Prevalence and correlates of metabolic syndrome among adults in Freetown, Sierra Leone: A comparative analysis of NCEP ATP III, IDF and harmonized ATP III criteria
Background: Metabolic syndrome (MetS) is a global health concern, especially for low and middle-income countries with limited resources and information. The study's objective was to assess the prevalence of MetS in Freetown, Sierra Leone, using the National Cholesterol Education Program (NCEP)...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | International Journal of Cardiology. Cardiovascular Risk and Prevention |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772487524000011 |
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| author | James Baligeh Walter Russell Theresa Ruba Koroma Santigie Sesay Sallieu Kabay Samura Sulaiman Lakoh Ansumana Bockarie Onome Thomas Abiri Victor Conteh Sorie Conteh Mohamed Smith Othman Z. Mahdi Durodami R. Lisk |
| author_facet | James Baligeh Walter Russell Theresa Ruba Koroma Santigie Sesay Sallieu Kabay Samura Sulaiman Lakoh Ansumana Bockarie Onome Thomas Abiri Victor Conteh Sorie Conteh Mohamed Smith Othman Z. Mahdi Durodami R. Lisk |
| author_sort | James Baligeh Walter Russell |
| collection | DOAJ |
| description | Background: Metabolic syndrome (MetS) is a global health concern, especially for low and middle-income countries with limited resources and information. The study's objective was to assess the prevalence of MetS in Freetown, Sierra Leone, using the National Cholesterol Education Program (NCEP) Adult Treatment Panel III (ATP III), International Diabetes Federation (IDF) and Harmonize ATP III. Additionally, we aimed to establish the concordance between these three different criteria used. Methods: This community-based health screening survey was conducted from October 2019 to October 2022. A multistage stratified random design was used to select adults aged 20 years and above. Mean, interquartile range (IQR), and logistic regression were used for statistical analysis. The kappa coefficient statistics resolved the agreement between these defined criteria. Results: The prevalence for NCEP ATP III, Harmonize ATP III and IDF criteria was 11.8 % (95 % CI: 9.0–15.15), 14.3 % (95 % CI: 11.3–18.0), and 8.5 % (95 % CI: 6.2–11.2), respectively for the 2394 selected adults. The kappa coefficient (κ) agreement between the MetS is: Harmonized ATP III and IDF criteria = [(208 (60.8 %); (κ = 0.62)]; Harmonized ATP III and NCEP ATP III = [(201 (58.7 %); (κ = 0.71)]; while IDF and NCEP ATP III was [(132 (38.6 %); (κ = 0.52)]. In the multivariable regression analysis, waist circumference correlated with all three MetS criteria: ATP III [AOR = 0.85; C.I 95 %: (0.40–1.78), p = 0.032], Harmonized ATP III [AOR = 1.14; C.I 95 %: (0.62–2.11), p = 0.024], IDF [AOR = 1.06; C.I 95 % (0.52–2.16), p = 0.018] Conclusion: We reported a high prevalence of MetS in Freetown, Sierra Leone and identified waist circumference as a major risk factor for MetS. This underscores the crucial role of health education and effective management of MetS in Sierra Leone. |
| first_indexed | 2024-03-07T14:28:22Z |
| format | Article |
| id | doaj.art-d3355e4795c0478daf4523fe1c55e00c |
| institution | Directory Open Access Journal |
| issn | 2772-4875 |
| language | English |
| last_indexed | 2024-03-07T14:28:22Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Cardiology. Cardiovascular Risk and Prevention |
| spelling | doaj.art-d3355e4795c0478daf4523fe1c55e00c2024-03-06T05:29:06ZengElsevierInternational Journal of Cardiology. Cardiovascular Risk and Prevention2772-48752024-03-0120200236Prevalence and correlates of metabolic syndrome among adults in Freetown, Sierra Leone: A comparative analysis of NCEP ATP III, IDF and harmonized ATP III criteriaJames Baligeh Walter Russell0Theresa Ruba Koroma1Santigie Sesay2Sallieu Kabay Samura3Sulaiman Lakoh4Ansumana Bockarie5Onome Thomas Abiri6Victor Conteh7Sorie Conteh8Mohamed Smith9Othman Z. Mahdi10Durodami R. Lisk11Department of Internal Medicine, Faculty of Clinical Sciences & Dentistry, College of Medicine and Allied Health Sciences, University of Sierra Leone, Sierra Leone; Department of Internal Medicine, University of Sierra Leone Teaching Hospital Complex, Ministry of Health and Sanitation, Freetown, Sierra Leone; Corresponding author. Department of Internal Medicine, Faculty of Clinical Sciences, College of Medicine and Allied Health Sciences, University of Sierra Leone, Sierra Leone.Department of Internal Medicine, Faculty of Clinical Sciences & Dentistry, College of Medicine and Allied Health Sciences, University of Sierra Leone, Sierra Leone; Department of Internal Medicine, University of Sierra Leone Teaching Hospital Complex, Ministry of Health and Sanitation, Freetown, Sierra LeoneDirectorate of Non-Communicable Disease & Mental Health, Ministry of Health & Sanitation, Freetown, Sierra LeoneDepartment of Mathematics and Statistics, Fourah Bay College, University of Sierra Leone, Sierra LeoneDepartment of Internal Medicine, Faculty of Clinical Sciences & Dentistry, College of Medicine and Allied Health Sciences, University of Sierra Leone, Sierra Leone; Department of Internal Medicine, University of Sierra Leone Teaching Hospital Complex, Ministry of Health and Sanitation, Freetown, Sierra LeoneDepartment of Internal Medicine, School of Medical Sciences, University of Cape Coast, GhanaDepartment of Pharmacology and Therapeutics, Faculty of Basic Medical Sciences, College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra LeoneDepartment of Internal Medicine, Faculty of Clinical Sciences & Dentistry, College of Medicine and Allied Health Sciences, University of Sierra Leone, Sierra Leone; Department of Internal Medicine, University of Sierra Leone Teaching Hospital Complex, Ministry of Health and Sanitation, Freetown, Sierra LeoneDepartment of Internal Medicine, Faculty of Clinical Sciences & Dentistry, College of Medicine and Allied Health Sciences, University of Sierra Leone, Sierra Leone; Department of Internal Medicine, University of Sierra Leone Teaching Hospital Complex, Ministry of Health and Sanitation, Freetown, Sierra LeoneDepartment of Internal Medicine, Faculty of Clinical Sciences & Dentistry, College of Medicine and Allied Health Sciences, University of Sierra Leone, Sierra Leone; Department of Internal Medicine, University of Sierra Leone Teaching Hospital Complex, Ministry of Health and Sanitation, Freetown, Sierra LeoneDepartment of Medicine, Choithrams Memorial Hospital, Freetown, Sierra LeoneDepartment of Internal Medicine, Faculty of Clinical Sciences & Dentistry, College of Medicine and Allied Health Sciences, University of Sierra Leone, Sierra Leone; Department of Internal Medicine, University of Sierra Leone Teaching Hospital Complex, Ministry of Health and Sanitation, Freetown, Sierra LeoneBackground: Metabolic syndrome (MetS) is a global health concern, especially for low and middle-income countries with limited resources and information. The study's objective was to assess the prevalence of MetS in Freetown, Sierra Leone, using the National Cholesterol Education Program (NCEP) Adult Treatment Panel III (ATP III), International Diabetes Federation (IDF) and Harmonize ATP III. Additionally, we aimed to establish the concordance between these three different criteria used. Methods: This community-based health screening survey was conducted from October 2019 to October 2022. A multistage stratified random design was used to select adults aged 20 years and above. Mean, interquartile range (IQR), and logistic regression were used for statistical analysis. The kappa coefficient statistics resolved the agreement between these defined criteria. Results: The prevalence for NCEP ATP III, Harmonize ATP III and IDF criteria was 11.8 % (95 % CI: 9.0–15.15), 14.3 % (95 % CI: 11.3–18.0), and 8.5 % (95 % CI: 6.2–11.2), respectively for the 2394 selected adults. The kappa coefficient (κ) agreement between the MetS is: Harmonized ATP III and IDF criteria = [(208 (60.8 %); (κ = 0.62)]; Harmonized ATP III and NCEP ATP III = [(201 (58.7 %); (κ = 0.71)]; while IDF and NCEP ATP III was [(132 (38.6 %); (κ = 0.52)]. In the multivariable regression analysis, waist circumference correlated with all three MetS criteria: ATP III [AOR = 0.85; C.I 95 %: (0.40–1.78), p = 0.032], Harmonized ATP III [AOR = 1.14; C.I 95 %: (0.62–2.11), p = 0.024], IDF [AOR = 1.06; C.I 95 % (0.52–2.16), p = 0.018] Conclusion: We reported a high prevalence of MetS in Freetown, Sierra Leone and identified waist circumference as a major risk factor for MetS. This underscores the crucial role of health education and effective management of MetS in Sierra Leone.http://www.sciencedirect.com/science/article/pii/S2772487524000011Metabolic syndromeNCEP ATP IIIHarmonize ATP III and IDF |
| spellingShingle | James Baligeh Walter Russell Theresa Ruba Koroma Santigie Sesay Sallieu Kabay Samura Sulaiman Lakoh Ansumana Bockarie Onome Thomas Abiri Victor Conteh Sorie Conteh Mohamed Smith Othman Z. Mahdi Durodami R. Lisk Prevalence and correlates of metabolic syndrome among adults in Freetown, Sierra Leone: A comparative analysis of NCEP ATP III, IDF and harmonized ATP III criteria International Journal of Cardiology. Cardiovascular Risk and Prevention Metabolic syndrome NCEP ATP III Harmonize ATP III and IDF |
| title | Prevalence and correlates of metabolic syndrome among adults in Freetown, Sierra Leone: A comparative analysis of NCEP ATP III, IDF and harmonized ATP III criteria |
| title_full | Prevalence and correlates of metabolic syndrome among adults in Freetown, Sierra Leone: A comparative analysis of NCEP ATP III, IDF and harmonized ATP III criteria |
| title_fullStr | Prevalence and correlates of metabolic syndrome among adults in Freetown, Sierra Leone: A comparative analysis of NCEP ATP III, IDF and harmonized ATP III criteria |
| title_full_unstemmed | Prevalence and correlates of metabolic syndrome among adults in Freetown, Sierra Leone: A comparative analysis of NCEP ATP III, IDF and harmonized ATP III criteria |
| title_short | Prevalence and correlates of metabolic syndrome among adults in Freetown, Sierra Leone: A comparative analysis of NCEP ATP III, IDF and harmonized ATP III criteria |
| title_sort | prevalence and correlates of metabolic syndrome among adults in freetown sierra leone a comparative analysis of ncep atp iii idf and harmonized atp iii criteria |
| topic | Metabolic syndrome NCEP ATP III Harmonize ATP III and IDF |
| url | http://www.sciencedirect.com/science/article/pii/S2772487524000011 |
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