World J Mens Health.  2018 Jan;36(1):50-56. 10.5534/wjmh.17014.

Prevalence of Metabolic Syndrome and Associations with Lipid Profiles in Iranian Men: A Population-Based Screening Program

Affiliations
  • 1Gastroenterology & Hepatology Disease Research Center, Qom University of Medical Sciences, Qom, Iran.
  • 2Department of Physiology, Qom University of Medical Sciences, Qom, Iran.
  • 3Health Policy and Promotion Research Center, Qom University of Medical Sciences, Qom, Iran.
  • 4Department of Anesthesiology and Critical Care, Arak University of Medical Sciences, Arak, Iran. dr_moshiri@arakmu.ac.ir
  • 5Department of Nursing, School of Nursing and Midwifery, Arak University of Medical Sciences, Arak, Iran.
  • 6Vic-Chancellor for Public Health, Bushehr University of Medical Sciences, Bushehr, Iran.
  • 7Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
  • 8Health Promotion Research Center, Department of Epidemiology and Biostatistics, Zahedan University of Medical Sciences, Zahedan, Iran.

Abstract

PURPOSE
Metabolic syndrome (MS) is characterized by a collection of interdependent disorders, including abdominal obesity, dyslipidemia, hyperglycemia, hypertension, and diabetes. The current study aimed to estimate the prevalence of MS in Qom, Iran.
MATERIALS AND METHODS
A population-based screening program was conducted in the city of Qom, in 845 urban adult men over 25 years old in 2014. Abdominal obesity, fasting blood glucose (FBG), blood pressure, and the serum lipid profile were measured in subjects after fasting for at least 8 hours. MS was defined according to the Adult Treatment Panel III criteria. Data were analyzed using the chi-square test, t-test, and multiple logistic regression.
RESULTS
The overall prevalence of MS was 23.0%, and the most common prevalent metabolic abnormalities associated with MS were low high-density lipoprotein cholesterol (< 40 mg/dL) in 34.3% of subjects, a waist circumference >102 cm in 33.9%, blood pressure ≥130/85 mmHg in 27.6%, fasting triglycerides (TG) ≥150 mg/dL in 25%, and FBG ≥110 mg/dL in 20.6%. A FBG level ≥110 mg/dL (odds ratio [OR]=4.85; 95% confidence interval [CI], 2.14~8.24), dyslipidemia (OR=3.51; 95% CI, 2.10~5.89), and a fasting TG ≥150 mg/dL were the most important factors contributing to MS.
CONCLUSIONS
The prevalence of MS in men in Qom was higher than has been reported in other countries, but it was lower than the mean values that have been reported elsewhere in Iran. FBG was the most important factor contributing to MS, and all elements of the lipid profile showed important associations with MS.

Keyword

Cholesterol; Hyperlipidemias; Iran; Lipid metabolism disorders; Lipoproteins; Prevalence

MeSH Terms

Adult
Blood Glucose
Blood Pressure
Cholesterol
Dyslipidemias
Fasting
Humans
Hyperglycemia
Hyperlipidemias
Hypertension
Iran
Lipid Metabolism Disorders
Lipoproteins
Logistic Models
Male
Mass Screening*
Obesity, Abdominal
Prevalence*
Triglycerides
Waist Circumference
Blood Glucose
Cholesterol
Lipoproteins
Triglycerides

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