
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: The metabolic syndrome (MetS) is a major public health and clinical challenge worldwide. However, limited data are available in the Gaza strip. This study was undertaken to evaluate the prevalence of MetS and its association with atherosclerotic risk factors and cardiovascular diseases among Gazan adults' community. Methods: A cross-sectional study was conducted in 2017, among all adults >= 25 years of age. Participants were selected by stratified cluster sampling method, in five governorates (urban, camps and rural) of Gaza strip. Questionnaires on socioeconomic status, lifestyle and cardiovascular risk factors were completed for 2107 participants. The cardiovascular diseases included clinical history of coronary artery disease (CAD), Lower extremity artery disease (LEAD diagnosed as ankle brachial index < 0.90) and history of stroke. MetS was defined based on the International Diabetes Federation criteria (IDF). Results: Among participants, 864 (41%) fulfilled the definition of MetS higher in females than males (50% vs 39%). In both genders, MetS prevalence increased significantly with age (p<0.001). Subjects with MetS were more obese (73.0% vs 29.4%), hypertensive (49.9% vs 13.0%), diabetic (36.8% vs 5.8%) and had more often low physical activity (58.1% vs 41.3%). Additionally, lipids profiles disorders were more prevalent in cases with MetS. We found MetS significantly associated with all cardiovascular conditions with odd-ratio (95% CI) respectively at 2.4 (95% CI 1.8-3.4) for CAD, 1.5 (95% CI1.1-1.9) for LEAD and 2.1 (95% CI 1.3-3.5) for stroke. Conclusion: The MetS is highly prevalent in the Palestinian population, particularly among women. Subjects with MetS are at significantly elevated risk for cardiovascular diseases.
引用
收藏
页码:2201 / 2208
页数:8
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