Demographic Profile of Patients with Metabolic Syndrome in Bangladeshi Population

This was a hospital based study done to see the demographic profile of patients with metabolic syndrome in Bangladesh. A total of 334 patients attending in medicine OPD BSMMU were included in this study. According to modified NCEP ATP III criteria 27.2% of subjects aged ≥ 20 years had the metabolic syndrome and it was more commonly seen in women than in men (32.4% vs 21.7%). The metabolic syndrome increased with age in both sexes (40-49 years age groups 24.2% to 50-59 years age groups 35.2%). The metabolic syndrome was also significantly associated with postmenopausal period, family income, leisure time exercise (<60 min/wk), low physical activity, self reported high intake of carbohydrate diet, presence of family history and past history of components of the metabolic syndrome. TAJ 2009; 22(1): 36-42 1 Assistant Professor, Department of Medicine, Rajshahi Medical College, Rajshahi. 2 Professor, Department of Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka. 3 Assistant Professor, Department of Hepatology, Rajshahi Medical College, Rajshahi. 4 Associate Professor, Department of Medicine; Rajshahi Medical College, Rajshahi. 5 Professor, Department of Medicine; Dhaka Medical College, Dhaka. Introduction Metabolic syndrome is a global health problem of great magnitude. People with the metabolic syndrome are at increased risk of diabetes mellitus or coronary artery disease. Metabolic syndrome is strongly associated with atherosclerosis. It is an under appreciated, under recognized, and under diagnosed responsible for more illhealth than other condition. It is also under treated. NCEPATP III showed that the prevalence rate is approximately 22% of US adult. It increased with age in both sexes 4 and among hypertensive patient (34%). Metabolic syndrome is common in urban Asian Indian adults using modified ATPIII criteria; 41% of subjects aged ≥ 20 years had features of this syndrome. There is no population based study in our country. In Bangladesh there is minimum work on metabolic syndrome. A clinical practice based study showed that 9.3% cases labeled as metabolic syndrome according to NCEPATPIII criteria and male female ratio was 1:1.8. All of these indicate a need to establish prevalence of the metabolic syndrome in our population. This study can give the prevalence and pattern of component of metabolic syndrome and will help in formulation of strategy for prevention.