Metabolic syndrome in central Brazil: prevalence and correlates in the adult population
Open Access
- 14 May 2012
- journal article
- Published by Springer Science and Business Media LLC in Diabetology & Metabolic Syndrome
- Vol. 4 (1), 20-9
- https://doi.org/10.1186/1758-5996-4-20
Abstract
Background The prevalence of metabolic syndrome (MetS) has increased in developing countries in recent decades. This syndrome, a clustering of metabolic abnormalities, has been correlated to various socioeconomic and behavioral variables. We investigated the prevalence and prevalence ratios (PR) of MetS and related factors in an adult population of the Federal District (FD) of Brazil, which is located in the central region of the country. Methods A cross-sectional, population-based study conducted in 2007, with 2130 adults (aged 18 years or older) in the FD of Brazil. Metabolic syndrome was defined according to the recently harmonized criteria. The prevalence of MetS and PR were estimated for each sex according to the diagnostic components and the overall contribution of the selected correlates. Results The overall prevalence of MetS was 32.0% (95%CI: 28.9–35.2), with no gender difference. The single component with the greatest contribution to the diagnosis of MetS was hypertension in men (PR 5.10, 95%CI: 3.17–8.22) and high waist circumference in women (PR 5.02, 95%CI: 3.77–6.69). The prevalence of MetS increased significantly and progressively with age and excess weight. In women, higher education was protective against MetS (PR 0.66, 95%CI: 0.49–0.89) compared to 8 or less years of education. There was no association between the prevalence of MetS and behavioral variables studied. Conclusions This study provides comprehensive and alarming data about the prevalence of MetS among the adult population of Brazil’s FD. The results suggest that reducing education inequalities may be an important public policy goal to improve health outcomes, especially among women.Keywords
This publication has 47 references indexed in Scilit:
- National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9·1 million participantsThe Lancet, 2011
- Growing Epidemic of Coronary Heart Disease in Low- and Middle-Income CountriesCurrent Problems in Cardiology, 2010
- Life Course Socioeconomic Conditions and Metabolic Syndrome in Adults: The Atherosclerosis Risk in Communities (ARIC) StudyAnnals of Epidemiology, 2009
- Harmonizing the Metabolic SyndromeCirculation, 2009
- Prevalence of metabolic syndrome and its relationship with leisure time physical activity among Peruvian adultsEuropean Journal of Clinical Investigation, 2009
- Utility of the metabolic syndrome and its components in the prediction of incident cardiovascular disease: a prospective cohort studyEuropean Journal of Preventive Cardiology, 2009
- Environmental and societal influences acting on cardiovascular risk factors and disease at a population level: a reviewInternational Journal of Epidemiology, 2009
- Metabolic Syndrome: From Global Epidemiology to Individualized MedicineClinical Pharmacology & Therapeutics, 2007
- Abdominal obesity and metabolic syndromeNature, 2006
- Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratioBMC Medical Research Methodology, 2003