1
|
Mohammed O, Alemayehu E, Ebrahim E, Fiseha M, Gedefie A, Ali A, Ebrahim H, Tilahun M. Atherogenic dyslipidemia and associated risk factors among hypertensive patients of five health facilities in Northeast Ethiopia. PLoS One 2023; 18:e0277185. [PMID: 36787318 PMCID: PMC9928121 DOI: 10.1371/journal.pone.0277185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2022] [Accepted: 10/21/2022] [Indexed: 02/15/2023] Open
Abstract
BACKGROUND One of the major risk factors for cardiovascular disease is atherogenic dyslipidemia. There was, however, little information available in Ethiopia. Therefore, the purpose of this study was to estimate the prevalence of atherogenic dyslipidemia and related risk factors in Northeast Ethiopian hypertension patients. MATERIALS AND METHODS A systematic random sampling technique was used to perform a cross-sectional study at an institution with 384 chosen participants. A structured questionnaire was used to collect the socio-demographic, anthropometric, lifestyle, and clinical characteristics of the respondents. Student's t-test, Mann-Whitney test, and Pearson's Chi-square test were employed to compare groups based on the type of data. Furthermore, Bivariate and multivariable logistic regression analyses were performed to identify factors independently associated with dyslipidemia. Crude and adjusted odds ratios and their corresponding 95% Confidence Intervals (CI) were computed. In all cases, statistical significance was declared at p <0.05. RESULTS The majority (93.2%; 95%CI: 90.6-95.6) of patients had at least one atherogenic dyslipidemia. The prevalence of elevated total cholesterol (TC), elevated triglyceride (TG), raised low-density lipoprotein cholesterol (LDL-c), and reduced high-density lipoprotein cholesterol (HDL-c) were 47.7%, 50.3%, 44.3%, and 59.6%, respectively. Being≥ 40 years were at higher risk for having elevated levels of TC (AOR: 3.22, 95% CI: 2.40-4.32), TG (AOR: 2.30, 95% CI: 1.61-3.79), and LDL-c (AOR: 4.68, 95% CI: 2.0-10.95) than those who were below 40years. Obese participants were more likely to have high concentrations of TC (AOR: 2.57, 95%CI: 2.10-3.22), LDL-c (AOR: 3.13, 95% CI: 1.97-5.10), HDL-c (AOR: 2.71, 95% CI: 1.77-4.58), and TG (AOR: 2.23, 95%CI: 1.79-4.16). CONCLUSION This study revealed that a high prevalence of atherogenic dyslipidemia. Thus, to prevent atherogenic dyslipidemia, it is crucial to create routine blood lipid testing programs and carry out suitable intervention programs focused on risk factor reduction.
Collapse
Affiliation(s)
- Ousman Mohammed
- Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
- * E-mail:
| | - Ermiyas Alemayehu
- Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Endris Ebrahim
- Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Mesfin Fiseha
- Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Alemu Gedefie
- Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Abdurrahman Ali
- Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Hussen Ebrahim
- Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Mihret Tilahun
- Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| |
Collapse
|
2
|
Hu J, Thompson B, Wang S, Guo M, Yan C, Ding F, Guo P, Chen L, Cao Z, Wang J. Rate and risk factors of metabolic components and component combinations according to hypertension status in Tibetans in a cross-sectional study. Medicine (Baltimore) 2022; 101:e31320. [PMID: 36316919 PMCID: PMC9622625 DOI: 10.1097/md.0000000000031320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2022] [Accepted: 09/21/2022] [Indexed: 11/06/2022] Open
Abstract
To estimate the prevalence of metabolic syndrome (MS) and metabolic components and their associated factors and component combinations according to hypertension status in Tibetans living at high altitude. Multistage sampling of 1473 participants (799 hypertensive patients and 674 normotensive subjects). MS prevalence and the number of metabolic components ≥ 3 were significantly higher in the hypertensive than normotensives. In hypertensive patients, the most common component was central obesity and it combined with: high blood pressure, in those with 2 risk factors, plus fasting hyperglycemia, in those with 3 risk factors, and high triglyceride, in those with 4 risk factors. In normotensive subjects, the most common single component was low high-density-lipoprotein cholesterol, and most component combination included central obesity and hyperglycemia in those with 2 risk factors, plus high blood pressure in those with 3 risk factors, and high triglycerides in those with 4 risk factors. Body mass index and female both were associated with increased possibilities of MS in hypertensive and normotensive participants. Low incoming, and high educational levels were associated with an elevated probability of MS in normotensive Tibetans also. The priority of prevention from cardiovascular diseases by targeting metabolic components in the hypertensive was different from normotensives. Different MS components had various lifestyle and socioeconomic factors.
Collapse
Affiliation(s)
- Jihong Hu
- Public Health School, Gansu University of Chinese Medicine, Lanzhou, China
| | - Brian Thompson
- Department of Environmental Health Sciences, Yale University School of Public Health, New Haven, CT
| | - Shuxia Wang
- Public Health School, Gansu University of Chinese Medicine, Lanzhou, China
- Affiliated Hospital of Gansu University of Chinese Medicine, Gansu, China
| | - Minhao Guo
- Public Health School, Gansu University of Chinese Medicine, Lanzhou, China
| | - Chunjuan Yan
- Public Health School, Gansu University of Chinese Medicine, Lanzhou, China
| | - Fengfeng Ding
- Public Health School, Gansu University of Chinese Medicine, Lanzhou, China
| | - Peng Guo
- Public Health School, Gansu University of Chinese Medicine, Lanzhou, China
| | - Li Chen
- Public Health School, Gansu University of Chinese Medicine, Lanzhou, China
| | | | - Jianzong Wang
- Tibetan Traditional Medical School, Gansu University of Chinese Medicine, Gannan, China
| |
Collapse
|
3
|
Santos ISC, Boery RNSDO, Fernandes JD, Rosa RS, Ribeiro ÍJDS, Souza ADS. Factores asociados con síndrome metabólico y calidad de vida de adultos en un municipio noreste de brasileño. REVISTA CUIDARTE 2021. [DOI: 10.15649/cuidarte.1678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Introducción: El Síndrome Metabólico (SM) se considera actualmente una enfermedad multifactorial relacionada con la inflamación asintomática, insidiosa y deletérea que predispone al individuo a la vulnerabilidad al agregar marcadores de riesgo cardiovascular. Objetivo: analizar los factores asociados al síndrome metabólico y calidad de vida en adultos usuarios de una unidad de salud. Materiales y Métodos: estudio transversal realizado con 108 usuarios adultos. La recogida de datos se realizó mediante un cuestionario sociodemográfico, clínico y metabólico, estructurado y mediante el cuestionario The Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Para el diagnóstico de Síndrome Metabólico se utilizaron los siguientes criterios: aumento de la circunferencia abdominal e hipertensión arterial, diabetes, hipertrigliceridemia y colesterol HDL bajo. El análisis estadístico se realizó utilizando el software Statistical Package for Social Sciences (SPSS) 21.0. Resultados: Se identificó síndrome metabólico en el 88,0% de los adultos. De este total de usuarios evaluados con el síndrome, el 87,4% de los individuos eran mujeres; 71,7% con diabetes; 87,0% tenía hipertensión arterial; Se identificó sedentarismo en 53,7%. En la valoración del IMC, predominaron el sobrepeso y la obesidad en 68,4% y 24,9%, respectivamente. Los dominios con las puntuaciones más bajas de calidad de vida fueron Salud general y Vitalidad. Conclusiones: el estudio permitió identificar el Síndrome Metabólico en la mayoría de los adultos evaluados. Hubo una baja percepción de la calidad de vida entre los adultos en todos los dominios, excepto en los aspectos físicos y vitalidad. Por tanto, es necesaria la vigilancia y educación sanitaria de la población estudiada y la mejora de su calidad de vida.
Como citar este artículo: Santos, Isleide Santana Cardoso; Boery, Rita Narriman Silva de Oliveira; Fernandes, Josicélia Dumêt; Rosa, Randson Souza; Ribeiro, Ícaro José dos Santos; Souza, Andréa dos Santos. Factors associated with metabolic syndrome and quality of life of adults in a northeast brazilian municipality. Revista Cuidarte. 2021;12(2):e.1678 http://dx.doi.org/10.15649/cuidarte1678
Collapse
|
4
|
Pereira FEF, Teixeira FDC, Kac G, Soares EDA, Ribeiro BG. Overweight and obesity associated with high blood pressure: a cross-sectional study in Brazilian students. Rev Esc Enferm USP 2020; 54:e03654. [PMID: 33331505 DOI: 10.1590/s1980-220x2019036203654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2019] [Accepted: 03/03/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To verify the association among overweight, obesity and high blood pressure in Brazilian students aged between 6 and 10 years old. METHOD Cross-sectional study carried out in the city of Macaé, RJ, in which body mass, height and blood pressure were collected. The body mass index was calculated using the Anthro Plus software and classified according to SISVAN. High systolic/diastolic blood pressure when ≥ 90th percentile by age, gender and height/age percentile (7th Brazilian Guideline on Hypertension). Logistic regression with a 95% confidence interval, using SPSS software were done. RESULTS A total of 911 children were evaluated and, after stratification by nutritional status, the underweight were excluded. Among the remaining 888 children, the prevalence of overweight was 17.7% and obesity 16.2%. The prevalence of high blood pressure was 34%, with no statistical difference between gender (p=0.57). Overweight was significantly associated with high blood pressure in the 8-9 year old group (OR 1.99; p=004), while obesity was associated in both groups (6-7 year old OR 2.50; p=0.004 and 8-9 year old OR 4.21 p=0.001). CONCLUSION The results showed that overweight and obesity significantly increased the chance of high blood pressure among children aged 6 to 10 years old.
Collapse
Affiliation(s)
- Flávia Erika Felix Pereira
- Universidade Federal do Rio de Janeiro, Instituto de Nutrição Josué de Castro, Programa de Pós-Graduação em Nutrição, Rio de Janeiro, RJ, Brasil
| | - Fabiana da Costa Teixeira
- Universidade Federal do Rio de Janeiro, Instituto de Nutrição Josué de Castro, Programa de Pós-Graduação em Nutrição, Rio de Janeiro, RJ, Brasil
| | - Gilberto Kac
- Universidade Federal do Rio de Janeiro, Instituto de Nutrição Josué de Castro, Departamento de Nutrição Social Aplicada, Observatório de Epidemiologia Nutricional, Rio de Janeiro, RJ, Brasil
| | - Eliane de Abreu Soares
- Universidade do Estado do Rio de Janeiro, Instituto de Nutrição, Programa de Pós-Graduação em Alimentação, Nutrição e Saúde, Rio de Janeiro, RJ, Brasil
| | - Beatriz Gonçalves Ribeiro
- Universidade Federal do Rio de Janeiro, Instituto de Nutrição Josué de Castro, Programa de Pós-Graduação em Nutrição, Rio de Janeiro, RJ, Brasil
| |
Collapse
|
5
|
Félix NDDC, da Nóbrega MML. Metabolic Syndrome: conceptual analysis in the nursing context. Rev Lat Am Enfermagem 2019; 27:e3154. [PMID: 31432914 PMCID: PMC6703105 DOI: 10.1590/1518-8345.3008.3154] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2018] [Accepted: 02/17/2019] [Indexed: 12/26/2022] Open
Abstract
OBJECTIVE to analyze the metabolic syndrome concept and to identify its essential features, antecedents, and outcomes within the context of nursing. METHOD conceptual analysis, based on the methodological steps of a model. We carried out an integrative review by accessing four databases online: Medical Literature Analysis and Retrieval System Online, Scientific Electronic Library Online, Latin American and Caribbean Health Sciences Literature, and Índice Bibliográfico Español en Ciencias de la Salud. RESULTS the essential features most frequently involved the diagnostic criteria of metabolic syndrome. Inadequate nutrition and physical inactivity were highlighted as the most common antecedents of the syndrome, and the outcomes were occurrences of cardiovascular disease and diabetes mellitus type 2. As implication, we highlight relevant empirical data to the broad definition of the concept. CONCLUSION we could analyze the concept under study regarding essential features, antecedents, and outcomes, operationally defining it as a potential nursing phenomenon, which demands health care focusing on reducing risks and morbidity and mortality for cardiovascular diseases.
Collapse
|
6
|
Bamekhlah R, Bamekhlah M, Alghazali H, Bamekhlah A. The prevalence of metabolic syndrome among hypertensive patients in Hadramout: A hospital-based study. HAMDAN MEDICAL JOURNAL 2019. [DOI: 10.4103/hmj.hmj_20_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
7
|
Tadewos A, Egeno T, Amsalu A. Risk factors of metabolic syndrome among hypertensive patients at Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia. BMC Cardiovasc Disord 2017; 17:218. [PMID: 28789613 PMCID: PMC5549344 DOI: 10.1186/s12872-017-0648-5] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2016] [Accepted: 07/26/2017] [Indexed: 12/01/2022] Open
Abstract
Background Data regarding the prevalence of metabolic syndrome (MetS) among hypertensive patients in Ethiopia is very scarce, and the nature and the burden of MetS among these patients has not been well investigated. Therefore, the aim of this study was to assess the pattern and risk factors of MetS in hypertensive patients. Methods A cross-sectional study was conducted at Hawassa University comprehensive specialized hospital from September 2015 to June 2016. Data on socio-demographic, clinical and anthropometric characteristics were collected from 238 hypertensive participants using WHO stepwise technique. Blood glucose and lipid profiles were determined after overnight fasting. Finally, MetS was defined according to National Cholesterol Education Program Adult Treatment Panel III Criteria. Results The overall prevalence of MetS was 48.7% and urban dwellers had significantly higher prevalence of MetS (82.8%) compared to rural inhabitants (17.2%), p = 0.003. About 37.8%, 62.2%, 60.9% and 35.7% of the participants had abdominal obesity, elevated triglycerides, low HDL-c, and increased fasting blood glucose, respectively. In addition the mean HDL-c was significantly lower in MetS group compared to non-MetS group (39.4 vs.47.6), P < 0.0001. Age over 60 years, overweight, and obesity were associated risk factors of MetS. The adjusted odds ratio (95% CI) was 8.2 (1.1–62.4) for age over 60 years, 2.8 (1.4–5.9) for overweight and 10.7 (3.8–29.8) for obesity. Moreover monthly income of 1001–2000 Ethiopian birr, income ≥2001birr, a retirement pension, being married, divorced/widowed were also significantly associated risk factors of MetS, the adjusted odds ratio (95% CI) was 3.6 (1.1–12.5), 5.8 (1.5–22.3),5.3 (1.1–25.9),7.2 (1.4–35.9) and 16.4 (1.1–244.2), respectively. Conclusion Metabolic syndrome is highly prevalent among hypertensive patients and this may potentiate the risk of cardiovascular problems. Therefore, regular screening of patients for individual components of MetS is vital in order to avert/limit the risks before developing cardiovascular related morbidity and mortality.
Collapse
Affiliation(s)
- Agete Tadewos
- Department of Medical Laboratory Sciences, Hawassa University College of Medicine and Health Science, P.O. Box 1560, Hawassa, Ethiopia.
| | - Tariku Egeno
- Hawassa University College of Medicine and Health Science, School of Medicine, Hawasa, Ethiopia
| | - Antenah Amsalu
- University of Gondar, College of Medicine and Health Science, School of Biomedical and Laboratory Sciences, Gondar, Ethiopia
| |
Collapse
|
8
|
Yu S, Guo X, Yang H, Zheng L, Sun Y. Metabolic syndrome in hypertensive adults from rural Northeast China: an update. BMC Public Health 2015; 15:247. [PMID: 25880417 PMCID: PMC4367840 DOI: 10.1186/s12889-015-1587-7] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2014] [Accepted: 02/26/2015] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND The last study reported the prevalence of Metabolic Syndrome (MetS) in hypertensive residents from rural Northeast China was conducted approximately ten years ago. The purpose of this study was to update the prevalence and epidemiological features of Metabolic syndrome (MetS). METHODS This survey was conducted from July 2012 to August 2013. In this study, a total of 5866 hypertensive residents from the rural Northeast China were randomly selected and examined. MetS was defined according to the to the International Diabetes Federation (IDF) criteria. Data regarding the demographic and lifestyle characteristics and the blood biochemical indexes of these participants were collected by well-trained personnel. RESULTS The overall prevalence of MetS among hypertensive residents was 43.1%. Women had significantly higher incidence of MetS than men (56.4%vs. 29.2%, P < 0.001). Overall, 51.7%, 39.6%, 29.3% and 55.9% of the hypertensive adults had abdominal obesity, hypertriglyceridemia, low HDL-C, and increased fasting glucose. Multivariate logistic regression, after adjusting for possible confounders, revealed the following factors that increased the risk of MetS: being female, older age, completion of education through high school, obesity, current smoking. Moderate physical activity, a family income between 5000-20000 CNY per year and higher diet score were correlated with lower rates of MetS. CONCLUSIONS The prevalence of MetS was dramatically high and exhibited a remarkably increasing trend in hypertensive rural Northeast Chinese. Female had higher incidence of MetS while male had more drastically increasing trend.
Collapse
Affiliation(s)
- Shasha Yu
- Department of Cardiology, The First Hospital of China Medical University, 155 Nanjing North Street, Heping District, Shenyang, Post code:110001, China.
| | - Xiaofan Guo
- Department of Cardiology, The First Hospital of China Medical University, 155 Nanjing North Street, Heping District, Shenyang, Post code:110001, China.
| | - Hongmei Yang
- Department of Cardiology, The First Hospital of China Medical University, 155 Nanjing North Street, Heping District, Shenyang, Post code:110001, China.
| | - Liqiang Zheng
- Department of Clinical Epidemiology, Shenjing Hospital of China Medical University, Shenyang, Liaoning, China.
| | - Yingxian Sun
- Department of Cardiology, The First Hospital of China Medical University, 155 Nanjing North Street, Heping District, Shenyang, Post code:110001, China.
| |
Collapse
|
9
|
Tachebele B, Abebe M, Addis Z, Mesfin N. Metabolic syndrome among hypertensive patients at University of Gondar Hospital, North West Ethiopia: a cross sectional study. BMC Cardiovasc Disord 2014; 14:177. [PMID: 25481843 PMCID: PMC4273452 DOI: 10.1186/1471-2261-14-177] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2014] [Accepted: 12/02/2014] [Indexed: 11/26/2022] Open
Abstract
Background Data is sparse concerning the magnitude of metabolic syndrome (MetS) in developing countries like Ethiopia whose major health problem had long been under-nutrition and infectious diseases rather than non-communicable diseases (NCDs) including hypertension, obesity and MetS. However, it is obvious that the NCDs are recently taking over and becoming the major health care concerns in the developing countries. This pattern could be partly explained by the nation’s sustained economical growth in the last few decades in addition to the increasing globalization related adoption of western lifestyle. The aim of this study was to assess the prevalence of metabolic syndrome and associated factors among hypertensive patients in North West Ethiopia. Method A cross sectional study was conducted on 300 hypertensive individuals who get follow-up care at University of Gondar Hospital after diagnosed as hypertensive. The WHO STEP-wise approach to surveillance of NCD was used. Fasting blood glucose level, triglyceride and high density lipoprotein cholesterol were determined using standardized laboratory procedures. Result The prevalence of metabolic syndrome was 40.7% and 39.3% according to the modified NCEP-ATP III and IDF criteria respectively. Low HDL-c was found to be the most frequently encountered (81.3%) component of MetS other than the hypertension. Being female was significantly associated with MetS (AOR = 4.34; 95% CI: 2.09, 8.99) using IDF and (AOR = 3.30; 95% CI: 1.66, 6.58) using NCEP-ATP III criteria. Abnormal BMI which included both high and low BMI was found to have significant association with MetS (AOR = 3.10; 95% CI: 1.73, 5.58) using IDF and (AOR = 1.84; 95% CI: 1.05, 3.22) as diagnosed using the NCEP-ATP III criteria. Conclusion We recommend a comprehensive medical care approach to hypertensive patients to adequately assess and address the additional components of MetS which are known to potentiate the risks of cardiovascular diseases among hypertensive patients.
Collapse
Affiliation(s)
| | | | | | - Nebiyu Mesfin
- Department of Internal Medicine, University of Gondar, School of Medicine, Gondar, Ethiopia.
| |
Collapse
|