MAGNITUDE OF METABOLIC SYNDROME AND ITS ASSOCIATED FACTORS AMONG ADULTS SEEKING CARE AT KIBET PRIMARY HOSPITAL, SOUTH ETHIOPIA

Abstract

Background: Metabolic syndrome (Mets) is a cluster of cardiovascular risk factors secondary to an inflammatory and insulin resistance state that increases the risk of cardiovascular disease and type 2 diabetes mellitus in adulthood. Cardiovascular diseases, malignant neoplasms and type tow diabetic mellitus were the most common causes of mortality and disability. However, there is limited studies on it despite an increasing Metabolic syndrome related morbidity and mortality. This study used the definition of Mets was according to (NECP/APT) III criteria. Objective: to assess the magnitude and factors associated with Mets among adult seeking care at Kibet primary hospital, Southern Ethiopia, April to May 2021. Method: An institution based cross sectional study was conducted on 351 participants using a systematic random sampling technique. The data was collected using structured questionnaire and biochemistry indices. Bivariable and multivariable logistic regression analyses were used to determine an association between each independent and dependent variables. Odd ratio with their 95% confidence intervals was computed to ascertain the existence and strength of an association, and statistical significance was affirmed at a p value of < 0.05. Results: In this study, a total of 351 respondents were completed the interview successfully making the response rate of 97.2%. The observed magnitude of Mets was observed to be 18.5% according to (NCEPATP III). Individual with BMI ≥25 kg/m 2 (AOR=4.1; 95% CI=3.13-11.51), having a sedentary behavior ≥8 hours per day (AOR=3.76; 95% CI =1.38-10.25), serving vegetables or fruit ≥ 3 times per day (AOR=0.52; 95% CI=0.27-1.12), involving physical activity (AOR=0.41; 95% CI: 0.20- 0.80) and consuming alcohol 5–6 days per week (AOR=2.9; 95% CI: 1.11-7.55) were significantly associated with Mets.. Conclusion: Generally, a higher proportion of an adult population had experienced Mets in the study area. Individual with BMI ≥25 kg/m 2, having sedentary behavior ≥8 hours per day, consuming alcohol 5–6 days per week were associated factors of Mets. On the other hand, serving vegetables and fruit ≥ 3 times per day, and having physical activity were preventive factors of Mets. The stakeholders should give an emphasis for the prevention of the identified risk factors of Mets