Higher Gravidity and Parity Are Associated with Increased Prevalence of Metabolic Syndrome among Rural Bangladeshi Women |
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Authors: | Shamima Akter Subrina Jesmin Md Mizanur Rahman Md Majedul Islam Most Tanzila Khatun Naoto Yamaguchi Hidechika Akashi Taro Mizutani |
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Institution: | 1. Health & Disease Research Center for Rural Peoples (HDRCRP), 14/15, Probal Housing Ltd., Mohammadpur, Dhaka, Bangladesh .; 2 Graduate School of Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.; 3. National Center for Global Health and Medicine (NCGM), Toyama, Shinjuku-ku, Tokyo, Japan.; 4. Department of Global Health Policy, University of Tokyo, Tokyo, Japan.; Iran University of Medical Sciences, Islamic Republic of Iran, |
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Abstract: | BackgroundParity increases the risk for coronary heart disease; however, its association with metabolic syndrome among women in low-income countries is still unknown.ObjectiveThis study investigates the association between parity or gravidity and metabolic syndrome in rural Bangladeshi women.MethodsA cross-sectional study was conducted in 1,219 women aged 15–75 years from rural Bangladesh. Metabolic syndrome was defined according to the standard NCEP-ATP III criteria. Logistic regression was used to estimate the association between parity and gravidity and metabolic syndrome, with adjustment of potential confounding variables.ResultsSubjects with the highest gravidity (> = 4) had 1.66 times higher odds of having metabolic syndrome compared to those in the lowest gravidity (0-1) (P
trend = 0.02). A similar association was found between parity and metabolic syndrome (P
trend = 0.04), i.e., subjects in the highest parity (> = 4) had 1.65 times higher odds of having metabolic syndrome compared to those in the lowest parity (0-1). This positive association of parity and gravidity with metabolic syndrome was confined to pre-menopausal women (P
trend <0.01). Among the components of metabolic syndrome only high blood pressure showed positive association with parity and gravidity (P
trend = 0.01 and <0.001). Neither Parity nor gravidity was appreciably associated with other components of metabolic syndrome.ConclusionsMulti parity or gravidity may be a risk factor for metabolic syndrome. |
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