Pattern of Metabolic Syndrome in Clinical Practice

1068 randomly sampled adult Bangladeshi people were studied during a period of six months from October 2004 to March 2005. It was a randomized, prospective study. Cases that fulfilled two criteria of metabolic syndrome (MetS) were evaluated to see pattern and types of MetS. Out of 1068 patients, 110 (10.3%) fulfilled the inclusion criteria. 101 (9.4%) cases were labeled as metabolic syndrome according to NCEP ATP III criteria, 09 cases had only two criteria. 40 cases were male & 70 cases were female (M:F= 1:1.8). Mean age of patients with was 44.88, ranging from the age of 20-68 years. Majority (55%) of the patients were in the age group of 30-49 years. Half of the cases had BMI 30-34.9. Mean body weight of male was 85.9 kg and of female was 78.2 kg. Mean waist circumference of male was 41.7 inches and of female 40 inches. Mean HDL for male was 38.3 mg/dL and for female is 40.2 mg/dL. Mean Triglyceride for male was 172.1 and for female was 169.3 mg/dL. Mean total cholesterol for male was 216.7 and for female was 207.6 mg/dL. Mean systolic blood pressure (SBP) for men is 162 mm Hg & diastolic blood pressure (DBP) 99 mm Hg and for female mean SBP 155 and DBP 96 mm Hg. Metabolic syndrome is more prevalent in the 3rd and 4th decade of life in both sexes. It is almost twice common in female than male. Combination of hypertension, obesity & dyslipidemia comprises nearly 40% of its presentation. 1. Professor and Head, Department of Medicine, Rajshahi Medical College. 2. Resident Physician (Medicine), Rajshahi Medical College Hospital 3. M. Phil Pharmacology (Thesis part) Student, Rajshahi Medical College. 4. Professor of Medicine, Rajshahi Medical College. 5. Research Assistant, Rajshahi Medical College Hospital. 6. Professor of Medicine, Dhaka Medical College. 7. Assistant Professor, Department of Medicine, Dhaka Medical College Correspondence : Prof. Quazi Tarikul Islam. Professor and Head. Department of Medicine, Rajshahi Medical College. E-mail: prof.tarik@gmail.com disease as well as increased mortality from cardiovascular disease and all causes.2-4 Beyond CVD and type 2 diabetes, individuals with metabolic syndrome seemingly are susceptible to other conditions, notably polycystic ovary syndrome, fatty liver, cholesterol gallstones, asthma, sleep disturbances, and some forms of cancer.5 Although there are divergent criteria for the identification of the MetS, they all tend to agree that the MetS core components include obesity, insulin resistance, dyslipidemia, and hypertension.6 The first formal definition of the MetS was put forth in 1998 by the World Health Organization (WHO).7 The European Group for the Study of Insulin Resistance (EGIR) published a separate set of criteria shortly thereafter. 8 In 2001, the NCEP: ATP III published a new set of criteria based on common clinical measurements: Waist circumference (WC), blood lipids, blood pressure, and fasting glucose Table-I.9 J MEDICINE 2009; 10 : 48-51