Adiposity Indices as Predictors for Metabolic Syndrome Among Bangladeshi Women: A Cross Sectional Study
Abstract
Background: The metabolic syndrome (MS) is described by the clustering of several risk factors for cardiovascular disease (CVD) such as
hypertension, dyslipidemia, obesity, insulin resistance, and high fasting plasma glucose. The prevalence of MS is increasing worldwide and previous studies have shown that MS and CVD are more common in women above 55 years of age in the post menopausal phase. The aim of this study was to determine the prevalence of metabolic syndrome and adiposity indices as predictors and the related risk factors among Bangladeshi women. Material & Methods: This was a cross-sectional study and was conducted in the Outpatient departments of Bangladesh
Medical College Hospital, Dhaka, Bangladesh during the period from May, 2022 to October, 2022. There was total 300 women (150
Premenopausal & 150 Postmenopausal) in our study. Fasting blood glucose, lipid profile, blood pressure and relevant adiposity indices (BMI, WC, WHR, WHtR &VAI) were determined using standard protocols. To analyze the correlation of WC,WHR, WHtR, BMI and VAI with MS Spearmann test was used. Results: Metabolic syndrome was presented in 61.58% respondents and it was more prevalent among postmenopausal (69.09 %) as compared to premenopausal (51.25 %) women. Prevalence of high blood pressure, elevated fasting blood glucose, and high triglyceride were significantly higher in postmenopausal women than premenopausal women. However, prevalence of low high-density lipoprotein cholesterol was significantly lower in postmenopausal women than premenopausal women.
Conclusion: In our study we found a high prevalence of MS in post- menopausal women which was significantly higher than pre- menopausal women. Low HDL cholesterol, elevated fasting blood glucose, and high blood pressures were the most frequent features in comparison to the others.
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