Publication: Urban and rural variation in clustering of metabolic syndrome components in the Thai population: results from the fourth National Health Examination Survey 2009
5
9
item.page.dc.date.issued
2011
item.page.dc.type
item.page.dc.language.iso
eng
item.page.dc.identifier.doi
item.page.dc.rights
Mahidol University
item.page.dc.rights.holder
BioMed Central
item.page.dc.identifier.citation
BMC Public Health. Vol. 11, (2011), 854
punsarn.item.page.citation
Wichai Aekplakorn, Pattapong Kessomboon, Rassamee Sangthong, Suwat Chariyalertsak, Panwadee Putwatana, Rungkarn Inthawong, Wannee Nitiyanant, Surasak Taneepanichskul Urban and rural variation in clustering of metabolic syndrome components in the Thai population: results from the fourth National Health Examination Survey 2009. BMC Public Health. Vol. 11, (2011), 854. doi:10.1186/1471-2458-11-854 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/2686
Research Projects
Organizational Units
Authors
Journal Issue
relationships.isThesisOf
item.page.dc.title
Urban and rural variation in clustering of metabolic syndrome components in the Thai population: results from the fourth National Health Examination Survey 2009
item.page.dc.contributor.author
item.page.dc.contributor.other
item.page.dc.description.abstract
Background: 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.