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Monyeki KD, Siweya HJ, Kemper HCG, Kengne AP, Musinguzi G, Nkwana MR, Mothiba T, Malatji T, Baloyi SMA, Malema R, Leach L, Matshipi M, Sebati RB, Seloka MA, Sibuyi E, Monyeki SM. The Relationship between Binge Drinking and Metabolic Syndrome Components amongst Young Adults Aged 21 to 31 Years: Ellisras Longitudinal Study. Int J Environ Res Public Health 2020; 17:E7484. [PMID: 33076216 PMCID: PMC7650754 DOI: 10.3390/ijerph17207484] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Revised: 09/07/2020] [Accepted: 09/09/2020] [Indexed: 01/28/2023]
Abstract
BACKGROUND Evidence is lacking on the effects of binge alcohol consumption on metabolic syndrome in the rural South African population. The purpose of this study was to investigate the association between binge drinking and components of metabolic syndrome (MetS) amongst Ellisras rural young adults aged 21 to 31 years who are part of the Ellisras Longitudinal Study. METHODS Logistic regression analysis was applied to a total of 624 participants (306 males and 318 females) aged 21 to 31 years who took part in the Ellisras Longitudinal Study (ELS). The model was adjusted for covariates, including smoking, age, and gender. Binge alcohol consumption was assessed using a standardised questionnaire that was validated for the Ellisras rural community. A standardised method of determining the components MetS was used after fasting blood samples were collected from all the participants. RESULTS Binge drinking remained significantly associated with low levels of high-density lipoprotein cholesterol (HDL-C) (OR = 2.64, 95% CI = 1.23-5.65), after being adjusted for smoking, age, and gender. Other MetS components were not predicted. Instead, gender remained significantly associated with all MetS components, except triglycerides, at multivariate analysis. Age retained significance at multivariate analysis with waist girth (OR = 2.13, 95% CI = 1.37-3.34), triglycerides (OR = 2.30, 95% CI = 1.05-5.02), and the MetS composite (OR = 1.65, 95% CI = 1.12-2.41). CONCLUSION Binge drinking was significantly associated with lower levels of HDL-C. Future studies should investigate the relationship between alcohol abuse and the components of incident MetS in this population.
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Affiliation(s)
- Kotsedi Daniel Monyeki
- Department of Physiology and Environmental Health, University of Limpopo, Sovenga 0727, South Africa; (M.R.N.); (M.M.); (R.B.S.); (M.A.S.); (E.S.); (S.M.M.)
| | - Hlengani James Siweya
- Executive Dean Faculty of Science and Agriculture, University of Limpopo, Sovenga 0727, South Africa;
| | - Han C. G. Kemper
- Amsterdam Public Health Research Institute, Amsterdam UMC, 1218 HD Amsterdam, The Netherlands;
| | - Andre P. Kengne
- South African Medical Research Council, Francie van Zijl Drive, Parow Valley, Cape Town 7505, South Africa;
| | - Geofrey Musinguzi
- Department of Disease Control and Environmental Health, School of Public Health, Makerere University, Kampala 7072, Uganda;
- Department of Primary and Interdisciplinary Care, University of Antwerp, 2610 Antwerpen, Belgium
| | - Mbelegem Rosina Nkwana
- Department of Physiology and Environmental Health, University of Limpopo, Sovenga 0727, South Africa; (M.R.N.); (M.M.); (R.B.S.); (M.A.S.); (E.S.); (S.M.M.)
| | - Tebogo Mothiba
- Faculty of Health Science, University of Limpopo, Sovenga 0727, South Africa;
| | - Tumiso Malatji
- Department of Health, Polokwane Provincial Hospital, Polokwane 0700, South Africa;
| | - Shisana M.-A. Baloyi
- Obstetrics and Gynecology, Faculty of Health Sciences, Posbus 339, Bloemfontein 9300, South Africa;
| | - Rambelani Malema
- Department of Psychology, University of Limpopo, Polokwane 0700, South Africa;
| | - Lloyd Leach
- Department of Sport, Recreation and Exercise Science, University of the Western Cape, Private Bag X17, Bellville, Cape Town 7535, South Africa;
| | - Moloko Matshipi
- Department of Physiology and Environmental Health, University of Limpopo, Sovenga 0727, South Africa; (M.R.N.); (M.M.); (R.B.S.); (M.A.S.); (E.S.); (S.M.M.)
| | - Ramakgahlela Betty Sebati
- Department of Physiology and Environmental Health, University of Limpopo, Sovenga 0727, South Africa; (M.R.N.); (M.M.); (R.B.S.); (M.A.S.); (E.S.); (S.M.M.)
| | - Mohlago Ablonia Seloka
- Department of Physiology and Environmental Health, University of Limpopo, Sovenga 0727, South Africa; (M.R.N.); (M.M.); (R.B.S.); (M.A.S.); (E.S.); (S.M.M.)
| | - Eliot Sibuyi
- Department of Physiology and Environmental Health, University of Limpopo, Sovenga 0727, South Africa; (M.R.N.); (M.M.); (R.B.S.); (M.A.S.); (E.S.); (S.M.M.)
| | - Suzan Mafoloa Monyeki
- Department of Physiology and Environmental Health, University of Limpopo, Sovenga 0727, South Africa; (M.R.N.); (M.M.); (R.B.S.); (M.A.S.); (E.S.); (S.M.M.)
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Nkwana MR, Monyeki KD, Monyeki SM, Makata TT, Monyeki JM. Ellisras Longitudinal Study 2017: the association of fat patterning with blood pressure in Polokwane private school children aged five to 15 years (ELS 22). Cardiovasc J Afr 2019; 30:142-145. [PMID: 31139814 DOI: 10.5830/cvja-2018-058] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2018] [Accepted: 10/31/2018] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND Obesity is a risk factor for non-communicable diseases and is a global public health concern. OBJECTIVE The main objectives of this study were to investigate the association of fat patterning and blood pressure among five- to 15-year-old black children attending private schools in Polokwane, South Africa, and to determine the prevalence of obesity and hypertension. METHODS A total of 1 665 subjects (846 boys and 819 girls), aged five to 15 years and attending three private schools in Polokwane, were included in the study. All anthropometric measurements were taken according to standard procedures of the International Society for the Advancement of Kinanthropometry. All data were analysed using SPSS. RESULTS Girls showed a higher prevalence of over-fatness (10.2-12.3%) and hypertension (1.4-33.0%) than boys (7.3-10.3, 3.6-21.3%, respectively). The sum of four skinfolds, trunk skinfolds relative to limb skinfold, and body mass index (BMI) were positively associated with systolic and diastolic blood pressure (p < 0.01). There was a significant positive (p < 0.001) association between over-fatness and hypertension, both unadjusted (OR = 3.11; 95% CI = 2.17-4.46) and adjusted for age and gender (OR = 3.29; 95% CI = 2.22-4.86). CONCLUSIONS These Polokwane private school children with high body fatness were at risk for developing high blood pressure.
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Affiliation(s)
- Mbelege Rosina Nkwana
- Department of Physiology and Environmental Health, University of Limpopo, Polokwane, South Africa
| | - Kotsedi Dan Monyeki
- Department of Physiology and Environmental Health, University of Limpopo, Polokwane, South Africa.
| | - Suzan Mafoloa Monyeki
- Department of Physiology and Environmental Health, University of Limpopo, Polokwane, South Africa
| | - Tlou Thomas Makata
- Department of Physiology and Environmental Health, University of Limpopo, Polokwane, South Africa
| | - Judas Mponthseng Monyeki
- Department of Physiology and Environmental Health, University of Limpopo, Polokwane, South Africa
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