Metabolic syndrome and its associations with socio-demographic and behavioral risk factors in the Russian population aged 25-64 years

• Published in: Cardiovascular Therapy and Prevention
• Main Authors: Yu. A. Balanova, A. E. Imaeva, V. A. Kutsenko, A. V. Kapustina, G. A. Muromtseva, S. E. Evstifeeva, S. A. Maksimov, N. S. Karamnova, E. B. Yarovaya, S. A. Shalnova, O. M. Drapkina
• Format: Article in Journal/Newspaper
• Language: Russian
• Published: «SILICEA-POLIGRAF» LLC 2020
• Subjects: метаболический синдром; социально-демографические показатели; курение; алкоголь; ожирение; сердечно-сосудистые заболевания; Diseases of the circulatory (Cardiovascular) system; RC666-701; Republic of Karelia
• Online Access: https://doi.org/10.15829/1728-8800-2020-2600; https://doaj.org/article/c48425f3ec0147018a8420f5ba8e8aab

Aim. To assess the associations of metabolic syndrome (MS) with sociodemographic and behavioral factors in the Russian population aged 25-64 years.Material and methods. As part of the ESSE-RF 2 study, representative samples of the population of four Russian regions (Krasnodar Krai, Omsk and Ryazan Oblasts, Republic of Karelia) were examined: men (n=3011) and women (n=3721) aged 25-64 years. The response rate was approximately 80%. The study was approved by the Independent Ethics Committee of National Medical Research Center for Therapy and Preventive Medicine. All subjects were interviewed using a standard questionnaire. We analyzed the region and type of residence (urban/ rural area), age, educational level, marital and economic status, behavioral habits, and medical history data. Anthropometric measurements were performed. Blood pressure (BP) was measured with an Omron BP monitor. Lipid profile were assessed. MS was diagnosed according to the IDF criteria (2006). Statistical analysis was performed using the R 3.6.1 software package.Results. Abdominal obesity (AO) was found in 49,7% of men and 61,6% of women. Obesity according to body mass index was noted in 31,6% of subjects (men — 28,6% and women — 34%). MS prevalence in the entire sample was 33,0% and increased with age. In the group of subjects 35-44 years old, the prevalence of MS was significantly higher among men, and among those 55-64 years old — among women. We also found that AO in combination with two MS components was observed in 17,2% of participants; AO with three components — in 11,8%, AO with four components — in 4%. The highest prevalence of MS was noted in theRyazan region (men — 42,0%, women — 37,4%), the lowest — in theRepublic ofKarelia (men — 25,8%, women — 29,6%). In men, age-adjusted univariate logistic regression revealed significant associations of MS with former smoking, low physical activity, and alcohol abuse. Elevated BP and lipid profile abnormalities were significantly associated with low income level. AO was significantly ...