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Open Access Research article

Metabolic syndrome among pre- and post-menopausal rural women in Bangladesh: result from a population-based study

Subrina Jesmin12*, AM Shahidul Islam12, Shamima Akter12, Md Majedul Islam12, Sayeeda Nusrat Sultana12, Naoto Yamaguchi1, Osamu Okazaki2, Masao Moroi2, Michiaki Hiroe2, Sosuke Kimura2, Tetsu Watanabe3, Kawano Saturo4 and Taro Mizutani4

Author Affiliations

1 Health & Disease Research Center for Rural Peoples (HDRCRP), 14/15, 1st Floor, Probal Housing Ltd., Shekertak (Adjacent to Shekertak Road 1), Mohammadpur, Dhaka, 1207, Bangladesh

2 National Center for Global Health and Medicine (NCGM), 1-21-1 Toyama, Shinjuku-ku, Tokyo, 162-8655, Japan

3 Department of Public Health, Tokai University Graduate School of Medicine, Isehara, Japan

4 Graduate School of Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, 305-8575, Japan

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BMC Research Notes 2013, 6:157  doi:10.1186/1756-0500-6-157

Published: 18 April 2013

Abstract

Background

Prevalence of non-communicable diseases are a challenging problems among menopausal women specially in a least developed country like Bangladesh, where majority of women suffering from at least one chronic diseases after menopausal age. So, the main objective of this study was to determine the prevalence of metabolic syndrome and related risk factors in Bangladeshi pre- and post-menopausal women living in the rural setting.

Methods

This study is based on a community based cross-sectional survey among 1802 rural women aged ≥15 years. Metabolic syndrome was defined according to the criteria of NCEP-ATP III. Logistic regression was used to estimate the association between menopausal status and metabolic syndrome and its components.

Results

Metabolic syndrome was presented in 25.6% respondents and it was more prevalent among post-menopausal (39.3%) as compared to pre-menopausal (16.8%) women. Logistic regression analysis reveals that prevalence of metabolic syndrome was 1.78 times higher in post-menopausal women than pre-menopausal women (P = 0.001). Prevalence of high blood pressure, elevated fasting blood glucose, and high triglyceride were significantly higher in post-menopausal women than pre-menopausal women (P < 0.05). However, prevalence of low high-density lipoprotein cholesterol was significantly lower in post-menopausal women than pre-menopausal women (P < 0.001).

Conclusions

Metabolic syndrome seems to be a major health problem among post-menopausal women in many developing countries like Bangladesh and proper policy emphasis should be given on its prevention and control.

Keywords:
Metabolic syndrome; Pre-menopausal women; Post-menopausal women; Bangladesh