Prevalence of the metabolic syndrome among adults in a family health center in Turkey

Yıl 2012, Cilt: 19 Sayı: 1, 6 - 11, 30.03.2012

Levent Özseven Yonca Sönmez

Öz

Abstract

Objective: The purpose of this study was to determine the prevalence of the metabolic syndrome (MetS) in an urban population enrolled at a family health center in the city of Isparta.
Material and Method: Systematically selected individuals aged 20 and over were studied using stratified sampling. A total of 1014 subjects participated in the study. The MetS was diagnosed using the National Cholesterol Education Program (NCEP) Adult Treatment Panel III (ATP III) and the International Diabetes Federation (IDF) criteria.
Results: According to ATP III and IDF definitions, the overall prevalence of the MetS was 29.9% and 35.3%, respectively. By both definitions, the prevalence was higher in women than men. For ATP III, it was 32.6% versus 26.7%; while it was 37.9% versus 32.3% for IDF. The prevalence increased significantly by age for both definitions. The most common component was low HDL-C (52.1%) for ATP III, however it was abdominal obesity (72.1%) for IDF.
Conclusion: There is a high prevalence of MetS in this urban population. Considering our results, it is noteworthy that one third of our population has the risk of developing diabetes and cardiovascular disease. These findings indicate the need for support and promotion of healthy lifestyle behaviors among individuals of our family health center.

Özet
Türkiye'de bir aile sağlığı merkezindeki erişkin bireylerde metabolik sendrom prevalansı

Amaç: Bu çalışmanın amacı Isparta ili kentsel alanında bulunan aile sağlığı merkezimize kayıtlı erişkin bireylerde metabolik sendrom prevalansını belirlemektir.
Materyal ve Metod: Sistematik olarak tabakalı örnekleme ile belirlenen 20 yaş ve üzeri toplam 1220 kişiden 1014'ü çalışmaya dahil edilmiştir. Metabolik sendrom (MetS) prevalansı Ulusal Kolesterol Eğitim Programı (NCEP) Erişkin Tedavi Paneli III (ATP III) ve Uluslararası Diyabet Federasyonu (IDF) tanımlamaları kullanılarak belirlenmiştir.
Bulgular: ATP III ve IDF tanımlamalarına göre MetS prevalansı sırasıyla % 29.9 ve % 35.3 olarak bulunmuştur. Her iki tanımlamayla da prevalans kadınlarda erkeklere oranla daha yüksektir. ATP III için bu oranlar % 32.6'ya % 26.7 iken, IDF için % 37.9'a % 32.3 düzeylerindedir. Prevalans her iki tanımlamayla da yaşla birlikte artış göstermiştir. En yüksek oranda saptanan MetS kriteri, ATP III tanımlamasıyla düşük HDL-C (% 52.1) iken IDF tanımlaması ile abdominal obezite (% 72.1) olmuştur.
Sonuç: Kentsel alandaki bu toplumda MetS prevalansı yüksek bulunmuştur. Sonuçlarımız değerlendirildiğinde incelenen toplumun yaklaşık üçte biri diyabet ve kardiyovasküler hastalıkların gelişimi açısından risk altındadır. Bu bulgular aile sağlığı merkezimizdeki bireylerde sağlıklı yaşam tarzı davranışlarının teşvik edilmesi ve desteklenmesi ihtiyacını ortaya koymaktadır.
Anahtar kelimeler: Metabolik sendrom, prevalans, aile sağlığı merkezi

Anahtar Kelimeler

Metabolik sendrom, prevalans, aile saðlýðý merkezi

Kaynakça

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