Prevalence of Metabolic Syndrome and its Related Factors in Bangladeshi Adults: A Cross‐Sectional Study

• Published in: Endocrinology, diabetes & metabolism Vol. 7; no. 4; pp. e00491 - n/a
• Main Authors: Ali, Nurshad, Taher, Abu, Trisha, Aporajita Das, Koley, Nusrat Jahan, Fariha, Khandaker Atkia, Islam, Farjana
• Format: Journal Article
• Language: English
• Published: England John Wiley & Sons, Inc 01-07-2024; John Wiley and Sons Inc; Wiley
• Subjects: Adult; adults; Aged; Bangladesh; Bangladesh - epidemiology; Biochemistry; Blood pressure; Body mass index; Cholesterol; Chronic illnesses; Creatinine; Cross-Sectional Studies; Data collection; Developing countries; Diabetes; Disease; Economic growth; Exercise; Female; Females; Health care; High density lipoprotein; Humans; Hypertension; Hypertension - epidemiology; LDCs; Lifestyles; Lipoproteins; Male; Metabolic syndrome; Metabolic Syndrome - epidemiology; Metabolic Syndrome - etiology; Middle Aged; Molecular biology; Mortality; Prevalence; Public health; Questionnaires; Risk Factors; Young Adult; Bangladesh; United States > US; South Asia; metabolic syndrome; prevalence; Bangladesh; risk factors; adults
• ISSN: 2398-9238; 2398-9238
• DOI: 10.1002/edm2.491

ABSTRACT
Objectives
Metabolic syndrome (MetS) is a group of medical conditions that elevate the chances of developing cardiovascular disease, stroke and Type 2 diabetes. This study aimed to determine the frequency and contributing risk factors of MetS in adults from Bangladesh.
Methods
In this cross‐sectional study, 653 individuals (470 males and 183 females) were randomly selected to participate. Fasting blood samples were collected and analysed using standard methods to measure biochemical parameters. MetS was defined on the basis of NCEP‐ATP III guidelines, and multivariate logistic regression analyses were conducted to identify factors associated with MetS.
Results
The prevalence of MetS was 19.7% in the healthy control group, 70.2% in the hypertensive group and 46.8% in the diabetic group. Overall, there was no significant difference in the prevalence of MetS between males (45%) and females (45.9%). The participants who had both hypertension and diabetes had the highest prevalence of MetS at 77.3%. Both males and females showed an increased trend in the prevalence of MetS and its components as they aged, except for WC in males (p < 0.01 for all cases). The 46–55 age group in males had a higher prevalence of MetS (68%), whereas the >55 age group in females had a prevalence of 73.9%. The most common component of MetS was low levels of HDL‐C, which affected over 80% of the studied sample. According to the logistic regression analyses, age, BMI, hypertension and diabetes were significantly associated with MetS in both genders.
Conclusion
This study found a high prevalence of MetS in Bangladeshi adults. Several factors are significantly associated with the risk of MetS. It is crucial to consider the varying prevalence rates of MetS by age and gender as well as its different components while providing health guidance and support.
Overall, there was no significant difference in the prevalence of MetS between males and females, but differences existed in the prevalence of MetS components between the two groups.