المتلازمة الاستقلابية عند الرجال زائدي الوزن وعلاقتها مع محيط الخصر في مدينة اللاذقية
Abstract
لاستقصاء وجود علاقة بين المتلازمة الاستقلابية ومحيط الخصر عند العتبة المقترحة من قبل البرنامج الوطني التثقيفي للكولسترول (NCEP ) عند الرجال زائدي الوزن، درسنا 100 رجل زائد الوزن(عينة عشوائية من مدينة اللاذقية) حيث قُسِّموا إلى مجموعتين:
-مجموعة أولى: مع محيط خصر > 102 سم
-مجموعة ثانية: مع محيط خصر ≤ 102 سم
ثم استُقصيت عناصر المتلازمة الاستقلابية:
1-الشحوم الثلاثية ≥ 150 ملغ % 2-الضغط الشرياني ≥ ملمز
3-HDL-C < 40 ملغ % 4- سكر الدم الصيامي ≥ 110ملغ %
واُعتبِر وجود متلازمة استقلابية عند وجود ثلاثة على الأقل من العناصر الأربعة.
وقد تبين بنتيجة الدراسة عدم وجود علاقة بين المتلازمة الاستقلابية ومحيط الخصر عند النقطة 102سم. وعندما أُعيد تقسيم الأشخاص إلى مجموعات جديدة عند مستويات محيط خصر أعلى وأدنى من العتبة المقترحة (99, 100, 101, 103 سم) تبين وجود علاقة بين المتلازمة الاستقلابية ومحيط الخصر عند النقطة 101 سم.
نستنتج من ذلك أنَّ الرجال زائدي الوزن ذوي محيط خصر يتجاوز 101 سم لديهم خطر أكبر للإصابة بالمتلازمة الاستقلابية بالمقارنة مع أولئك ذوي محيط خصر أقل أو يساوي 101 سم.
This paper examines whether there is a correlation between the metabolic syndrome and waist circumference at threshold suggested by the national cholesterol education program (NCEP) among overweight men. We studied 100 overweight men (random sample of Lattakia city). They were divided in two groups:
- First group: with waist circumference < 102 cm.
- Second group: with waist circumference≥ 102 cm.
They were then investigated for components of metabolic syndrome:
1. Triglyceride ≥ 150 mg %. 2. Blood pressure ≥ mm Hg.
3. HDL-cholesterol < 40 mg %. 4. Fasting glucose ≥ 110 mg %.
The metabolic syndrome is diagnosed when there are at least three components. When we later studied the correlation between the metabolic syndrome and waist circumference, we did not find a correlation.
But when the subjects were redistributed to new groups at higher and lower levels than suggested threshold (99, 100. 101.103cm), we found a correlation between the metabolic syndrome and waist circumference at 101 cm. We found that overweight men with waist circumference values more than 101cm had an increased risk of developing the metabolic syndrome compared with those of waist circumference less than or equal to 101cm.
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