The Prevalence and Risk Factors of Metabolic Syndrome in Patients With Hemodialysis
Author Type(s)
Student
Document Type
Article
Publication Date
2-1-2024
DOI
10.34172/jcs.2024.32974
Journal Title
Journal of Caring Sciences
Keywords
Hemodialysis, Life style, Metabolic syndrome, Metabolic syndrome severity score, Sleep quality
Disciplines
Medicine and Health Sciences
Abstract
Introduction: Metabolic syndrome is a common disorder that puts patients at high risk for cardiovascular disease (CVD) and mortality. To our knowledge, there is no published study in Pub Med which evaluated both lifestyle and metabolic syndrome in hemodialysis patients. This study aimed to estimate the prevalence of metabolic syndrome and investigate the potential risk factors in hemodialysis patients. Methods : This was a cross-sectional study conducted on 204 patients enrolled conveniently. National Cholesterol Education Program Adult Treatment Panel III criteria considered for Metabolic Syndrome. Demographics, lifestyle, and disease characteristics were gathered. The relationship between metabolic syndrome and its severity with independent variables was investigated through multivariable multivariate logistic and linear regressions. Results : The mean (SD) age was 55 (14) years and 42% were women. 42.6% had metabolic syndrome. Low high-density lipoprotein (HDL), high fasting blood sugar, high blood pressure (BP), increased waist circumference (WC), and high triglyceride were observed in decreasing order of frequency in 54.4%, 44.1%, 38.7%, 33.3% 28.9% of patients, respectively. The logistic regression model revealed significant associations between metabolic syndrome and physical activity (OR=0.85, 95% CI: 0.74-0.97), mood (OR=1.04, 95% CI: 1.002-1.078), age (OR=1.023, 95% CI: 1.001-1.046), and missed work (OR=0.86, 95% CI: 0.76-0.97). The linear regression model revealed significant associations between metabolic syndrome severity score and physical activity (B=-0.12, 95% CI: -0.21-0.02) and sleep quality (B=0.017, 95% CI: 0.001-0.033). Conclusion: Poorer sleep quality, lower physical activity, lower mood status, and older age were associated with higher odds of metabolic syndrome/metabolic syndrome severity score in hemodialysis patients.
Recommended Citation
Masoumi, M., Shahidi, M., Montazeri, S., Vahedian, M., Bitarafan, B., Farhadi, M., Feingold, C., & Smiley, A. (2024). The Prevalence and Risk Factors of Metabolic Syndrome in Patients With Hemodialysis. Journal of Caring Sciences, 13 (1), 27-35. https://doi.org/10.34172/jcs.2024.32974
