Abstract:
Background: Developing countries are now experiencing the epidemiologic transition,
whereby the burden of chronic diseases, like metabolic syndrome, is increasing. However, no
study had previously been conducted to show the status of metabolic syndrome among outpatients
of Jimma University Teaching Hospital. Therefore, this study was designed to determine the
prevalence of metabolic syndrome and associated factors among adult ($20 years) patients.
Methods: A cross-sectional hospital-based study was conducted in July 2014 among adult ($20
years) patients attending Jimma University Teaching Hospital, outpatient department. All patients
attending the outpatient department and were willing to participate in the study were included.
Anthropometric and biochemical measurements were undertaken for all the study subjects to
know the status of metabolic syndrome. Metabolic syndrome was identified using the National
Cholesterol Education Program’s Adult Treatment Panel III criteria.
Results: A total of 225 participants were included in the study, of whom 106 (47.1%) were
males and 119 (52.9%) were females. A total of 59 (26%) adults were found to have metabolic
syndrome, which was seen more than twice as much in females, 42 (35%), as compared with
males, 17 (16%), (P,0.01). The most frequent metabolic syndrome parameters were hypertension (45%), hyperglycemia (39%), decreased high-density lipoprotein (HDL) (31%), central
obesity (26%), and elevated triglycerides (18%). Elevated blood pressure is more common
in females (44.5%) than in males (34.9%). Decreased HDL-cholesterol was observed among
37% of females versus 24% males (P,0.001) and 6% of males versus 45% females had central
obesity (P,0.001). Hypertension and body mass index were significantly lower among males
(35% and 14%) than females (45% and 41%) (P,0.01 and P,0.001), respectively.
Conclusion: It is demonstrated that metabolic syndrome is prevalent in adult outpatients in
Jimma and increases as age increases; it is more common among females than males. Among
the five diagnostic criteria for metabolic syndrome, hypertension, hyperglycemia, and low
HDL-cholesterol were the most prevalent. As metabolic syndrome is rising at an alarming
rate, we recommend that relevant prevention, diagnostics, and therapy in adult outpatients are
undertaken
