Magnitude and Associated Factors of Metabolic Syndrome Among Adult Urban Dwellers of Northern Ethiopia
Received 22 October 2020
Accepted for publication 27 January 2021
Published 10 February 2021 Volume 2021:14 Pages 589—600
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Dr Antonio Brunetti
Gebremedhin Gebreegziabiher,1 Tefera Belachew,2 Kibriti Mehari,3 Dessalegn Tamiru2
1Department of Human Nutrition, Adigrat University, Adigrat, Ethiopia; 2Department of Nutrition and Dietetics, Faculty of Public Health, Jimma University, Jimma, Ethiopia; 3Tigray Health Research Institute, Mekelle, Ethiopia
Correspondence: Gebremedhin Gebreegziabiher
Jimma University, P.O. Box: +251378, Addis Ababa, Ethiopia
Background: Metabolic Syndrome (MetS) is becoming a big public health problem in developing countries like Ethiopia. Developing countries have an almost two-fold higher risk of death due to non-communicable diseases (NCDs) compared to high-income countries. This study aimed to assess the magnitude and factors associated with MetS among adult residents of Mekelle city.
Methods: A population-based cross-sectional study was carried out among 266 randomly selected adults from July to September 2019. Data were collected on socio-demographic, clinical, anthropometric, and lifestyle characteristics using a structured questionnaire adapted from the WHO STEPs survey tool. Fasting Blood Glucose (FBG) and lipid profiles were tested using a blood sample. Bivariate and multivariable logistic regression analyses were used to identify factors associated with MetS and variables were considered statistically significant at p ≤ 0.05.
Results: The findings of this study showed the magnitude of MetS was 21.8%. The proportion of MetS was relatively higher among women (24.6%) than men (18.5%). Raised blood pressure was the most prominent (42.5%) component of MetS followed by central obesity (41.7%). The magnitude of the other components of MetS was 38.0%, 21.4%, and 14.3% for elevated triglyceride, raised FBG, and low HDL-C, respectively. Advanced age, medium and high monthly income, walking less than 10 minutes per day, raised Body Mass Index (BMI), higher waist to hip ratio, and elevated total cholesterol were significantly associated with a higher risk of metabolic syndrome.
Conclusion: In this study, we found a high prevalence of metabolic syndrome and its components, which highlights an urgent need for a public health strategy for its prevention, early diagnosis, and management.
Keywords: magnitude, metabolic syndrome, adult, Northern Ethiopia
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