Journal Article

The metabolic syndrome in the West Bank population: an urban-rural comparison

2001
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Abstract

OBJECTIVE: To compare the prevalence of components of the metabolic syndrome, including hypertension, abnormal glucose metabolism, dyslipidemia, central obesity, and overall obesity, between a rural and an urban Palestinian West Bank community. RESEARCH DESIGN AND METHODS: A total of 500 rural and 492 urban men and women aged 30-65 years participated in a community-based cross-sectional survey Diabetes and impaired glucose tolerance were diagnosed using the oral glucose tolerance test. BMI, waist-to-hip ratio, and blood pressure were measured, and blood samples were taken from each subject. Sociodemographic characteristics were investigated using a questionnaire. RESULTS: Hypertriglyceridemia, low HDL cholesterol, overall obesity, and smoking were significantly more prevalent in the urban population, whereas central obesity was more prevalent in the rural population. Prevalence of hypertension was not significantly different between the rural and urban populations (25.4 and 21.5%, respectively; P = 0.15). The age-adjusted prevalences of diabetes were high: 11.3% (8.5-14.1 95% CI) and 13.9% (10.8-17.0) in the rural and urban populations, respectively, but not significantly different. In each community, the age-adjusted prevalence of the metabolic syndrome as defined by the World Health Organization was 17%. CONCLUSIONS: Although no significant differences were found in the prevalences of hypertension and diabetes between the two populations, other components of the metabolic syndrome, namely elevated triglycerides, low HDL cholesterol, and overall obesity, were more prevalent in the urban population. Given the rapid urbanization of the Palestinian population, the implications for a rise in noncommunicable diseases should be a major public health concern.

Year
2001
Language
English
Date Published
Feb
Volume
24
Pages
275-9
Accession Number
11213878
ISBN Number
0149-5992 (Print)0149-5992 (Linking)
Journal Name
Diabetes Care
Keywords
Insulin Resistance
Adult
Aged
Blood Pressure
Body Constitution
Body Mass Index
Cholesterol
HDL
Blood
Cross-Sectional Studies
Diabetes Complications
Diabetes Mellitus
diagnosis
Female
Glucose Intolerance
complications
epidemiology
Glucose Tolerance Test
Humans
Hyperlipidemias
Hypertension
Hypertriglyceridemia
Male
Metabolic Diseases
Middle Aged
Middle East
Obesity
Rural Population
Sex Characteristics
Smoking
Syndrome
Urban Population