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dc.contributor.authorWichai Aekplakornen_US
dc.contributor.authorPattapong Kessomboonen_US
dc.contributor.authorRassamee Sangthongen_US
dc.contributor.authorSuwat Chariyalertsaken_US
dc.contributor.authorPanwadee Putwatanaen_US
dc.contributor.authorRungkarn Inthawongen_US
dc.contributor.authorWannee Nitiyananten_US
dc.contributor.authorSurasak Taneepanichskulen_US
dc.contributor.otherMahidol University. Faculty of Medicine Ramathibodi Hospitalen_US
dc.identifier.citationBMC Public Health. Vol. 11, (2011), 854en_US
dc.description.abstractBackground: Information on the distribution of Metabolic syndrome (MetS) and its combinations by urban/rural areas in lower-middle income countries has been limited. It is not clear how the various combinations of MetS components varied by urban/rural population and if particular combinations of MetS are more common. This study aimed to estimate the prevalence of MetS and combinations of MetS components according to sex and urban/ rural areas from a nationally representative sample of Thai adults. Methods: Data from the fourth National Health Examination Survey of 19,256 Thai adults aged 20 years and over were analyzed. MetS was defined using the harmonized criteria of six international expert groups with Asianspecific cut-point for waist circumference. Results: The prevalence of MetS was 23.2% among adults aged ≥ 20 years (19.5% in men and 26.8% in women). Among men, the prevalence of MetS in urban was higher than those in rural areas (23.1% vs 17.9%, P < 0.05), but among women, the prevalence was higher in rural areas (27.9% vs 24.5%, P < 0.05). Overall, an individual component of low high density lipoprotein (HDL) and hypertriglyceridemia were more common in rural areas, while obesity, high blood pressure and hyperglycemia were more common in urban areas. The most common combination of MetS components in men was the clustering of low HDL, hypertriglyceridemia, and high blood pressure (urban: 3.4% vs. rural: 3.9%, adjusted OR 0.9, 95%CI 0.7, 1.1). Among women, the most common combination was the clustering of obesity, low HDL, and hypertriglyceridemia (urban: 3.9% vs rural: 5.9%, adjusted OR 0.8, 95%CI 0.6, 0.9), followed by the clustering of these three components with high blood pressure (urban: 3.1% vs. rural 4.5%, adjusted OR 0.8, 95%CI 0.7, 0.9). Conclusion: Metabolic syndrome affects both urban and rural population with different pattern of MetS combinations. Dyslipidemia and obesity were the most common components among women in rural areas, hence, interventions to prevent and control these factors should be strengthened.en_US
dc.rightsMahidol Universityen_US
dc.subjectOpen Access articleen_US
dc.subjectmetabolic syndromeen_US
dc.subjectThai populationen_US
dc.titleUrban and rural variation in clustering of metabolic syndrome components in the Thai population: results from the fourth National Health Examination Survey 2009en_US
dc.typeResearch Articleen_US
dc.rights.holderBioMed Centralen_US
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