Metabolic syndrome and its association with obesity and lifestyle factors in Sudanese population

Although modern life style factors affecting health is a crucial problem globally, little information about metabolic syndrome (MetS) is available for the Sudanese population. With this consideration the study was planned to assess the prevalence of MetS among young people of Sudan and their association with obesity and lifestyle factors. Serum lipid profile, blood glucose and clinically established parameters for obesity were assessed in 179 young adult male and 201 females at National Ribat University, Sudan. Relevant statistical test were applied using SPSS software. Based on anthropometric measurements, 137 students were obese. Amongst the 243 non-obese students 5 were under weight, 135 normal weight and 103 were over weight. In the study population, 317 students were normal (83.4%) and 63 students had MetS (16.6%) as defined by ATP III definition of MetS classification. MetS was found only in obese individuals (45.98%) and no case was detected in underweight, normal and overweight individual. The mean of cholesterol level in subjects with MetS was 159 as compared to those without it (149.93). Life style modification as healthy diet, regular exercise and preventive strategies may help reduce MetS, thus improving general health conditions in young individuals of Sudan.     

体质指数、腰围、血脂水平与高血压的关联分析

【摘要】目的 探讨体质指数(BMI)、腰围(WC)、血脂水平与高血压患病的关系,及BMI、WC 对高血压的预测价值。方法 采用整群随机抽样法,抽取宁波市鄞州区40 岁以上常住居民2 303 例进行问卷调查、体格检查及血脂指标检测,其中高血压患者（高血压组）1 081 例,血压正常者（对照组）1 222 例。WC 分组：男性WC≥85 cm、女性WC≥ 80 cm 为中心性肥胖,其余为正常;BMI 分组：BMI≥24 kg/m2 为超重,BMI＜24 kg/m2 为正常。分别采用非条件Logistic 回归模型分析BMI、WC 和血脂水平对高血压的影响,通过ROC 曲线分析BMI 和WC 对高血压的预测价值。结果 高血压组WC、BMI、总胆固醇(TC)、三酰甘油(TG)和低密度脂蛋白胆固醇(LDL-C)均高于对照组（均P＜0.01）,且WC、 BMI、TG 及LDL-C 是高血压的影响因素。高血压组中心性肥胖率、超重率均高于对照组（均P＜0.01）,超重、中心性肥胖、TG 和LDL-C 异常是患高血压的危险因素。超重伴有中心性肥胖人群高血压患病风险＞超重但腰围正常人群＞单纯性中心性肥胖人群>正常者;男、女性人群的ROC 曲线下面积均为BMI > WC。结论 WC、BMI、TG 和LDL-C 异常是患高血压的危险因素,BMI 比WC 能更好地预测高血压的发生。