Gender Differences in the Pattern of Socio-Demographics Relevant to Metabolic Syndrome Among Kenyan Adults with Central Obesity at a Mission Hospital in Nairobi, Kenya

Okube, Okubatsion Tekeste; Kimani, Samuel; Mirie, Waithira

doi:10.1007/s40292-020-00360-7

Cited by 6 publications

(7 citation statements)

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“…Regarding sex, women have a higher tendency for weight and abdominal obesity and SM in most African studies [5,14,15,19,21,22]. This was noted in our series.…”

Section: Relationship Ms Gender and Agesupporting

confidence: 76%

“…In Europe and Asia, this fact has also been reported by Nowicki and by Guo [17,20]. As with hypertension and obesity, the incidence of MS increases with age [21]. In adolescents and children, a high incidence is mainly associated with lifestyle and dietary habits, increasing the prevalence of obesity and glucose intolerance [22].…”

Section: Relationship Ms Gender and Agementioning

confidence: 62%

“…The high standard living that has caused the westernization of mores in sub-Saharan Africa has led to an increase in the incidence of cardiovascular risk factors and their complications [9]. Also, the prevalence of MS is higher in populations with a high standard of living, living in urban or rural areas [5,21,23]. Also, in sub-Saharan Africa, indigenous populations, those with a low standard of living, or those living in the most basic living conditions, have lower prevalences of cardiovascular risk factors, which can be extrapolated to MS [5].…”

Section: Relationship Ms and Standard Of Livingmentioning

confidence: 99%

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Metabolic syndrome in rural area in the northern regions of the Republic of the Congo

Mbolla,

Monabeka,

Landa

et al. 2023

Preprint

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Introduction: prevalence of cardiovascular risk factors is increasing in low-income countries. The association of cardiometabolic risk factors including dyslipidaemia, hypertension, hyperglycaemia and central obesity define metabolic syndrome (MS). The objective of this study was to determine the prevalence of MS among rural population in Republic of the Congo. Methods: a cross-sectional study was conducted from 1st May to 15th June 2019 (45 days), in six rural towns and villages, located in two Department of northern Congo. Screening made possible the collect of socio-demographic, clinical and biological data. Portable devices helped to carry out blood tests. The definitions of MS were those of NCEP-ATPIII, IDF 2006 and IDF central Africa . Results:a total of 609 subjects/participants were involved/recruited, including 371 women (61%). The mean age of participants was 45 ± 15.3 years (range: 18 and 85). The risk factors were reported in Table 1. Identified anomalies according IDF central Africa were: high waist circumference (n = 327, 53.7%), systolic blood pressure ≥ 130 mm Hg (n = 255, 42%), diastolic blood pressure ≥ 85 mm Hg (n = 200, 32.8%), serum triglycerides ≥ 1.5 g/L (n = 96, 15.8%), low HDL cholesterol < 0.5 g/L (n = 226, 37.1%) and fasting blood glucose ≥ 1 g/L (n = 134, 22%). The prevalence of MS were: according to NCEP-ATPIII 27.1%, IDF 2006 32.7% and IDF Central Africa 31.2%. After adjusting MS was associated with age over 45 years, informal professional activities, treated hypertension, untreated hypertension, and untreated diabetes. Conclusion: the prevalence of MS is worrying in rural areas of Republic of Congo. Effective management of patients is needed in order to limit the occurrence of complications. Screening for MS extended to the entire territory of the country will make it possible to obtain more real data on this anomaly in Congo.

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“…Regarding sex, women have a higher tendency for weight and abdominal obesity and SM in most African studies [5,14,15,19,21,22]. This was noted in our series.…”

Section: Relationship Ms Gender and Agesupporting

confidence: 76%

Section: Relationship Ms Gender and Agementioning

confidence: 62%

Section: Relationship Ms and Standard Of Livingmentioning

confidence: 99%

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Metabolic syndrome in rural area in the northern regions of the Republic of the Congo

Mbolla,

Monabeka,

Landa

et al. 2023

Preprint

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“…The study methods and materials have been well elaborated in our published work. 25 This is part of the larger community-based lifestyle intervention study for managing MetS among adults in an ongoing project.…”

Section: Methodsmentioning

confidence: 99%

Association of dietary patterns and practices on metabolic syndrome in adults with central obesity attending a mission hospital in Kenya: a cross-sectional study

2020

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ObjectiveDietary patterns and practices can predispose or protect against metabolic syndrome (MetS) in humans. Despite the growing problem of MetS in adults, the underpinning dietary behaviour is poorly understood. We determined the dietary patterns and practices relevant to MetS in adults with central obesity attending a mission hospital in Kenya.Study designDescriptive, cross-sectional.SettingOutpatient clinic of a mission-based hospital in Nairobi.ParticipantsAdults (N=404) aged 18–64 years diagnosed with central obesity as per the International Diabetes Federation definition for MetS.Primary outcomesAnthropometric measurements, clinical-biochemical markers and dietary components, quantity and frequency of food intake, as well as time-lapse between consumption of dinner and sleeping.ResultsA high (87.2%) prevalence of MetS was observed for respondents who reported consumption of large amount of carbohydrates (p<0.001), proteins (p<0.001), processed/fast foods (p<0.001) and sugar (p=0.009). Frequent consumption of legumes (p<0.001), nuts (p<0.001), fruits (p<0.001) and vegetables (p=0.021) was linked to reduced MetS. Additionally, longer interval between eating dinner and going to bed was associated with reduced MetS.ConclusionRegular consumption of fruits, vegetables, legumes and nuts, as well as observing sometime after eating dinner before sleeping, was the dietary pattern significantly associated with a lower risk of MetS. Whereas, consumption of a large quantity of carbohydrates, proteins, processed/fast foods and sugar is likely to predispose to MetS. The findings underscore the need to focus on specific dietary intake patterns including frequency, quantity, quality and variety for MetS prevention and management. The MetS-related interventions could be implemented during individual consultation, group and community health messaging sessions.

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“…Most researchers have reported that MeS prevalence was related to demographic characteristics, including aging ( 41 – 44 ) (Hypothesis 1.2).…”

Section: Introductionmentioning

confidence: 99%

Dietary Acid Load (DAL), Glycated Hemoglobin A1c (HbA1c), and Metabolic Syndrome (MeS) Mediate the Association of the Adherence to the Dietary Approaches to Stopping Hypertension (DASH) and Mediterranean Diet (MeD) With Nonalcoholic Fatty Liver Disease

et al. 2022

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The study aimed to investigate the association of adults adhering to Dietary Approaches to Stop Hypertension (DASH) and Mediterranean diet (MeD) with nonalcoholic fatty liver disease (NAFLD) using structural equation modeling (SEM) in Iran. In this population-based cross-sectional study, 3,220 adults (44.65% female) aged ≥18 years were selected from the Amol Cohort Study (AmolCS). The dietary intakes were assessed by a validated 168-item semi-quantitative food-frequency questionnaire (FFQ). Residual method energy adjustment of MeD and DASH scores were calculated. Demographic characteristics and anthropometric and laboratory measurements were collected. NAFLD was diagnosed by an expert radiologist via ultrasound sonography. Based on the primary hypothesis, DASH, MeD, and NAFLD were fitted into models. Metabolic syndrome (MeS) as a potential risk factor directly affected NAFLD risk in all these models. In both genders, the higher adherence to DASH negatively affected NAFLD risk indirectly through the two following paths. (1) Dietary acid load (DAL) and metabolic syndrome (2) DAL and hemoglobin A1c (HbA1c). In addition, the higher DAL positively affected NAFLD risk among male participants indirectly via increasing HbA1c level and MeS (from DAL to HbA1c: β = 0.07, P < 0.001; from HbA1c to MeS: β = 0.10, P < 0.001). Similarly, in both genders, the relationship between MeD and NAFLD was mediated through (1) DAL, HbA1c, and MeS and (2) DAL and MeS. Further, among male participants, the MeD and NAFLD risk were also associated via the mediators of HbA1c and MeS. In female participants, the higher MeD score was directly associated with a reduction of NAFLD risk (β = −0.07, P = 0.008). The present study found three important mediators, including DAL, HbA1c, and MeS, in the association of DASH and MeD scores with NAFLD risk. Preventive and therapeutic interventions should target the mediators, including DAL, HbA1c, MeS, and its components, to reduce NAFLD incidence in the general population.

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Gender Differences in the Pattern of Socio-Demographics Relevant to Metabolic Syndrome Among Kenyan Adults with Central Obesity at a Mission Hospital in Nairobi, Kenya

Cited by 6 publications

References 100 publications

Metabolic syndrome in rural area in the northern regions of the Republic of the Congo

Metabolic syndrome in rural area in the northern regions of the Republic of the Congo

Association of dietary patterns and practices on metabolic syndrome in adults with central obesity attending a mission hospital in Kenya: a cross-sectional study

Dietary Acid Load (DAL), Glycated Hemoglobin A1c (HbA1c), and Metabolic Syndrome (MeS) Mediate the Association of the Adherence to the Dietary Approaches to Stopping Hypertension (DASH) and Mediterranean Diet (MeD) With Nonalcoholic Fatty Liver Disease

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