Published Feb 26, 2022



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E F. HallieE F. Hallie

P. O. Erah

E.C.Onuoha*

P. S. Humphrey

M.T, Massaquoi

M.C .Ojiako.

Article Details

Abstract

Background and Objective: Metabolic syndrome (MetS) is a growing global public health challenge. Like in many sub-Saharan African countries, data on MetS is
lacking in Liberia. This study determined the Magnitude of MetS and associated risk factors among residents of the Bardnersville Community in Liberia.


Materials and Method: The Magnitude of MetS and associated risk factors were evaluated among 128 participants using the International Diabetes Federation (IDF) definition of MetS. The study was conducted in accordance with the STEPwise approach of the World Health Or-ganisation (WHO). In the study population, males constituted 47% and female 53%, Illiteracy was 32.0%, with a significant number of females been illiretate. Only 17.2% of participants had attained a university education with only 4.4% of females having a university education. Results: There were significant differences in the waist circumference, BMI, height, age, weight, blood pressure, total cholesterol and triglyc-erides in participants with Mets compared those without MetS. The overall Magnitude of MetS was 46.1%, with a significantly higher Mag-nitude (p <0.001) among females (76.5%) than in males (11.7%). The Magnitude of MetS increased with increasing age of the participants up to 49 years. MetS was higher in illiterate participants (68.3%) than in university graduates (13.6%). Raised BP was the most prevalent abnormal clinical variables in males (78.3%) and females (86.3%). Low HDL-C was the most prevalent biochemical variables in males (66.7%) and females (94.1%). The most prevalent number of components in males with MetS and males without MetS were three (6.7%) and two (53.3%) respectively. The most prevalent number of components in females with MetS and females without MetS were four or three (35.3% or 32.4%) and two (14.7%) respectively. In both males and females, raised WC showed the most influence on the development of MetS (p=0.000). In females, abnormal blood pressure (96%) and abnormal HDL-C levels (94%) also showed strong influence on the development of MetS. The study found that being a female (OR 7.43, 95% CI: 3.38 - 16.35), having history of high blood pressure in the family (OR 2.70, 95% CI: 1.31 - 5.58, p=0.007) or having any form of high blood pressure [(prehypertension (OR 8.00, 95% CI: 1.84 - 34.80; p=0.006), stage 1 hypertension (OR 11.50, 95% CI: 2.71 - 48.78; p=0.001) or stage 2 hypertension (OR 9.00, 95% CI:2.09 - 38.79, p=0.003)], being overweight (OR 2.33, 95% CI:1.07 - 5.10; p=0.033) or obese (OR 3.22, 95% CI: 1.53 - 6.81, p=0.002)  showed strong associations with the occurrence of MetS.
Conclusion: The Magnitude of metabolic syndrome the in Bardnersville Community is high given that global Magnitude is around 20-25 %. This data urgently suggests a need for more research on Mets in Liberia.

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Review Articles