Dr Rahamon Sheu Kadiri and Mabel A. Charles-Davies1, O. G. Arinola1, A. A. Fasanmade2, J. A. Olaniyi3, O. E. Oyewole4, M. O. Owolabi2, O. O. Hassan5, M. T. Ajobo6, K. Adigun7, K. S. Akinlade1, J. R. Adebusuyi5, M. O. Ebesunun8, O. O. Popoola1, W. Okunbolade1, U. A. Fabian1, S. K. R   (Published 2018)

Dr Sheu Kadiri
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Abstract: Background: Metabolic Syndrome (MS) increases the risk of developing type-2 diabetes (DM2) and cardiovascular
diseases (CVD) and it is thought to be prevalent in Nigeria. This study aims at determining the prevalence of MS and its component risk
factors among apparently healthy traders in a local market in Ibadan, Nigeria. Methods: 534 apparently healthy traders from a local
market in Bodija, Ibadan, Nigeria aged (18–105) years with neither DM2 nor CVD were participants of a cohort study on risk
assessment of type 2 diabetes and dementia in Nigerians with metabolic syndrome. The International Diabetes Federation (2005) and
the World Health Organisation (1998) criteria were used for MS and BMI respectively. Anthropometric indices (weight, height, body
mass index (BMI), percentage body fat (PBF), waist and hip circumferences (WC & HC) and their ratio (WHR), waist circumference to
height ratio (WHT)) and blood pressure (BP) were obtained by standard methods. Blood samples (6 ml) were obtained for the
determination of glucose (FPG), total cholesterol (TC), triglycerides (TG), high density lipoprotein cholesterol (HDL-C) by enzymatic
methods while low density lipoprotein cholesterol (LDL-C) was calculated. Descriptive statistics, Chi-square test and ANOVA were
among the analyses conducted. Results: 301 (56.4%) of traders studied were overweight (176, 33.0%) or obese (125, 23.4%) while 17
(3.4%) and 125 (40.4%) were underweight and normal weight respectively. The prevalence of MS and obesity were 87 (16.3%) and
125 (23.4%) respectively. There was significant association between obesity and MS (p < 0.05). Both MS and obesity were
significantly associated with gender (p < 0.05). The prevalence of MS and obesity was higher in female (20.9%; 31.0%) than male
traders (6.5%; 7.1%) respectively. The prevalence of MS increased from normal weight (8.3%) to overweight (18.8%) to obesity
(28.8%). There were significantly higher differences in age, BP(systolic and diastolic), weight, BMI, WC, HC, WHT, WHR, and PBF
but lower difference in height when overweight/obese groups were compared with normal weight group (p < 0.05). TC and LDL-C
were significantly higher in only obese than normal weight traders. However, FPG, TG and HDL-C were similar in all groups (p >
0.05). Conclusion: There is high prevalence of MS and obesity among Nigerian traders. Female gender, hypercholesterolemia,
hypertension, increasing age, general and abdominal obesity appear to be important metabolic risk factors of CVD and not DM2 among
Nigerian traders. Health care strategies for effective modulation of diet and lifestyle are needed urgently. In addition, screening
programs for indices of MS in all Nigerians irrespective of BMI could be considered.

Item Type: Journal article(non-copyrighted)
Format: PDF document,   127.77 KB
Copyright: Creative Commons LicenseCreative Commons license
Department: Natural Science
Field of Study: Biochemistry
Uploaded By: Uwaifo Ferdinand
Date Added: 10 Mar 2019 12:41am
Last Modified: 10 Mar 2019
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