Comparing Socio-Demographic, Health-Related, and Biochemical Factors Associated with Metabolic Syndrome (MetS) between Adolescents from Two Arab Countries

Abstract

Background: Studies related to socio-demographic, health-related, and biochemical factors are scarce among Arab adults and even more so among adolescents. Objectives: To compare the above factors between adolescents from two Arab countries. Methods: Two previous studies were done on some of the above factors. The similar factors in the two studies were compared with each other. The two Arab countries that came close to addressing these factors were Kuwait (K) and Egypt (E). Results: Anthropometric measurements were higher among K than E with the exception of Homa-IR, CRP, and homocysteine. All biochemical factors were higher among K than E. The IQ range for gender, age, WC, and area of residence were higher among E than K. The comparison between K and E with respect to the presence of one MetS or more was inconsistent. As the number of MetS increased, K showed higher values of the prevalence MetS than E for either gender or total sample. Conclusions: For individual comparable factors, results were inconsistent. However, with the presence of >1 MetS parameter, K showed consistently higher prevalence of MetS.

Share and Cite:

Al-Isa, A. (2014) Comparing Socio-Demographic, Health-Related, and Biochemical Factors Associated with Metabolic Syndrome (MetS) between Adolescents from Two Arab Countries. Health, 6, 764-773. doi: 10.4236/health.2014.68098.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Mokdad, A.H., et al. (2004, 2005) Actual Causes of Death in the United States, 2000. Journal of the American Medical Association, 291, 1238-1245. Erratum in Journal of the American Medical Association, 293, 293-294, 298.
[2] Murry, C.J. and Lopez, A.D. (1997) Mortality by Cause for Eight Regions of the World. Global Burden of Disease Study. Lancet, 349, 1269-1276.
[3] Drygas, W., et al. (2000) Long-Term Effects on Different Physical Activity Levels On Coronary Heart Disease Risk Factors in Middle-Aged Men. International Journal of Sports Medicine, 21, 235-241.
[4] Hu, F.B., et al. (2001) Diet, Lifestyle, and the Risk of Type 2 Diabetes Mellitus in Women. The New England Journal of Medicine, 345, 790-797.
[5] Malekzadeh, R., et al. (2005) Obesity Pandemic: An Iranian Perspective. Archives of Iranian Medicine, 8, 1-7.
[6] Alberti, K.G.M.M., Zimmet, P.Z. and Shaw, J.E. (2005) The Metabolic Syndrome—A New World-Wide Definition from the International Diabetes Federation Consensus. Lancet, 366, 1059-1062.
http://dx.doi.org/10.1016/S0140-6736(05)67402-8
[7] Khatib, O. (2004) Non-Communicable Diseases: Risk Factors and Regional Strategies for Prevention and Care. The Eastern Mediterranean Health Journal, 10, 778-788.
[8] Al-Isa, A.N. (2003) Are Kuwaitis Getting Fatter? Nutrition and Health, 17,185-197.
http://dx.doi.org/10.1177/026010600301700301
[9] Al-Isa, A.N. (2004) Body Mass Index, Overweight and Obesity among Kuwaiti Intermediate School Adolescents Aged 10-14 Years. European Journal of Clinical Nutrition, 58, 1273-1277.
http://dx.doi.org/10.1038/sj.ejcn.1601961
[10] Alberti, K.G., Zimmet, P. and Shaw, J. (2006) Metabolic Syndrome—A New World-Wide Definition. A Consensus Statement from the International Diabetes Federation. Diabetic Medicine, 23, 469-480.
http://dx.doi.org/10.1111/j.1464-5491.2006.01858.x
[11] Cook, S., Weitzman, M. and Auinger, P., et al. (2003) Prevalence of a Metabolic Syndrome Phenotype in Adolescents. Archives of Pediatrics and Adolescent Medicine, 157, 821-827.
http://dx.doi.org/10.1001/archpedi.157.8.821
[12] Grundy, S., Cleeman, J., Daniels, S., et al. (2005) Diagnosis and Management of the Metabolic Syndrome—An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation, 112, 2735-2752.
http://dx.doi.org/10.1161/CIRCULATIONAHA.105.169404
[13] Al-Isa, A.N. and Akanji, A.O. (2013) Socio-Demographic and Health-Related Determinants of Metabolic Syndrome (MetS) among Male Kuwaiti Adolescents Aged 10-19 Years. Health, 5, 720-727.
http://dx.doi.org/10.4236/health.2013.54095
[14] Nebal, A.A.E., Dina, I.S., Mervat, A., et al. (2010) Prevalence of Metabolic Syndrome and Insulin Resistance among Egyptian adolescents 10 to 18 Years of Age. Journal of Clinical Lipidology, 4, 185-195.
http://dx.doi.org/10.1016/j.jacl.2010.03.007
[15] Calcaterra, V., Klersy, C., Muratori, T., et al. (2007) Prevalence of Metabolic Syndrome (MS) in Children and Adolescents with Varying Degrees of Obesity. Clinical Endocrinology, 86, 868-872.
[16] Al-Isa, A.N., Abayomi, O.A. and Lukman, T. (2010) Prevalence of the Metabolic Syndrome among Female Kuwaiti Adolescents Using Two Different Criteria. British Journal of Nutrition, 103, 77-81.
http://dx.doi.org/10.1017/S0007114509991425
[17] Ryu, S.Y., Kweon, S.S., Park, H.C., et al. (2007) Obesity and the Metabolic Syndrome in Korean Adolescents. Journal of Korean Medical Science, 22, 513-517.
http://dx.doi.org/10.3346/jkms.2007.22.3.513
[18] Ford, E.S., Li, C., Zhao, G., et al. (2008) Prevalence of the Metabolic Syndrome among US Adolescents Using the Definition from the International Diabetes Federation. Diabetes Care Journal, 31, 587-589.
http://dx.doi.org/10.2337/dc07-1030
[19] Xu, Y.Q. and Ji, C.Y. (2008) Prevalence of the Metabolic Syndrome in Secondary School Adolescents in Beijing, China. Acta Paediatrica, 97, 348-353.
http://dx.doi.org/10.1111/j.1651-2227.2008.00665.x
[20] Lim, S., Jang, H.C., Park, K.S., et al. (2008) Changes in Metabolic Syndrome of Korean Children and Adolescents in the Period 1998 to 2001. Journal of Endocrinological Investigation, 31, 327-333.
[21] Esmaillzadeh, A., Mirmiran, P., Azadbakht, L., et al. (2006) High Prevalence of the Metabolic Syndrome in Iranian Adolescents. Obesity, 14, 377-382.
http://dx.doi.org/10.1038/oby.2006.50
[22] Sartorio, A., Agosti, F., De Col, A., et al. (2007) Prevalence of the Metabolic Syndrome in Caucasian Obese Children and Adolescents, Comparison between Three Different Definition Criteria. Diabetes Research and Clinical Practice, 77, 341-342.
http://dx.doi.org/10.1016/j.diabres.2006.12.010
[23] Jolliffe, C.J. and Janssen, I. (2007) Development of Age-Specific Adolescent Metabolic Syndrome Criteria That Are Linked to the Adult Treatment Panel III and International Diabetes Federation Criteria. Journal of the American College of Cardiology, 49, 891-898.
http://dx.doi.org/10.1016/j.jacc.2006.08.065
[24] Agirbasli, M., Cakir, S., Ozme, S., et al. (2006) Metabolic Syndrome in Turkish Children and Adolescents. Metabolism, 55, 1002-1006.
http://dx.doi.org/10.1016/j.metabol.2006.03.009
[25] Vissers, D., Vanroy, C., De Meulenaere, A., et al. (2007) Metabolic Syndrome in Youth: A Cross-Sectional School-Based Survey. Acta Paediatrica, 96, 1809-1813.
http://dx.doi.org/10.1111/j.1651-2227.2007.00528.x
[26] Singh, R., Bhansali, A., Sialy, R., et al. (2007) Prevalence of Metabolic Syndrome in Adolescents from a North Indian Population. Diabetic Medicine, 24, 195-199.
http://dx.doi.org/10.1111/j.1464-5491.2007.02066.x
[27] Wan, N.J., Mi, J., Wang, T.Y., et al. (2007) Metabolic Syndrome in Overweight and Obese School Children in Beijing. Zhonghua Er Ke Za Zhi, 45, 417-421.
[28] Buckland, G., Salas-Salvado, J., Roure, E., Bullo, M., Serra-Majem, L. (2008) Sociodemographic Risk Factors Associated with Metabolic Syndrome in a Mediterranean Population. Public Health Nutrition, 11, 1372-1378.
http://dx.doi.org/10.1017/S1368980008003492
[29] Khader, Y., Baticha, A., Jaddon, H., El-Khateeb, M. and Ajlouni, K. (2010) Metabolic Syndrome and Its Individual Components among Jordanian Children and Adolescents. International Journal of Pediatric Endocrinology, 2010, 1-7.
http://dx.doi.org/10.1155/2010/316170
[30] Tziallas, D., Kastanioli, C., Kostapanos, M.S., Skapinakis, P., Elisaf, M.S. and Mavreas, V. (2012) The Impact of the Metabolic Syndrome on Health-Related Quality of Life: A Cross-Sectional Study in Greece. European Journal of Cardiovascular Nursing, 11, 297-303.
[31] Bibiloni, M.M., Martinez, E., Llull, R., Maffiotte, E., Riesco, M., LLompart, I., Pons, A. and Tur, J.A. (2009) Metabolic Syndrome in Adolescents in the Balearic Islands, a Mediterranean Region. Nutrition, Metabolism and Cardiovascular Diseases, XX, 1-9.
[32] Sidorenkov, O., Nilssen, O. and Grijibovski, A.M. (2010) Metabolic Syndrome in Russian Adults: Associated Factors and Mortality from Cardiovascular Diseases and All Causes. BMC Public Health, 10, 1-10.
http://dx.doi.org/10.1186/1471-2458-10-582
[33] Andrabi, S.M.S., Bhat, M., Andrabi, S.R.S., Kamili, M.M.A., Imran, A., Nisar, I. and Nisar, L. (2013) Prevalence of Metabolic Syndrome in 8 - 18 Year-Old School-Going Children of Srinagar City in Kashmir, India. Indian Journal of Endocrinology and Metabolism, 17, 95-100.
[34] Hat, N.H., Shahrul, A.M.H., Chong, L.L., Ee, W.S., Amirah, R., Hazli, Z. and Nik, R.N.J (2011) Factors Associated with Metabolic Syndrome among Psychiatric out Patients with Major Depressive Disorder. Medical Journal of Psychiatry, 1, 1-13.
[35] Hirschler, V., Oestreicher, K., Maccallini, G. and Aranda, C. (2010) Relationship between Obesity and Metabolic Syndrome among Argentinean Elementary School Children. Clinical Biochemistry, 41, 435-441.
http://dx.doi.org/10.1016/j.clinbiochem.2009.11.003
[36] Ko, K.L.D., Cho, B., Lee, W.C., Lee, H.W., Lee, H.K. and Oh, B.J. (2010) Obesity Explains Gender Differences in the Association between Education Level and Metabolic Syndrome in South Korea. Asia Pacific Journal of Public Health, 1-6.
[37] Mirhosseini, N.Z., Shahar, S., Yusoff, N.A.M., Ghayour-Mobarhan, M.M., Dorakhshan, A.R. and Shakery, M.T. (2011) Lower Level of Physical Activity Predisposes Iranian Adolescent Girls to Obesity and Its Metabolic Consequences. Pakistani Journal of Nutrition, 10, 728-134.
http://dx.doi.org/10.3923/pjn.2011.728.734
[38] Akter, S., Jesmin, S., Islam, M., Sultana, S.N., Okazaki, O., Miroe, M., Morgi M. and Mizutani, T. (2012) Association of Age at Menarche with Metabolic Syndrome and Its Components in Rural Bangladeshi Women. Nutrition and Metabolism, 9, 1-6.
[39] Jesmin, S., Islam, M.R., Islam, A.M.S., Mia, M.S., Sultana, S., Zaedi, S., Yamaguchi, N., Iwashima, Y., Hiroe, M. and Watanabe, T. (2012) Comprehensive Assessment of Metabolic Syndrome among Rural Bangladeshi Women. BMC Public Health, 12, 1-7.

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.