The Prevalence and Risk Factors of Metabolic Syndrome in Patients with Hemodialysis

Introduction: Metabolic syndrome is a common disorder that puts patients at high risk for cardiovascular disease (CVD) and mortality. To our knowledge, there is no published study in Pub Med which evaluated both lifestyle and metabolic syndrome in hemodialysis patients. This study aimed to estimate...

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Main Authors: Maryam Masoumi, Mohammad Shahidi, Seyed Mohammad Hashem Montazeri, Mostafa Vahedian, Bita Bitarafan, Mohadeseh Farhadi, Cailan Feingold, Abbas Smiley
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2024-02-01
Series:Journal of Caring Sciences
Subjects:
Online Access:https://jcs.tbzmed.ac.ir/PDF/jcs-13-1-27.pdf
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author Maryam Masoumi
Mohammad Shahidi
Seyed Mohammad Hashem Montazeri
Mostafa Vahedian
Bita Bitarafan
Mohadeseh Farhadi
Cailan Feingold
Abbas Smiley
author_facet Maryam Masoumi
Mohammad Shahidi
Seyed Mohammad Hashem Montazeri
Mostafa Vahedian
Bita Bitarafan
Mohadeseh Farhadi
Cailan Feingold
Abbas Smiley
author_sort Maryam Masoumi
collection DOAJ
description Introduction: Metabolic syndrome is a common disorder that puts patients at high risk for cardiovascular disease (CVD) and mortality. To our knowledge, there is no published study in Pub Med which evaluated both lifestyle and metabolic syndrome in hemodialysis patients. This study aimed to estimate the prevalence of metabolic syndrome and investigate the potential risk factors in hemodialysis patients. Methods: This was a cross-sectional study conducted on 204 patients enrolled conveniently. National Cholesterol Education Program Adult Treatment Panel III criteria considered for Metabolic Syndrome. Demographics, lifestyle, and disease characteristics were gathered. The relationship between metabolic syndrome and its severity with independent variables was investigated through multivariable multivariate logistic and linear regressions. Results: The mean (SD) age was 55 (14) years and 42% were women. 42.6% had metabolic syndrome. Low high-density lipoprotein (HDL), high fasting blood sugar, high blood pressure (BP), increased waist circumference (WC), and high triglyceride were observed in decreasing order of frequency in 54.4%, 44.1%, 38.7%, 33.3% 28.9% of patients, respectively. The logistic regression model revealed significant associations between metabolic syndrome and physical activity (OR=0.85, 95% CI : 0.74-0.97), mood (OR=1.04, 95% CI : 1.002-1.078), age (OR=1.023, 95% CI : 1.001-1.046), and missed work (OR=0.86, 95% CI : 0.76-0.97). The linear regression model revealed significant associations between metabolic syndrome severity score and physical activity (B=-0.12, 95% CI : -0.21-0.02) and sleep quality (B=0.017, 95% CI : 0.001-0.033). Conclusion: Poorer sleep quality, lower physical activity, lower mood status, and older age were associated with higher odds of metabolic syndrome/metabolic syndrome severity score in hemodialysis patients.
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spelling doaj.art-4bb0cc6efe284a65964a1b36775944832024-03-10T09:34:11ZengTabriz University of Medical SciencesJournal of Caring Sciences2251-99202024-02-01131273510.34172/jcs.2024.32974jcs-32974The Prevalence and Risk Factors of Metabolic Syndrome in Patients with HemodialysisMaryam Masoumi0Mohammad Shahidi1Seyed Mohammad Hashem Montazeri2Mostafa Vahedian3Bita Bitarafan4Mohadeseh Farhadi5Cailan Feingold6Abbas Smiley7Department of Rheumatology, Qom University of Medical Sciences, Clinical Research and Development Center, Qom, IranClinical Research Development Center, School of Medicine, Qom University of Medical Sciences, Qom, IranStudent Research Committee, School of Medicine, Qom University of Medical Sciences, Qom, IranDepartment of Biostatistics and Epidemiology, Neuroscience Research Center, School of Medicine, Qom University of Medical Science, Qom, IranClinical Research Development Center, School of Medicine, Qom University of Medical Sciences, Qom, IranStudent Research Committee, Qom University of Medical Sciences, Qom, IranNew York Medical College, Valhalla, NY, USAUniversity of Rochester, Rochester, NY, USAIntroduction: Metabolic syndrome is a common disorder that puts patients at high risk for cardiovascular disease (CVD) and mortality. To our knowledge, there is no published study in Pub Med which evaluated both lifestyle and metabolic syndrome in hemodialysis patients. This study aimed to estimate the prevalence of metabolic syndrome and investigate the potential risk factors in hemodialysis patients. Methods: This was a cross-sectional study conducted on 204 patients enrolled conveniently. National Cholesterol Education Program Adult Treatment Panel III criteria considered for Metabolic Syndrome. Demographics, lifestyle, and disease characteristics were gathered. The relationship between metabolic syndrome and its severity with independent variables was investigated through multivariable multivariate logistic and linear regressions. Results: The mean (SD) age was 55 (14) years and 42% were women. 42.6% had metabolic syndrome. Low high-density lipoprotein (HDL), high fasting blood sugar, high blood pressure (BP), increased waist circumference (WC), and high triglyceride were observed in decreasing order of frequency in 54.4%, 44.1%, 38.7%, 33.3% 28.9% of patients, respectively. The logistic regression model revealed significant associations between metabolic syndrome and physical activity (OR=0.85, 95% CI : 0.74-0.97), mood (OR=1.04, 95% CI : 1.002-1.078), age (OR=1.023, 95% CI : 1.001-1.046), and missed work (OR=0.86, 95% CI : 0.76-0.97). The linear regression model revealed significant associations between metabolic syndrome severity score and physical activity (B=-0.12, 95% CI : -0.21-0.02) and sleep quality (B=0.017, 95% CI : 0.001-0.033). Conclusion: Poorer sleep quality, lower physical activity, lower mood status, and older age were associated with higher odds of metabolic syndrome/metabolic syndrome severity score in hemodialysis patients.https://jcs.tbzmed.ac.ir/PDF/jcs-13-1-27.pdfhemodialysismetabolic syndromesleep qualitylife stylemetabolic syndrome severity score
spellingShingle Maryam Masoumi
Mohammad Shahidi
Seyed Mohammad Hashem Montazeri
Mostafa Vahedian
Bita Bitarafan
Mohadeseh Farhadi
Cailan Feingold
Abbas Smiley
The Prevalence and Risk Factors of Metabolic Syndrome in Patients with Hemodialysis
Journal of Caring Sciences
hemodialysis
metabolic syndrome
sleep quality
life style
metabolic syndrome severity score
title The Prevalence and Risk Factors of Metabolic Syndrome in Patients with Hemodialysis
title_full The Prevalence and Risk Factors of Metabolic Syndrome in Patients with Hemodialysis
title_fullStr The Prevalence and Risk Factors of Metabolic Syndrome in Patients with Hemodialysis
title_full_unstemmed The Prevalence and Risk Factors of Metabolic Syndrome in Patients with Hemodialysis
title_short The Prevalence and Risk Factors of Metabolic Syndrome in Patients with Hemodialysis
title_sort prevalence and risk factors of metabolic syndrome in patients with hemodialysis
topic hemodialysis
metabolic syndrome
sleep quality
life style
metabolic syndrome severity score
url https://jcs.tbzmed.ac.ir/PDF/jcs-13-1-27.pdf
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