Prevalence and Risk Factors of Metabolic Syndrome in Pregnant Women in the Centre and Littoral Regions of Cameroon

Djeufouata, Jules Destin; Ojong, Walter Ebot; Njamen, Théophile Nana; Assob, Jules Clément Nguedia; Telefo, Bruno Phelix

doi:10.11648/j.ejcbs.20200605.16

Cited by 2 publications

(8 citation statements)

References 37 publications

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“…The comparison of our study participants’ metabolic profile shows a significant increase of pre-gestational BMI, SBP, DBP, triglycerides, blood glucose levels, atherogenicity index and a significant decrease of HDL-cholesterol in pregnant women with MS compared to healthy ones ( Table 3 ). These results are similar to those of dos Prazeres et al and Djeufouata et al 22 , 27 and paint a picture of a MS related degradation of pregnant women’s metabolism with alteration of different metabolic pathways mostly driven by impaired insulin sensitivity. 28 …”

Section: Discussionsupporting

confidence: 90%

“…Similar result was obtained by Grieger et al among nulliparous pregnant women recruited in the UK, New Zealand and Australia, but lower prevalence was obtained by Djeufouata et al in the littoral and center regions of Cameroon. 21 , 22 The relatively high prevalence of MS observed in the present study, can be attributed to the definition criteria that vary from one study to another, but also to a higher prevalence of pre-gestational obesity in our study which appears to be the major determinant of MS during pregnancy. 22 Indeed, our study took place in the west region of Cameroon, where the prevalence of obesity is among the highest in the country, and overweight considered as a sign of wellbeing.…”

Section: Discussionmentioning

confidence: 52%

“…This is not in accordance with previous study that reported inverse association between MS and vigorous but not low and moderate exercise. 22 Nonetheless, there are evidences that chronic exercise presents benefits on MS by promoting energy balance, but also by triggering healthy physiological modifications in muscles cells and tissues. 2 …”

Section: Discussionmentioning

confidence: 99%

“…Indeed, pre-gestational BMI have been previously reported as the major component of MS during pregnancy. 22 , 23 Pre-gestational obesity may contribute to a worsening of metabolic profile alteration on pregnant women, leading to a higher risk of developing MS.…”

Section: Discussionmentioning

confidence: 99%

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Metabolic Syndrome During Pregnancy: Prevalence and Determinants Among Pregnant Women Followed-Up at the Dschang District Hospital, West Region of Cameroon

Dabou

Ongbayokolak

Sama

et al. 2022

DMSO

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Purpose Metabolic syndrome (MS) during pregnancy constitutes a serious threat to the mother and child health that will shortly become a major public health issue, especially in developing countries. However, in Cameroon, epidemiological data on MS during pregnancy are still scarce. The aim of this study was to determine the prevalence and determinants of MS among pregnant women followed-up at the Dschang District Hospital (DDH), in the west region of Cameroon. Patients and Methods This study was a hospital based cross-sectional study, carried out among pregnant women followed-up at the antenatal care unit of the DDH, from September 2019 to June 2020. Participants were assessed on sociodemographic, lifestyle parameters, and dietary habits using standardized and structured questionnaires. Anthropometric parameters, blood pressure, and biochemical markers were measured using standard procedures. Metabolic syndrome was diagnosed using the HNLBI/AHA definition, modified for pregnant women by Chatzi et al. A participant was recorded as having MS if presenting at least three of the following criteria: Pre-gestational BMI >30 kg/m2; triglycerides ≥150 mg/dl; HDL cholesterol <50 mg/dl; SBP ≥130/DBP ≥85 mm/Hg; and fasting blood glucose ≥100 mg/dl. Results Six hundred and four (604) pregnant women were included in the study. The prevalence of MS was 17.88% (95% CI: 15.03–21.14) and its most frequent individual components were low levels of HDL-cholesterol (66.23% (95% CI: 62.36–69.88)) and hypertriglyceridemia (28% (95% CI: 54.31–62.15)). Grand multiparous shows a higher risk of presenting MS (OR:3.06, 95% CI: 1.24–7.12; p = 0.011) compared to nulliparous. Pregestational BMI appears to be the best predictor of MS during pregnancy even after adjustment on age, parity, lifestyle and dietary habits (OR: 46.46, 95% CI: 15.58–138.49; p ˂ 0.0001). Conclusion The prevalence of MS on pregnant women in the Dschang health district is 17.88% (95% CI: 15.03–21.14) and its major determinant is pre-gestational obesity. This work provides quality preliminary data for the design and improvement of prevention strategies.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Metabolic Syndrome During Pregnancy: Prevalence and Determinants Among Pregnant Women Followed-Up at the Dschang District Hospital, West Region of Cameroon

Dabou

Ongbayokolak

Sama

et al. 2022

DMSO

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“…For instance, a study conducted in Turkey reported a 33.9% prevalence of MetS; women (39.6%) had a higher prevalence than men (28%) 8 . The prevalence of MetS also increases in Africa, ranging from 17 to 25% 9 . Similar findings have also been reported in some regions such as northwestern Nigeria (35.1%) 10 , Cape Town in South Africa (30.7%) 11 , Morocco (35.4%) 12 , Cameroon (32.45%) 13 , and Ethiopia (20.3%) 14 .…”

Section: Introductionmentioning

confidence: 99%

Prevalence and associated factors of metabolic syndrome among pregnant Ethiopian women: a hospital-based cross-sectional study

Fentie,

Fetene,

Kassahun

et al. 2024

Sci Rep

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Metabolic syndrome (MetS) poses a significant public health challenge globally, including in Ethiopia, with risks for both mothers and children. Unfortunately, there is limited data on MetS in pregnant Ethiopian women. This study aims to evaluate the prevalence and factors associated with MetS in this population. A cross-sectional study was conducted using a systematic random sampling technique. Data were collected through face-to-face interviews using a structured questionnaire adapted from the World Health Organization Steps Survey Tool for Non-communicable Diseases. About five ml of fasting peripheral blood samples were collected from each participant. The Beckman Coulter DXC 700 AU clinical chemistry analyzer was employed for lipid profile and glucose analysis. Subsequently, data were inputted into Epi Data and later exported to SPSS Version 20 for further analysis. Bivariable and multivariable binary logistic regression analyses were carried out, with a predefined level of statistical significance at p < 0.05. A total of 318 pregnant women were included in this study. The prevalence of MetS was 13.2% (95% CI: 9.7, 17.0) based on the American Heart Association/National Heart Lung and Blood Institute definition. The most prevalent components of MetS were elevated triglyceride levels, reduced high-density lipoprotein levels, and elevated blood pressure. Unhealthy sleep duration (AOR = 5.6, 95% CI (2.4, 13.1), p < 0.001), high daily salt intake (AOR = 4.2, 95% CI (1.8, 9.5), p = 0.001), and alcohol consumption [AOR = 4.2, 95% CI (1.6, 10.9), p = 0.003] were significantly associated with MetS. The study reported a high prevalence of MetS in pregnant Ethiopian women. Factors including alcohol, high salt intake, and sleep disturbances were associated with MetS. Policymakers might utilize this data to create targeted interventions and public health policies for MetS among pregnant women, focusing on nutrition, sleep, and alcohol consumption during pregnancy to safeguard maternal and fetal health.

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Prevalence and Risk Factors of Metabolic Syndrome in Pregnant Women in the Centre and Littoral Regions of Cameroon

Cited by 2 publications

References 37 publications

Metabolic Syndrome During Pregnancy: Prevalence and Determinants Among Pregnant Women Followed-Up at the Dschang District Hospital, West Region of Cameroon

Metabolic Syndrome During Pregnancy: Prevalence and Determinants Among Pregnant Women Followed-Up at the Dschang District Hospital, West Region of Cameroon

Prevalence and associated factors of metabolic syndrome among pregnant Ethiopian women: a hospital-based cross-sectional study

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