“Metabolic Syndrome and Its Risk Determinants in Sikkim”: A Glimpse from a Hospital Study

Sikkim has been reported to have the highest percentage of Diabetes Mellitus and Hypertension in the country. The study aimed to focus its precursor termed ‘Metabolic Syndrome’ (MetS) with special attention to its risk determinants as a measure to promote awareness in preventing the rise in number o...

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Bibliographic Details
Published in:Indian journal of clinical biochemistry 2017-10, Vol.32 (4), p.480-486
Main Authors: Bhutia, Rinchen D., Singh, T. A., Sherpa, Mingma L., Khandelwal, Bidita
Format: Article
Language:English
Subjects:
Biochemistry
Biomedical and Life Sciences
Blood pressure
Chemistry/Food Science
Diabetes
Diabetes mellitus
Females
Health aspects
Health risk assessment
Hospitals
Hypertension
Inhabitants
Life Sciences
Metabolic syndrome
Microbiology
Original
Original Article
Pathology
Risk factors
Type 2 diabetes
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Summary:Sikkim has been reported to have the highest percentage of Diabetes Mellitus and Hypertension in the country. The study aimed to focus its precursor termed ‘Metabolic Syndrome’ (MetS) with special attention to its risk determinants as a measure to promote awareness in preventing the rise in number of these non communicable diseases in the state with only 6,10,577 inhabitants. Of 361 participants, 33.5% were diagnosed MetS as per the harmonized MetS criteria, 64.5% deemed non-MetS comprised of participants with “2 Risk”, “1 Risk” and “0 Risk” for MetS, however not enough (3 or more) to be categorized as MetS. A “large WC + elevated BP + raised FBS”; “large WC + elevated BP” and “large WC” were the different types of risk combinations found frequently in the “3 Risk”, “2 Risk” and “1 Risk” category respectively. MetS was most common among the females and highly found in 51–60 years of age. Ethnically “Bhutia/Lepcha/Tamang/Sherpa” were diagnosed with highest percentage of MetS followed by “Nepalese” and “Others”. The chief contributing factor to compose MetS in the female population was a large WC. We conclude, Diabetes and Hypertension are indeed prevailing in Sikkim and that the presence of either an increased waist circumference or an elevated blood pressure mandates a check for the remaining four risk factors for MetS, rendering worthwhile to keep an account of MetS risk types by stratification to comprehend the influence of socio-cultural and ethno-geographical factors in causing MetS.
ISSN:0970-1915
0974-0422
DOI:10.1007/s12291-017-0635-8