A study of the frequency of overweight, obesity and metabolic syndrome among university students

Abstract

Objective: The aim of this study was to assess the frequency of overweight, obesity and other metabolic syndrome component among university students. Methods: This cross-sectional study included a total of 357 university students. The socioeconomic data, lifestyle, and cardiovascular disease risk factors were filled out using a questionnaire. The clinical screenings included measurement of blood pressure and determination of fasting lipid and glucose concentrations. T-test, Pearson Chi-Square and Fisher’s Exact Test were used for statistical analysis. Results: The frequency of overweight or obesity was 25.9% in university students. The metabolic syndrome (MetS) frequency as per the NCEP ATP III criteria was 2.4% (n=7). The risk of developing MetS is high among those who smoke and male university students. There were significant correlations between body mass index and systolic blood pressure, diastolic blood pressure, total cholesterol, HDL cholesterol and triglycerides levels. Conclusion: Our findings provide evidence for the high frequency of overweight, obesity in university students. The cardiovascular disease risk factors among overweight and obese students were significantly higher than normal weight students. Lifestyle modifications such as increased dietary changes and physical activity can be helpful changes in MetS criteria.

Keywords

• Obesity,metabolic syndrome,university,student

Üniversite öğrencilerinde fazla kiloluluk, obezite ve metabolik sendrom sıklığı üzerine bir çalışma

Abstract

Amaç: Bu çalışmanın amacı, üniversite öğrencileri arasında fazla kiloluluk, obezite ve diğer metabolik sendrom bileşenlerinin sıklığını değerlendirmektir. Yöntem: Kesitsel araştırma tasarımı kullanılarak yapılan bu çalışmaya toplam 357 üniversite öğrencisi dâhil edildi. Sosyoekonomik, yaşam tarzı ve kardiyovasküler hastalık risk faktörleri ile ilgili veriler anket formu doldurularak toplandı. Klinik taramalar için kan basıncını ölçümü, açlık lipit ve glikoz konsantrasyonları belirlendi.  İstatistiksel analizler için T-testi, Pearson Ki-Kare ve Fisher’s Exact Testi kullanıldı. Bulgular: Üniversite öğrencilerinde fazla kiloluluk ve obezite sıklığı %25,9 olarak belirlendi. NCEP ATP III kriterlerine göre metabolik sendrom (MetS) sıklığı %2,4 (n = 7) idi. MetS gelişme riski, sigara içenler ve erkek üniversite öğrencileri arasında yüksek olarak tespit edildi. Beden kitle indeksi ile sistolik kan basıncı, diyastolik kan basıncı, total kolesterol, HDL kolesterol ve trigliserid düzeyleri arasında anlamlı bir ilişki bulundu. Sonuç: Bulgularımız, üniversite öğrencilerinde fazla kiloluluk ve obezite sıklığının yüksek oranda olduğuna dair kanıtlar sağlamaktadır. Fazla kilolu ve obez öğrencilerde kardiyovasküler hastalık risk faktörleri normal kilolu öğrencilerden anlamlı derecede daha yüksek idi.  Artan fiziksel aktivite ve diyet gibi yaşam tarzı değişiklikleri MetS kriterlerinde yararlı değişiklikler yapabilir.

Keywords

• Obezite,metabolik sendrom,üniversite,öğrenci

References

1. 1. WHO. Obesity. Available at: http://www.who.int/topics/obesity/en/. Accessed July 3, 2017.2. WHO. Controlling the global obesity epidemic. Available at: http://www.who.int/nutrition/topics/obesity/en/. Accessed July 12, 2017.3. The Ministry of Health of Turkey. Current Situation of Obesity in the World and Europe. Available at: http://beslenme.gov.tr/index.php?lang=en&page=39. Accessed July 5, 2017.4. Satman I and TURDEP-II Study group. Türkiye Diyabet, Hipertansiyon, Obezite ve Endokrinolojik Hastaliklar Prevalans Çalişmasi-II (TURDEP-II) Sonuçlari. Available at: http://www.turkendokrin.org/files/file/TURDEP_II_2011.pdf. Accessed July 12, 2017.5. WHO. Cardiovascular diseases (CVDs). Available at: http://www.who.int/mediacentre/factsheets/fs317/en/. Accessed July 3, 2017.6. Reiner Ž, Sonicki Z, Tedeschi-Reiner E. The perception and knowledge of cardiovascular risk factors among medical students. Croat Med J 2012; 53(3):278-84.7. IDF. The IDF consensus worldwide definition of the METABOLIC SYNDROME. Belgium: International Diabetes Federation, 2006.8. Shin MK, Won J, Yi H. Prevalence of Metabolic Syndrome in University Students in Korea. Indian Journal of Science and Technology 2015; 8(16):1-7.9. Republic of Turkey Ministry of Health. Chronic Diseases and Risk Factors Survey in Turkey. Ankara: Republic of Turkey Ministry of Health, 2013.10. Mbugua SM, Kimani ST, Munyoki G. Metabolic syndrome and its components among university students in Kenya. BMC Public Health 2017; 17(1):909.11. Mee-Kyung S, Jongsoon W, Hyeryeon Y. Prevalence of Metabolic Syndrome in University Students in Korea. Indian Journal of Science and Technology 2015; 8(16):1-7.12. WHO. BMI classification. Available at: http://apps.who.int/bmi/index.jsp?introPage=intro_3.html. Accessed July 6, 2017.13. National Institutes of Health. National Cholesterol Education Program. ATP III Guidelines At-A-Glance Quick Desk Reference. Available at: https://www.nhlbi.nih.gov/files/docs/guidelines/atglance.pdf. Accessed July 3, 2017.14. Rashidi AA, Parastouei K, Shahaboddin ME. Metabolic syndrome among medical university students in Kashan, Iran. Scientific Research and Essays 2012; 7(41):3549-3553.15. Silva ARV da, Sousa LSN de, Rocha T de S, Cortez RMA, Macêdo LG do N, Almeida PC de. Prevalence of metabolic components in university students. Rev Lat Am Enfermagem 2014; 22(6): 1041–1047.16. Martínez-Torres J, Correa-Bautista JE, González-Ruíz K, Vivas A, Triana-Reina HR, Prieto-Benavidez DH, Carrillo HA, Ramos-Sepúlveda JA, Villa-González E, García-Hermoso A, Ramírez-Vélez R. A Cross-Sectional Study of the Prevalence of Metabolic Syndrome and Associated Factors in Colombian Collegiate Students: The FUPRECOL-Adults Study. Int J Environ Res Public Health 2017; 14(3). pii: E233.17. Palomo IF, Torres GI, Alarcón MA, Maragaño PJ, Leiva E, Mujica V. High prevalence of classic cardiovascular risk factors in a population of university students from south central Chile. Rev Esp Cardiol 2006; 59(11):1099-105.18. Smith C, Essop MF. Gender differences in metabolic risk factor prevalence in a South African student population. Cardiovasc J Afr. 2009; 20(3):178-82.19. Topè AM, Rogers PF, Metabolic syndrome among students attending a historically black college: prevalence and gender differences. Diabetol Metab Syndr 2013; 5:2.20. Shahzad F, Ishaque A, Noman ul Haq. Frequency and predictors of metabolic syndrome in adolescents /first year medical students of a public sector medical college Quetta, Pakistan. J Pak Med Assoc 2017; 67(5):752-755.21. Kandula SGNSV, T. V. D. SS, Kongara S, Arepalli SK. A study on the prevalence of obesity and metabolic syndrome among students of a medical college. Int J Res Med Sci 2017; 5(6):2331-2337.22. Feliciano-Alfonso JE, Mendivil CO, Ariza ID, Pérez CE. Cardiovascular risk factors and metabolic syndrome in a population of young students from the National University of Colombia. Rev Assoc Med Bras (1992) 2010; 56(3):293-8.23. Turchiano M, Sweat V, Fierman A, Convit A. Obesity, metabolic syndrome, and insulin resistance in urban high school students of minority race/ethnicity. Arch Pediatr Adolesc Med 2012; 166(11):1030-6.24. Carvalho CA, Fonseca PC, Barbosa JB, Machado SP, Santos AM, Silva AA. The association between cardiovascular risk factors and anthropometric obesity indicators in university students in São Luís in the State of Maranhão, Brazil. Cien Saude Colet 2015; 20(2):479-90.25. Park YW, Zhu S, Palaniappan L, Heshka S, Carnethon MR, Heymsfield SB. The metabolic syndrome: prevalence and associated risk factor findings in the US population from the Third National Health and Nutrition Examination Survey, 1988-1994. Arch Intern Med 2003; 163(4):427-36.