Abstract
Michigan has the 17th highest adult obesity rate in the United States. Among college-aged adults between 18 and 25 years old, the rate of obesity was 11.6%. Obesity is a key precedent for the development of metabolic syndrome. Accordingly, the purpose of this study was to examine the prevalence of metabolic syndrome and its individual components among a sample of students at Central Michigan University. A cross-sectional survey was conducted among 462 students, aged 18–25 years, in Spring 2015 and Fall/Spring 2016 semesters. Students were recruited throughout the campus via flyers, in-class, and Blackboard announcements. Biochemical, anthropometric, and blood pressure measurements were taken for all students. Prevalence of metabolic syndrome was estimated based on the National Cholesterol Education Program’s Adult Treatment Panel III guidelines. Multivariable analysis was used to assess the prevalence of metabolic risk components. To explore the association between metabolic risk factors and lifestyle behaviors, students filled out a validated online questionnaire related to their eating habits, physical activity, and sleep patterns. Metabolic syndrome was not prevalent in our sample. However, about one-third of the students had at least one metabolic abnormality, and 6.0% had two metabolic abnormalities. The most common metabolic abnormalities were low HDL-cholesterol levels (22.0%) and high waist circumference (12.6%), and elevated serum triglyceride (5.8%). Adjusting for other factors, excess adiposity and high visceral fat scores were associated with increased risk of metabolic risk factors, whereas healthy lifestyle practices such as daily breakfast consumption, eating three meals a day, being active, and not smoking were associated with lower risks for MetS. Given the adverse consequences of undiagnosed metabolic abnormalities, efforts to identify and manage MetS among asymptomatic college students, particularly women, is essential and warrants further research.
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Abbreviations
- MetS:
-
Metabolic syndrome
- CVD:
-
Cardiovascular disease
- ACHA-NCHA:
-
American College Health Association-National College Health Assessment
- CDC:
-
Centers for Disease Control and Prevention
- NCEP-ATP:
-
National Cholesterol Education Program’s Adult Treatment Panel
- BRFSS:
-
Behavioral Risk Factor Surveillance System
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Acknowledgements
A special note of appreciation and a heartfelt thank you goes to Dr. Bill Lawrence, CEO and Director of McLaren Central Michigan Hospital and Ms. Marybeth Mey, Laboratory Manager, for their indispensable help in the laboratory analysis. Also, I would like to extend my sincere appreciation to Dr. Allan Geliebter and Professor Steven Couture for reviewing the draft. Last, but not least, I would like to thank the FRCE for providing the grant to conduct this study, Manuela Uribe for her help in data entry, and to all CMU students who participated in this study.
Author Contributions
NY carried out questionnaire design, manuscript preparation, data collection and study coordination. CB performed all the statistical analysis. ES, SC, AL, CT, and CG contributed in data collection and data entry. All authors read and approved the final manuscript.
Funding
This study was partially funded by the Faculty Research and Creative Endeavors (FRCE) grant (Type B grant), and the FRCE Premier Display grant at CMU.
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Students agreeing to participate in the study were asked to sign a consent form, in harmony with the Helsinki declaration, and were informed that they could withdraw from the study at any time without penalty. The CMU Institutional Review Board (IRB) approved the study protocol (IRB Project ID: 678896-11) and IRB can be reached at: cmuirb@cmich.edu. Informed consent was obtained from all individual participants included in the study.
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Data are available at cbrown03@bu.edu.
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Yahia, N., Brown, C.A., Snyder, E. et al. Prevalence of Metabolic Syndrome and Its Individual Components Among Midwestern University Students. J Community Health 42, 674–687 (2017). https://doi.org/10.1007/s10900-016-0304-5
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DOI: https://doi.org/10.1007/s10900-016-0304-5