Socio-Demographic Factors and the Prevalence of Metabolic Syndrome Among Filipinos from the LIFECARE Cohort

Sy, Rody G.; Llanes, Elmer Jasper B.; Reganit, Paul Ferdinand M.; Castillo-Carandang, Nina T.; Punzalan, Felix Eduardo R.; Sison, Olivia T.; Khaing, Nang Ei Ei; Poulton, Richie; Woodward, Mark; Tai, E Shyong

doi:10.5551/jat.21_sup.1-s9

Cited by 23 publications

(8 citation statements)

References 19 publications

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“…The prevalence of underweight, micronutrient deficiency/insufficiency, and cardiometabolic risk factors in this study were comparable with national estimates and past literature ( 34 – 36 ). Notably, overweight was twice higher than underweight in the adult population.…”

Section: Discussionsupporting

confidence: 89%

The Double Burden of Malnutrition at the Individual Level Among Adults: A Nationwide Survey in the Philippines

Juras

Hsu

2021

Front. Nutr.

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Introduction: Double burden of malnutrition (DBM) is a fast-evolving public health challenge. The rising prevalence of obesity and diet-related non-communicable diseases alongside persistent nutritional deficiencies are compelling problems in many developing countries. However, there is limited evidence on the coexistence of these conditions in the same individual among community-dwelling adults. This cross-sectional study describes the various forms of DBM and examines the determinants of DBM at the individual level among adults in the Philippines.Materials and Methods: A nationwide dataset from the 2013 Philippine National Nutrition Survey was used. The final study sample consisted of 17,157 adults (8,596 men and 8,561 non-pregnant and non-lactating women). This study focused on three DBM types within adults: (#1) Underweight and at least one cardiometabolic risk factor (Uw + ≥1 CMRF), (#2) Anemia and at least one cardiometabolic risk factor (An + ≥1 CMRF), (#3) Vitamin A deficiency or iodine insufficiency and at least one cardiometabolic risk factor (Other MND + ≥1 CMRF). The total double burden of malnutrition was also evaluated as the sum of the aforementioned three types. Logistic regression models were used to assess associations between socio-demographic and lifestyle factors and DBM.Results: The prevalence of the three types of DBM were: type #1, 8.1%; type #2, 5.6%; type #3, 20.6%, and the total DBM prevalence was 29.4%. Sex, age, educational attainment, employment status, wealth quintile, and alcohol drinking were the risk factors for DBM. In contrast, marital status, smoking, and physical activity were associated with the different DBM types.Conclusion: The study findings contribute to the current state of knowledge on the broad spectrum of individual-level DBM. Understanding the disparities of this phenomenon could guide integrated actions directed to the concomitance of malnutrition in various forms and cardiometabolic disease risks.

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Section: Discussionsupporting

confidence: 89%

The Double Burden of Malnutrition at the Individual Level Among Adults: A Nationwide Survey in the Philippines

Juras

Hsu

2021

Front. Nutr.

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“…Another study conducted on the prevalence of MetS using both International Diabetes Federation (IDF) and National Cholesterol Education Program (mNCEP) III criteria concurred with the findings of the study on cardiovascular risk factors, providing evidence that MetS was more common in higher socioeconomic groups and urban areas in the Philippines, as opposed to developed countries which have an inverse relationship between socioeconomic status and MetS. 24–26 …”

Section: What Has It Found? Key Findings and Publicationssupporting

confidence: 56%

Cohort Profile: LIFE course study in CARdiovascular disease Epidemiology (LIFECARE)

Shafiq

Fong

Tai

et al. 2018

International Journal of Epidemiology

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“…The remaining 284 studies were evaluated against the inclusion criteria. Thirty-four papers were included in the final review with 11 studies ( Bener et al, 2010 , Silveira et al, 2010 , Gavrila et al, 2011 , Gündogan et al, 2009 , Hildrum et al, 2007 , Huang et al, 2007 , Li et al, 2010 , Martins et al, 2015 , Mikkola et al, 2007 , Sy et al, 2014 , Tope et al, 2013 ) providing MetSyn data based on multiple definitions. Data from 26,609 different people aged between 18 and 30 years from 17 countries were available for analysis – see table for individual and grouped prevalence data.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of metabolic syndrome and metabolic syndrome components in young adults: A pooled analysis

Nolan

Carrick–Ranson

Stinear

et al. 2017

Preventive Medicine Reports

237

168

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Metabolic syndrome (MetSyn) represents a clustering of different metabolic abnormalities. MetSyn prevalence is present in approximately 25% of all adults with increased prevalence in advanced ages. The presence of one component of MetSyn increases the risk of developing MetSyn later in life and likely represents a high lifetime burden of cardiovascular disease risk. Therefore we pooled data from multiple studies to establish the prevalence of MetSyn and MetSyn component prevalence across a broad range of ethnicities. PubMed, SCOPUS and Medline databases were searched to find papers presenting MetSyn and MetSyn component data for 18–30 year olds who were apparently healthy, free of disease, and MetSyn was assessed using either the harmonized, National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATPIII), American Heart Association/National Heart, Blood and Lung Institute (AHA/NHBLI), or International Diabetes Federation (IDF) definitions of MetSyn. After reviewing returned articles, 26,609 participants' data from 34 studies were included in the analysis and the data were pooled. MetSyn was present in 4.8–7% of young adults. Atherogenic dyslipidaemia defined as low high density lipoprotein (HDL) cholesterol was the most prevalent MetSyn component (26.9–41.2%), followed by elevated blood pressure (16.6–26.6%), abdominal obesity (6.8–23.6%), atherogenic dyslipidaemia defined as raised triglycerides (8.6–15.6%), and raised fasting glucose (2.8–15.4%). These findings highlight that MetSyn is prevalent in young adults. Establishing the reason why low HDL is the most prevalent component may represent an important step in promoting primary prevention of MetSyn and reducing the incidence of subsequent clinical disease.

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Socio-Demographic Factors and the Prevalence of Metabolic Syndrome Among Filipinos from the LIFECARE Cohort

Abstract: MetS is common in the Philippines among older, educated, and urban residents. The mNCEP criteria identified more MetS than the IDF criteria.

Cited by 23 publications

References 19 publications

The Double Burden of Malnutrition at the Individual Level Among Adults: A Nationwide Survey in the Philippines

The Double Burden of Malnutrition at the Individual Level Among Adults: A Nationwide Survey in the Philippines

Cohort Profile: LIFE course study in CARdiovascular disease Epidemiology (LIFECARE)

Prevalence of metabolic syndrome and metabolic syndrome components in young adults: A pooled analysis

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