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Original Article

JCDR. 2012; 3(3): 204-211


Prevalence and risk factors for metabolic syndrome in Asian Indians: A community study from urban Eastern India

D. S. Prasad, Z. Kabir, A. K. Dash, B. C. Das.


Abstract

Objectives: To determine the prevalence of metabolic syndrome and to identify predictors for the same,
specific to an underdeveloped urban locale of Eastern India. Materials and Methods: Study design:
Population-based cross-sectional study, with multistage random sampling technique. Setting: Urban
city-dwellers in Orissa one of the poorest states of Eastern India bordering a prosperous state of Andhra
Pradesh of Southern India. Participants: 1178 adults of age 20–80 years randomly selected from 37
electoral wards of the urban city. Definition of Metabolic Syndrome: We followed a unified definition of
the metabolic syndrome by joint interim statement of five major scientific organizations – the International
Diabetes Federation, the National Heart, Lung, and Blood Institute, the American Heart Association, the
World Heart Federation, the International Atherosclerosis Society, and the International Association of
the Study of Obesity. Individuals who meet at least three of five clinical criteria of abdominal obesity,
hypertriglyceredimia, low HDL, hypertension, and hyperglycemia are diagnosed as having the condition;
presence of none of these criteria is mandatory. Explicit cut points are defined for all criteria, except
elevated waist circumference, which must rely on population and country-specific definitions. Main
Outcome Measure: Prevalence and significant predictors of metabolic syndrome. Statistical Analysis: Both
descriptive and multivariable logistic regression analyses. Results: Age-standardized prevalence rates of
metabolic syndrome were 33.5% overall, 24.9 % in males and 42.3% in females. Older age, female gender,
general obesity, inadequate fruit intake, hypercholesterolemia, and middle-to-high socioeconomic status
significantly contributed to increased risk of metabolic syndrome. Conclusion: Metabolic syndrome is a
significant public health problem even in one of the poorest states of India that needs to be tackled with
proven strategies.

Key words: Asian Indians, coronary heart disease, cardiovascular disease, diabetes, obesity, metabolic syndrome, South Asians, urban population






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