engleski

Metabolic syndrome in American and Croatian older populations.

Rationale: Metabolic syndrome is increasingly common and rises the risk of other comorbidities. We aimed to assess the prevalence of and some epidemiological determinants influencing metabolic syndrome in individuals ≥50y in the United States and Croatia. Methods: We used American National Health and Nutrition Examination Survey (NHANES) (N=1, 556 ; 48.9% women) and Croatian Adult Health Cohort Study (CroHort) (N=2, 182 ; 66% women), both taken in 2008. The metabolic syndrome was identified when 3 or more of the following 5 criteria were met: waist circumference (>102 cm, men ; >88 cm, women), blood pressure (>130/85 mmHg), and use of medications for dyslipidemia and/or diabetes. Other health indicators compared were anthropometries, socioeconomic status, education and lifestyle, including physical activity, alcohol consumption and smoking. Results: Assessed prevalence of metabolic syndrome was significantly higher in NHANES men than CroHort men (p<0.001). There was no significant difference in prevalence between women from two cohorts. When each component of metabolic syndrome was analyzed, participants from CroHort of both sexes had significantly higher prevalence of hypertension compared to NHANES (p<0.001), while men from NHANES had significantly larger waist circumference than those from CroHort (p<0.001). When both men and women in each cohort were analyzed together, logistic regression (controlled for age) showed that number of alcohol drinks/day was significant positive predictor for metabolic syndrome in CroHort (p=0.017), but not in NHANES. Conclusion: NHANES men had higher prevalence of metabolic syndrome compared to their Croatian counterparts. The difference could probably be explained by higher waist circumference in American men compared to Croatians. Alcohol consumption was significantly associated with metabolic syndrome in Croatian population.

BMI, NHANES, CroHort

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