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Incidence and predictors of metabolic syndrome among urban, adult Sri Lankans: a community cohort, 7-year follow-up study

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dc.contributor.author de Silva, S.T. en_US
dc.contributor.author Niriella, M.A en_US
dc.contributor.author Kasturiratne, A. en_US
dc.contributor.author Kottahachchi, D. en_US
dc.contributor.author Ranawaka, U.K. en_US
dc.contributor.author Dasanayaka, A. en_US
dc.contributor.author de Silva, A.P. en_US
dc.contributor.author Pathmeswaran, P. en_US
dc.contributor.author Wickremasinghe, R. en_US
dc.contributor.author Kato, N. en_US
dc.contributor.author de Silva, J. en_US
dc.date.accessioned 2018-03-06T16:22:46Z en_US
dc.date.available 2018-03-06T16:22:46Z en_US
dc.date.issued 2017 en_US
dc.identifier.citation Annual Meeting European Association for the Study of Diabetes (EASD). 2017 en_US
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/18610 en_US
dc.description Conference Abstract, Annual Meeting 2017, European Association for the Study of Diabetes (EASD) September 11–15, 2017, Lisbon, Portugal en_US
dc.description.abstract BACKGROUND AND AIMS In 2007, we reported a 38.9% prevalence of metabolic syndrome (MetS) in an urban, adult population. Published data on incident MetS from South Asia is lacking. This study investigated the incidence and risk factors for MetS after a 7-year follow-up of the initial cohort. MATERIALS AND METHODS: The study population (selected by age-stratified random sampling from the Ragama MOH area) was screened in 2007 (aged 35-64 years) and re-evaluated in 2014 (aged 42-71 years). On both occasions, structured interview, anthropometric measurements, liver ultrasound, biochemical and serological tests were performed. MetS was diagnosed on established International Diabetes Federation (IDF 2012) criteria. Total body fat (TBF) and visceral fat percentage (VFP) were measured in 2014, using impedance. Abnormal TBF was defined as >32% for females and >25% for males. Abnormal VFP was defined as >10% for both sexes. Non-alcoholic fatty liver disease (NAFLD) was diagnosed on established ultrasound criteria, safe alcohol consumption (Asian standards: <14 units/week for men, <7 units/week for women) and absence of hepatitis B and C markers. RESULTS: 2137/2967 (72.0%) of the initial cohort attended follow-up [1229 (57.5%) women; mean-age 52.4 (SD-7.7) years]. 1000/2137 [548 (54.8%) women; mean age 57.5 years (SD-7.74)] had MetS (prevalence-46.8%). Out of 1246 individuals who initially did not have MetS in 2007, 318 [225 (70.8%) women; mean age 57.5 (SD 7.7) years] had developed incident MetS after 7 years (annual incidence-2.13%). Comparison of incident MetS with those with no MetS in 2014 is shown in Table 1. On logistic regression, female sex (OR 3.6, p<0.001), central obesity [OR 4.58, p<0.001], BMI >23kg/m2 [OR 4.84, p<0.001], increase in weight 2%-5% [OR 2.02, p<0.001], increase in weight >5% [OR 5.3, p<0.001), increase in waist circumference (WC) 5-10-cm [OR 3.68, p<0.001], increase in WC >10cm [OR 10.34, p<0.001] and NAFLD (OR 2.44, p<0.001) in 2007 were independently predictive of incident MetS in 2014. Abnormal VFP [OR 4.23, p<0.001] and abnormal TBF [OR 5.25, p<0.001] were also associated with incident MetS. CONCLUSION: In this prospective community study, the annual incidence of MetS was 2.13%. Female gender, increase in weight and WC from baseline and the presence of NAFLD predicted the development of incident MetS. Obesity at baseline was the only defining individual component of MetS that predicted future MetS. en_US
dc.language.iso en_US en_US
dc.publisher European Association for the Study of Diabetes en_US
dc.subject Diabetes en_US
dc.title Incidence and predictors of metabolic syndrome among urban, adult Sri Lankans: a community cohort, 7-year follow-up study en_US
dc.type Conference Abstract en_US


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