IntroductionGlobally, it is estimated that around 20–25% adult population has metabolic syndrome. Individuals who have metabolic syndrome are up to five times more susceptible for chronic diseases than those who have no metabolic syndrome. In Ethiopia there is no sufficient information regarding the magnitude and factors of metabolic syndrome. The aim of this study is to assess prevalence and associated factors of metabolic syndrome among residents of Mizan-Aman town, South West, Ethiopia.MethodsThe community based cross-sectional study was held at Mizan-Aman town residents. Systematic random sampling was employed to select each household and lottery method was used to select one individual from the household. Data were cleaned, coded and entered by EPI-INFO version 3.5.4 and were transported to SPSS version 20 for further analysis. To indicate the strength of association, odds ratios (OR) and 95% confidence intervals (95% CI) were used.ResultsIn this study from a total of 558 respondents 534 were completed the interview correctly, which gives a response rate of 95.7%. The overall prevalence of metabolic syndrome was 9.6%. Multivariate logistic regression revealed that physical inactivity [AOR = 2.61, 95% CI (1.22, 5.58)], age from 18 to 28 years [AOR = 0.36, 95% CI (0.14, 0.90)], being male [AOR = 0.46, 95% CI (0.22, 0.96)] and educational status with cannot write and read [AOR = 0.15, 95% CI (0.04,0.53)], from grade 1 to 8 [AOR = 0. 17, (0.11,0.55)], from grade 9 to12 [AOR = 0.11, (0.03, 0.38)] and from diploma to degree [AOR = 0. 13, (0.01, 0.36)] were significantly associated with metabolic syndrome.ConclusionThe prevalence of metabolic syndrome in this study was found to be high. Age, physical activity, educational status and sex were significantly associated with metabolic syndrome. Physical activity was found to be the means of metabolic syndrome prevention.
Human immunodeficiency virus (HIV) infection, and the anti-retroviral therapy (ART) associated complications necessitate that the medical care system keeps evolving for proper management of this group of patients. Electrolyte imbalance and sleep problems are common in patients on ART. Both of these conditions are associated with increased morbidity (such as acute kidney injury, chronic kidney disease, low CD4 count, non-adherence and depression) and mortality. Therefore, screening for both sleep problems and electrolytes imbalance may help to decrease the risk of complications in patients on ART.
Background: Diabetes mellitus (DM) is a chronic metabolic disorder, characterized by an absolute or relative deficiency of insulin and insulin resistance. Many studies have reported an association between diabetes and alterations in the metabolism of several micronutrients. In Ethiopia the study in the relationship between micronutrients (Zn, Cu and Cr) status and type 2 diabetes (T2DM) is scanty. The aim of this study was to assess and compare the concentration of the fasting serum zinc, copper and chromium status in T2DM and control subjects. Method: A cross-sectional comparative study, conducted on 108 human subjects divided in to two groups: 54 subjects with the diagnosis of T2DM and the other 54 subjects were grouped as the control. After demographic and anthropometric information gathered, the blood sample was collected for the biochemical analysis. Fasting serum glucose was measured by glucose oxidase methods. The serum concentration of micronutrients namely zinc, copper and chromium were determined by using atomic absorption spectrophotometer. Data were analyzed using SPSS version 16 software. Results: Compared with control groups, T2DM patients had greater BMI (p<0.001); higher WHR (p<0.001); elevated SBP (p<0.001); and higher diastolic DBP (p<0.001). Fasting serum glucose level of T2DM (196.4 ± 86.77mg/dl) was significantly higher than control (90 ± 14.39mg/dl). Mean serum levels of zinc in T2DM (0.744 ± 0.211mg/l) was significantly (p<0.003) lower than control (1.099 ± 0.502mg/l), chromium (0.679 ± 0.413 mg/l) was also significantly (p<0.0001) lower than control (1.064±0.483mg/l) and Cu (0.502±0.148mg/l) had significantly (p<0.0001) higher than control (0.340±0.137mg/l). In this study, the fasting serum glucose were found negatively correlated with serum levels of Zn (r=-0.290, p=0.033), and Cr (r=-0.012, p<0.0001) of diabetic subjects. Non-significant positive relationship was observed between concentrations of serum glucose and Cu(r = 0.438, p =0.113). Conclusion: Findings of this study indicated a lower serum zinc and chromium concentrations and higher copper status were found in type 2 diabetics of Ethiopian subjects. The study suggests that another research should be conducted in the effect of the supplementation of micronutrients on controlling of type 2 diabetic mellitus.
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