Metabolic syndrome in an adult rural population of Surat.

Parekh, Alok; Divyeshkumar, Vadasmiya; Vaghela, Prithvirajsinh; Parekh, Malay; Shah, Dhara; Kumar, Arvind

Objectives:

To evaluate of the metabolic syndrome in a rural population of Surat, a zone located to the South of Gujarat.

Methods:

Randomly selected adults >20 years were studied using stratified sampling. Metabolic syndrome was diagnosed using Adult Treatment Panel-III (ATP-III) guidelines when any three of the following were present (1) triglycerides ≥150 mg/dl, (2) HDL cholesterol < 40 mg/dl in men and <50 mg/dl in women, (3) systolic blood pressure ≥130mmHg or diastolic blood pressure ≥85mmHg, (4) fasting plasma glucose ≥100 mg/dL and (5) Truncal obesity (waist circumference more than 102 cm in men and >88 cm in women).

Results:

Metabolic syndrome was present in 23.6% subjects, 22.9% in men and 24.6% in women (P>0.05). The prevalence increased from 8.1% in the population younger than 30 y to 37.6% in ages more than 60 years. Low HDL was the most common metabolic abnormality in both sexes. The prevalence of obesity (BMI ≥ 30 kg/m2), hypercholesterolemia (≥200 mg/dl) and high LDL cholesterol (≥130 mg/dl) was greater in the metabolic syndrome group than normal subjects (P<0.05).

Conclusion:

There is a high prevalence of metabolic syndrome in this rural population of Surat. Focus of cardiovascular prevention should be undertaken in this area.

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