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International Journal of Diabetes in Developing Countries

Erschienen in:

06.04.2016 | Original Article

Prevalence and risk factors of metabolic syndrome among an endangered tribal population in Malaysia using harmonized IDF criteria

verfasst von: Lydiatul Shima Ashari, Amal K. Mitra, Thuhairah Abdul Rahman, Amlan Mitra, Lay Kek Teh, Mohd Zaki Salleh, Hamid Jan B. Jan Mohamed

Erschienen in: International Journal of Diabetes in Developing Countries | Ausgabe 3/2016

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Abstract

The prevalence and risk factors associated with metabolic syndrome (MetS) of endangered subtribes are scantly reported. The purpose of this study was to assess the risk factors associated with MetS among the endangered Orang Asli (OA) populations using the latest harmonized International Diabetes Federation (IDF) definition. This cross-sectional study was conducted in geographical locations of the endangered subtribes namely Che Wong, Kensiu, Lanoh, and Orang Kanaq by random selection, and Semai was selected as a subtribe with a larger population as a comparison area in Peninsular Malaysia. A total of 160 respondents aged between 18 and 72 years were recruited. The respondents were measured for their weight, height, waist circumference, and blood pressure. Overnight fasting venous blood samples were analyzed for lipid profile and plasma glucose. The overall prevalence of MetS was 17.0 % (27/159). MetS rate among the endangered population only was 20.5 % (24/117). MetS prevalence was higher among the suburban Orang Kanaq (63.6 %), Che Wong (18.5 %), and Kensiu (16.4 %) subtribes and lower among the rural Lenoh (12.5 %) and Semai (7.1 %) subtribes (P = 0.003). MetS was significantly higher in females (23.8 %) compared to male (5.2 %) respondents. The risk factors identified for higher prevalence of MetS in females included overweight and obesity (P < 0.001), increased waist circumference (P < 0.001), and reduced high-density lipoprotein cholesterol (HDL-C) (P < 0.001). The prevalence of MetS among the endangered OA females is alarmingly high, especially among Orang Kanaq subtribe, which needs immediate attention.

Alberti K, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, et al. Harmonizing the metabolic syndrome a Joint Interim Statement of the International Diabetes Federation Task Force on Epidemiology and prevention; National Heart, Lung, and Blood Institute; American Heart Association; world Heart Federation; International Atherosclerosis Society; and International Association for the Study of obesity. Circulation. 2009;120(16):1640–5.CrossRefPubMed

Kassi E, Pervanidou P, Kaltsas G, Chrousos G. Metabolic syndrome: definitions and controversies. BMC Med. 2011;9(48):1–13.

Schlaich M, Straznicky N, Lambert E, Lambert G. Metabolic syndrome: a sympathetic disease? Lancet Diabetes Endocrinol. 2015;3(2):148–57.CrossRefPubMed

Beltran-Sanchez H, Harhay MO, Harhay MM, McElligott S. Prevalence and trends of metabolic syndrome in the adult US population, 1999–2010. J Am Coll Cardio. 2013;62(8):697–703.CrossRef

Van Vliet-Ostaptchouk JV, Nuotio ML, Slagter SN, Doiron D, Fischer K, Foco L, et al. The prevalence of metabolic syndrome and metabolically healthy obesity in Europe: a collaborative analysis of ten large cohort studies. BMC Endocrine Disorders. 2014;14(9):1–13.

Deedwania PC, Gupta R, Sharma KK, Achari V, Gupta B, Maheshwari A, et al. High prevalence of metabolic syndrome among urban subjects in India: a multisite study. Diabetes Metab Syndr: Clin Res Rev. 2014;8(3):156–61.CrossRef

Mohamud WNW, Ismail AA-S, Sharifuddin A, Ismail IS, Musa KI, Kadir KA, et al. Prevalence of metabolic syndrome and its risk factors in adult Malaysians: results of a nationwide survey. Diabetes Res Clin Pr. 2011;91(2):239–45.CrossRef

Chu AH, Moy F. Association between physical activity and metabolic syndrome among Malay adults in a developing country. Malaysia J Sci Med Sport. 2014;17(2):195–200.CrossRefPubMed

Alberti K, Zimmet P, Shaw J. Metabolic syndrome—a new world wide definition. A consensus statement from the International Diabetes Federation. Diabetic Med. 2006;23(5):469–80.CrossRefPubMed

10.

Expert Panel on Detection E. Executive summary of the third report of the National Cholesterol Education Program (NCEP) expert panel on Detection, Evaluation, and Treatment of high blood cholesterol in adults (Adult Treatment Panel III). JAMA-J Am Med Assoc. 2001;285(19):–2486.

11.

Alberti KGMM, Zimmet PZ. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus. Provisional report of a WHO Consultation. Diabetic Med. 1998;15(7):539–53.CrossRefPubMed

12.

Khor G, Zalilah M. The ecology of health and nutrition of Orang Asli (indigenous people) women and children in Peninsular Malaysia. Tribes Tribals. 2008;2:66–77.

13.

Masron T, Masami F, Ismail N. Orang Asli in Peninsular Malaysia: population, spatial distribution and socio-economic condition. J Ritsumeikan Soc Sci Hum. 2013;6:75–115.

14.

Ang KC, Ngu MS, Reid KP, Teh MS, Aida ZS, Koh D, et al. Skin color variation in Orang Asli tribes of Peninsular Malaysia. PLoS ONE. 2012;7(8):1–7.CrossRef

15.

Fix AG. Malayan paleosociology: implications for patterns of genetic variation among the Orang Asli. Am Anthropol. 1995;97(2):313–23.CrossRef

16.

Orang Asli Development Department. Bilangan Kampung dan Penduduk Orang Asli Mengikut Negeri, 2013. http://www.rurallink.gov.my/web/guest/jakoa. 20th March 2014

17.

Haemamalar K, Zalilah M, Neng Azhanie A. Nutritional status of Orang Asli (Che Wong tribe) adults in Krau Wildlife Reserve, Pahang. Malays J Nutr. 2010;16(1):55–68.PubMed

18.

Hian LH, Leng CH. Nutritional status and reproductive health of Orang Asli women in two villages in Kuantan, Pahang. Malays J Nutr. 1998;4(1):31–54.

19.

Lin KG. Malnutrition among Semai children. Med J Malays. 1988;43(4):318–26.

20.

Anuar TS, Al-Mekhlafi HM, Ghani MKA, Osman E, Yasin AM, Nordin A, et al. Prevalence and risk factors associated with Entamoeba histolytica/dispar/moshkovskii infection among three Orang Asli ethnic groups in Malaysia. PLoS ONE. 2012;7(10):1–11.

21.

Al-Mekhlafi HM, Al-Maktari MT, Jani R, Ahmed A, Anuar TS, Moktar N, et al. Burden of Giardia duodenalis infection and its adverse effects on growth of schoolchildren in rural Malaysia. Plos Neglect Trop D. 2013;7(10):1–12.CrossRef

22.

Al-Mekhlafi MH, Surin J, Atiya A, Ariffin W, Mahdy AM, Abdullah HC. Anaemia and iron deficiency anaemia among aboriginal schoolchildren in rural Peninsular Malaysia: an update on a continuing problem. T Roy Soc Trop Med H. 2008;102(10):1046–52.CrossRef

23.

Mohamud WNW, Suraiami M. Prevalence of diabetes, impaired fasting glucose and metabolic syndrome among female Orang Asli community in Peninsular Malaysia. Int J Diabetes Dev C. 2010;30(3):118–22.CrossRef

24.

Sabran SF, Mohamed M, Abu Bakar MF. Ethnomedical knowledge of Plants used for the Treatment of Tuberculosis in Johor. Malays Evid-Based Compl Alt. 2016;2016:1–12.CrossRef

25.

Xu S, Ming J, Yang C, Gao B, Wan Y, Xing Y, et al. Urban, semi-urban and rural difference in the prevalence of metabolic syndrome in Shaanxi province, Northwestern China: a population-based survey. BMC Public Health. 2014;14(104):1–7.

26.

Al-Daghri NM, Alkharfy KM, Al-Attas OS, Khan N, Alfawaz HA, Alghanim SA, et al. Gender-dependent associations between socioeconomic status and metabolic syndrome: a cross-sectional study in the adult Saudi population. BMC Cardiovas Disord. 2014;14(51):1–9.

27.

El-Aty MA, Mabry R, Morsi M, Al-Lawati J, Al-Riyami A, El-Sayed M. Metabolic syndrome and its components: secondary analysis of the world Health survey, Oman. Sultan Qaboos Univ Med J. 2014;14(4):e460.PubMedPubMedCentral

28.

Sorkhou E, Al-Qallaf B, Al-Namash H, Ben-Nakhi A, Al-Batish M, Habiba S. Prevalence of metabolic syndrome among hypertensive patients attending a primary care clinic in Kuwait. Med Princ Prac. 2004;13(1):39–42.CrossRef

29.

Al Zenki S, Al Omirah H, Al Hooti S, Al Hamad N, Jackson RT, Rao A, et al. High prevalence of metabolic syndrome among Kuwaiti adults—a wake-up call for public health intervention. Int J Environ Res Public Health. 2012;9(5):1984–96.CrossRefPubMedPubMedCentral

30.

Schutte A, Shemesh T, Rowley K, Best JD, McDermott R, O’Dea K. The metabolic syndrome and changing relationship between blood pressure and insulin with age, as observed in Aboriginal and Torres Strait Islander peoples. Diabetic Med. 2005;22(11):1589–97.CrossRefPubMed

31.

Liu J, Young TK, Zinman B, Harris SB, Connelly PW, Hanley AJ. Lifestyle variables, non-traditional cardiovascular risk factors, and the metabolic syndrome in an Aboriginal Canadian population. Obesity. 2006;14(3):500–8.CrossRefPubMed

32.

Katzmarzyk PT. Obesity and physical activity among Aboriginal Canadians. Obesity. 2008;16(1):184–90.CrossRefPubMed

33.

Hsiao Y-C, Wang K, Bair M-J. Prevalence of obesity and metabolic syndrome in Aboriginals in Southeastern Taiwan—a hospital-based study. J Int Med Taiwan. 2011;22:48–56.

34.

Pollex RL, Hanley AJ, Zinman B, Harris SB, Khan HM, Hegele RA. Metabolic syndrome in aboriginal Canadians: prevalence and genetic associations. Atherosclerosis. 2006;184(1):121–9.CrossRefPubMed

35.

Matsuura H, Mure K, Nishio N, Kitano N, Nagai N, Takeshita T. Relationship between coffee consumption and prevalence of metabolic syndrome among Japanese civil servants. J Epidemiol. 2012;22(2):160–6.CrossRefPubMedPubMedCentral

36.

Niwa Y, Ishikawa S, Gotoh T, Kayaba K, Nakamura Y, Kajii E. Metabolic syndrome mortality in a population-based cohort study: Jichi Medical School (JMS) cohort study. J Epidemiol. 2007;17(6):203–9.CrossRefPubMed

37.

Moy FM, Bulgiba A. The modified NCEP ATP III criteria maybe better than the IDF criteria in diagnosing metabolic syndrome among Malays in Kuala Lumpur. BMC Public Health. 2010;10(678):1–6.

38.

Adrian Jinam T, Elvira Phipps M, Indran M, Rani Kuppusamy U, Ameen Mahmood A, Hong L-C, et al. An update of the general health status in the indigenous populations of Malaysia. Ethn Health. 2008;13(3):277–87.CrossRef

39.

Gittelsohn J, Wolever TMS, Harris SB, Harris-Giraldo R, Hanley AJG, Zinman B. Specific patterns of food consumption and preparation are associated with diabetes and obesity in a native Canadian community. J Nutr. 1998;128(3):541–7.PubMed

40.

Aekplakorn W, Chongsuvivatwong V, Tatsanavivat P, Suriyawongpaisal P. Prevalence of metabolic syndrome defined by the International Diabetes Federation and National Cholesterol Education Program criteria among Thai Adults. Asia-Pac J Public Health. 2011;23(5):792–800.CrossRefPubMed

41.

Delavari A, Forouzanfar MH, Alikhani S, Sharifian A, Kelishadi R. First nationwide study of the prevalence of the metabolic syndrome and optimal cutoff points of waist circumference in the middle east the national survey of risk factors for noncommunicable diseases of Iran. Diabetes Care. 2009;32(6):1092–7.CrossRefPubMedPubMedCentral

42.

Chateau-Degat M-L, Pereg D, Egeland GM, Nieboer E, Bonnier-Viger Y, Laouan-Sidi EA, et al. Diabetes and related metabolic conditions in an Aboriginal Cree community of Quebec, Canada. Can J Diabetes. 2009;33(3):156–62.CrossRefPubMed

43.

O’Dea K, Rowley KG. Macrovascular disease risk factors and insulin resistance in Aboriginal and Torres Strait Islander people. J Diabetes Complicat. 2002;16(1):9–16.CrossRefPubMed

Titel: Prevalence and risk factors of metabolic syndrome among an endangered tribal population in Malaysia using harmonized IDF criteria
verfasst von: Lydiatul Shima Ashari
Amal K. Mitra
Thuhairah Abdul Rahman
Amlan Mitra
Lay Kek Teh
Mohd Zaki Salleh
Hamid Jan B. Jan Mohamed
Publikationsdatum: 06.04.2016
Verlag: Springer India
Erschienen in: International Journal of Diabetes in Developing Countries / Ausgabe 3/2016
Print ISSN: 0973-3930
Elektronische ISSN: 1998-3832
DOI: https://doi.org/10.1007/s13410-016-0487-4

Springer Medizin

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