Metabolic Syndrome in Fasting and Non-Fasting Participants: The UAE Healthy Future Study

Mezhal, F (通讯作者),New York Univ Abu Dhabi, Publ Hlth Res Ctr, Abu Dhabi 129188, U Arab Emirates.
2022-11
Introduction: Metabolic syndrome (MetS) is a multiplex of risk factors that predispose people to the development of diabetes and cardiovascular disease (CVD), two of the major non-communicable diseases that contribute to mortality in the United Arab Emirates (UAE). MetS guidelines require the testing of fasting samples, but there are evidence-based suggestions that non-fasting samples are also reliable for CVD-related screening measures. In this study, we aimed to estimate MetS and its components in a sample of young Emiratis using HbA1c as another glycemic marker. We also aimed to estimate the associations of some known CVD risk factors with MetS in our population. Methods: The study was based on a cross-sectional analysis of baseline data of 5161 participants from the UAE Healthy Future Study (UAEHFS). MetS was identified using the NCEP ATP III criteria, with the addition of HbA1c as another glycemic indicator. Fasting blood glucose (FBG) and HbA1c were used either individually or combined to identify the glycemic component of MetS, based on the fasting status. Multivariate regression analysis was used to test for associations of selected social and behavioral factors with MetS. Results: Our sample included 3196 men and 1965 women below the age of 40 years. Only about 21% of the sample were fasting at the time of recruitment. The age-adjusted prevalence of MetS was estimated as 22.7% in males and 12.5% in females. MetS prevalence was not statistically different after substituting FBG by HbA1c in the fasting groups (p > 0.05). Age, increased body mass index (BMI), and family history of any metabolic abnormality and/or heart disease were consistently strongly associated with MetS. Conclusion: MetS is highly prevalent in our sample of young Emirati adults. Our data showed that HbA1c may be an acceptable tool to test for the glycemic component of MetS in non-fasting samples. We found that the most relevant risk factors for predicting the prevalence of MetS were age, BMI, and family history.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
卷号:19|期号:21
收录类别:SCIE
语种
英语
来源机构
Khalifa University of Science & Technology; United Arab Emirates University; United Arab Emirates University; United Arab Emirates University; Zayed University; Khalifa University of Science & Technology; Khalifa University of Science & Technology; Khalifa University of Science & Technology; United Arab Emirates University; Cleveland Clinic Foundation; United Arab Emirates University; Higher Colleges of Technology - United Arab Emirates; New York University; Cleveland Clinic Foundation; University of Cambridge
资助机构
New York University Abu Dhabi Research Institute
资助信息
The authors are indebted to the support of the funding organization: New York University Abu Dhabi Research Institute. Many thanks to the research staff of the UAEHFS study.
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
0
2013以来使用计数
0
EISSN
1660-4601
出版年
2022-11
DOI
10.3390/ijerph192113757
学科领域
循证公共卫生
关键词
metabolic syndrome central obesity diabetes hypertension dyslipidemia United Arab Emirates
WOS学科分类
Environmental Sciences Public, Environmental & Occupational Health