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2010 | 5 | 3 | 387-398
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Population-based study in Lithuania: lifestyle factors and risk of metabolic syndrome

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The aim of this study was to assess the relationship between lifestyle characteristics and the probability of metabolic syndrome in the Lithuanian middle-aged population of Kaunas city. Study sample was comprised of 1403 individuals aged 35–64 years. Metabolic syndrome was defined by International Diabetes Federation definition. Lifestyle habits were evaluated using frequency questionnaires. The prevalence of metabolic syndrome was identified in 29.7% of men and 35.1% of women. In men only alcohol intake increased the risk of metabolic syndrome: wine intake daily or several times a week increased the risk of metabolic syndrome in men aged 35–49 years by 3.8-fold whereas intake of spirits once a week or more often increased the risk of metabolic syndrome in men aged 50–64 years by 2.8-fold. In women aged 50–64 years beer intake daily or several times a week (OR=11.9; p=0.015) and some unhealthy nutrition habits - intake of cakes 4 times a week or more often (OR=5.49; p=0.005) and slather spread butter on bread (OR=2.09; p=0.028) increased the odds of metabolic syndrome. Our findings indicated that frequent intake of wine and spirits increased the risk of metabolic syndrome in men; frequent intake of beer, cakes, slather spread butter on bread and low education level increased the risk of metabolic syndrome in women.
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Opis fizyczny
  • Laboratory of Population Studies, Institute of Cardiology, Kaunas University of Medicine, 50009, Kaunas, Lithuania,
  • Laboratory of Population Studies, Institute of Cardiology, Kaunas University of Medicine, 50009, Kaunas, Lithuania
  • Laboratory of Population Studies, Institute of Cardiology, Kaunas University of Medicine, 50009, Kaunas, Lithuania
  • [1] Eckel R.H., Grundy S.M., Zimmet P.Z., The metabolic syndrome, Lancet, 2005, 365, 1415–1428[WoS][Crossref]
  • [2] Vitarius J.A., The metabolic syndrome and cardiovascular disease, Mt. Sinai. J. Med., 2005, 72, 257–262
  • [3] McNeill A.M., Rosamond W.D., Girman C.J., Golden S.H., Schmidt M.I., East H.E., et al., The metabolic syndrome and 11-year risk of incident cardiovascular disease in the atherosclerosis risk in communities study, Diabetes Care, 2005, 28, 385–390[Crossref]
  • [4] Černiauskienė L.R., Rėklaitienė R., Lukšienė D.I., Domarkienė S., Tamošiūnas A., Margevičienė L., Association of metabolic syndrome with ischemic heart disease among middle-aged Kaunas population, Medicina (Kaunas), 2005, 41, 435–441 (in Lithuanian)
  • [5] Lukšienė D.I., Černiauskienė L.R., Margevičienė L., Tamošiūnas A., Changes in the prevalence of metabolic syndrome and smoking habits during a 10-year period and relation between these risk factors and ischemic heart disease among men aged 45–64 years, Medicina (Kaunas), 2008, 44, 400–406 (in Lithuanian)
  • [6] Nilsson P.M., Engström G., Hedblad B., The metabolic syndrome and incidence of cardiovascular disease in non-diabetic subjects-a population-based study comparing three different definitions, Diabet. Med., 2007, 24, 464–472[Crossref]
  • [7] WHO Consultation, Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus. Geneva: World Health Organization, Report No. 99.2, Geneva, 1999,
  • [8] Third Report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report, Circulation, 2002, 106, 3167–3213
  • [9] The IDF consensus worldwide definition of the metabolic syndrome, 2006,
  • [10] Licata G., Argano C., Di Chiara T., Parrinello G., Scaglione R., Obesity: a main factor of metabolic syndrome?, Panminerva Med., 2006, 48, 77–85
  • [11] Phelan S., Wadden T.A., Berkowitz R.I., Sarwer D.B., Womble L.G., Cato R.K., et al., Impact of weight loss on the metabolic syndrome, Int. J. Obes. (Lond), 2007, 31, 1442–1448[Crossref]
  • [12] Branth S., Ronquist G., Stridsberg M., Hambraeus L., Kindgren E., Olsson R., et al., Development of abdominal fat and incipient metabolic syndrome in young healthy men exposed to long-term stress, Nutr. Metab. Cardiovasc. Dis., 2007, 7, 427–435[WoS][Crossref]
  • [13] Mirmiran P., Noori N., Azizi F., A prospective study of determinants of the metabolic syndrome in adults, Nutr. Metab. Cardiovasc. Dis., 2008, 18, 567–573[Crossref]
  • [14] Santos A.C., Ebrahim S., Barros H., Gender, socio-economic status and metabolic syndrome in middle-aged and old adults, BMC Public Health, 2008, 8, 62[Crossref][WoS]
  • [15] Ford E.S., Kohl H.W. 3rd, Mokdad A.H., Ajani U.A., Sedentary behavior, physical activity, and the metabolic syndrome among U.S. adults, Obes, Res., 2005, 13, 608–614[Crossref]
  • [16] Hu G., Lakka T.A., Lakka H.M., Tuomilehto J., Lifestyle management in the metabolic syndrome, Metab. Syndr. Relat. Disord., 2006, 4, 270–286[Crossref]
  • [17] Wilsgaard T., Jacobsen B.K., Lifestyle factors and incident metabolic syndrome The Tromso Study 1979–2001, Diabetes Research and Clinical Practice, 2007, 78, 217–224[WoS][Crossref]
  • [18] Buckland G., Salas-Salvadó J., Roure E., Bulló M., Serra-Majem L., Sociodemographic risk factors associated with metabolic syndrome in a Mediterranean population, Public Health Nutr., 2008, 11, 1372–1378[Crossref]
  • [19] Qader S.S., Shakir Y.A., Nyberg P., Samsioe G., Sociodemographic risk factors of metabolic syndrome in middle-aged women: results from a population-based study of Swedish women, The Women’s Health in the Lund Area (WHILA) Study, Climacteric., 2008, 11, 475–482 [Crossref][WoS]
  • [20] Lee W.Y., Jung C.H., Park J.S., Rhee E.J., Kim S.W., Effects of smoking, alcohol, exercise, education, and family history on the metabolic syndrome as defined by the ATP III, Diabetes Res. Clin. Pract., 2005, 67, 70–77[Crossref]
  • [21] Lukšienė D.I., Bacevičienė M., Tamošiūnas A., Černiauskienė L.R. Margevičienė L., Rėklaitienė R., Prevalence of metabolic syndrome comparing three different definitions and risk of ischemic heart disease among Kaunas (Lithuania) adult population, Medicina (Kaunas), (in press), DOI: ISSN 1010-600X
  • [22] World Health Organization MONICA Project, MONICA Manual: Monitoring of Trends and Determinants in Cardiovascular Disease, Geneva (Switzerland): Cardiovascular Disease Unit, WHO, 1990
  • [23] Norkus A., Ostrauskas R., Sulcaite R., Baranauskiene E., Baliutaviciene D., Classification and diagnostics of diabetes mellitus, Kaunas, 2000, 18
  • [24] Stein E.A., Myers G.L., National Cholesterol Education Program, Recommendations for triglycerides measurement: executive summary, Clin. Chem., 1995, 4, 1421–1426
  • [25] Warnick G.R., Albers J.J., HDL cholesterol quantitation: comparison of six precipitation methods and ultracentrifugation. In: Lippel K., (Eds.), Report of the High Density Lipoproteins Methodology Workshop, NIH publication no. 79-1661, San Francisco, California: US Department of Health, Education, and Welfare, 1979, 53–69
  • [26] Ahmad O.B., Boschi-Pinto C., Lopez A.D., Murray C.J.L., Lozano R., Inoue M., Age standardization of rates: a new WHO standard. Geneva, World Health Organization, 2001, (GPE Discussion Paper No. 31)
  • [27] Rosell M., De Faire U., Hellénius M.L., Low prevalence of the metabolic syndrome in wine drinkers-is it the alcohol beverage or the lifestyle?, Eur. J. Clin. Nutr., 2003, 57, 227–234[Crossref]
  • [28] Djoussé L., Arnett D.K., Eckfeldt J.H., Province M.A., Singer M.R., Ellison R.C., Alcohol consumption and metabolic syndrome: does the type of beverage matter?, Obes. Res., 2004, 12, 1375–1385[Crossref]
  • [29] Liu L., Wang Y., Lam K.S., Xu A., Moderate wine consumption in the prevention of metabolic syndrome and its related medical complications, Endocr. Metab. Immune Disord. Drug Targets, 2008, 8, 89–98[Crossref]
  • [30] Athyros V.G., Liberopoulos E.N., Mikhailidis D.P., Papageorgiou A.A., Ganotakis E.S., Tziomalos K., et al., Association of drinking pattern and alcohol beverage type with the prevalence of metabolic syndrome, diabetes, coronary heart disease, stroke, and peripheral arterial disease in a Mediterranean cohort, Angiology, 2008, 58, 689–697[Crossref][WoS]
  • [31] Babio N., Bulló M., Basora J., Martínez-González M.A., Fernández-Ballart J., Márquez-Sandoval F., et al., Adherence to the Mediterranean diet and risk of metabolic syndrome and its components, Nutr. Metab. Cardiovasc. Dis., 2008, [Crossref]
  • [32] Carnethon M.R., Loria C.M., Hill J.O., Sidney S., Savage P.J., Liu K., Risk factors of metabolic syndrome: Coronary Artery Risk Development in Young Adults (CARDIA) study 1985–2001, Diabetes care, 2004, 27, 2707–2715[Crossref]
  • [33] Lutsey P.L., Steffen L.M., Stevens J., Dietary intake and the development of the metabolic syndrome: the Atherosclerosis Risk in Communities study, Circulation, 2008, 117, 754–761[Crossref]
  • [34] Balk L., Hoekstra T., Twisk J., Relationship between long-term coffee consumption and components of the metabolic syndrome: the Amsterdam Growth and Health Longitudinal Study, Eur. J. Epidemiol., 2009, [WoS]
  • [35] Cross G.B., Marley J., Miles H., Willson K., Changes in nutrient intake during the menstrual cycle of overweight women with premenstrual syndrome, Br. J. Nutr., 2001, 85, 475–482[Crossref]
  • [36] Hoffmann I.S., Cubeddu L.X., Increased blood pressure reactivity to dietary salt in patients with the metabolic syndrome, J. Hum. Hypertens., 2007, 21, 438–444
  • [37] Hoffmann I.S., Cubeddu L.X., Salt and the metabolic syndrome, Nutr. Metab. Cardiovasc. Dis., 2009, 19, 123–128[Crossref]
  • [38] Palaniappan L., Carnethon M.R., Wang Y., Hanley A.J., Fortmann S.P., Haffner S.M., et al., Predictorsof the incident metabolic syndrome in adults: the Insulin resistance Atherosclerosis Study, Diabetes Care, 2004, 27, 788–793[Crossref]
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