Attributes of metabolic syndrome in geriatric institutional residents in Secunderabad, India

Ananta Bhattacharyya, Nirmalya Sinha


Background: Asians including Indians have a high prevalence of Metabolic Syndrome which carries a host of cardiovascular risk factors. Since a  scarce information is available about the magnitude of Metabolic Syndrome amongst the geriatric population in India, present study was taken up to ascertain the prevalence of Metabolic Syndrome and its probable  attributes among the geriatric population residing in old age homes in Secunderabad City (India).

Methods: All Geriatric individuals residing in two Old Age Homes in Secunderabad City were recruited and measurements were taken for their anthropometric parameters such as height, weight, waist circumference and hip circumference as well as blood pressure. Blood samples were collected from them after overnight fasting for biochemical assessment of fasting blood sugar level. The prevalence of Metabolic Syndrome was assessed by following the criteria adopted by in an Indian study. Data were analyzed by using SPSS 16 software package.

Results: Prevalence of Metabolic Syndrome was found 42.1% among the Geriatric affecting more females (62.3%) compared to males (p<0.05) and the condition was found significantly more (p<0.05) among overweight and obese Geriatric persons as compared to those had either normal BMI.

Conclusions: The magnitude of Metabolic Syndrome was high among the geriatric population under study causing a significant risk of undesirable cardiovascular events.


Metabolic syndrome, Dyslipidemia, Type 2 diabetes mellitus, Body mass index (BMI), Impaired fasting glucose

Full Text:



Haffner SM, Valdez RA, Hazuda HP, Mitchell BD, Morales PA, Stern MP. Prospective analysis of the insulin-resistance syndrome (Syndrome X). Diabetes. 1992;41:715-22.

Klein BE, Klein R, Lee KE. Components of the metabolic syndrome and risk of cardiovascular disease and diabetes in beaver dam. Diabetes Care. 2002;25:1790-4.

McKeigue P, Sevak L. Coronary heart disease in South Asian Communities. London: Health Education Authority. 1994.

Bhopal R. Epidemic of cardiovascular disease in South Asians. BMJ. 2002;324:625-26.

Ford ES, Giles WH, Dietz WH. Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. JAMA. 2002;287:6-9.

Chuang SY, Chen CH, Tsai ST, Chou PS. Clinical identification of the metabolic syndrome in Kinmen. Acta Cardiol Sin. 2002;18:16-23.

Situation Analysis of the Elderly in India. June 2011. Central Statistics Office, Ministry of Statistics & Programme Implementation. Government of India. 2011.

Misra A, Khurana L. Obeisty and the Metabolic syndrome in developing countries. J Clin Endocrinol Metab. 2008;S9-30.

Das M, Pal S, Ghosh A. Prevalence of cardiovascular disease risk factors by habitat: A study on adult Asian Indians in West Bengal, India. Anthropol Anz. 2011;68:253-64.

Kanjilal S. Prevalence and component analysis of metabolic syndrome: An Indian atherosclerosis research study perspective. Vasc Health Risk Manag. 2008;4:189-97.

Wasir JS, Misra A, Vikram NK, Pandey RM, Gupta R. Comparison of Definitions of the Metabolic Syndrome in Adult Asian Indians. JAPI. 2008;56:158-64.

Physical status. The use and interpretation of anthropometry. Report of a WHO Expert Committee. Geneva, World Health Organization (WHO Technical Report Series, No. 854. 1995:424-38.

Lin WY. Metabolic Syndrome of the Elderly Residents in Long- Term Care Facilities. Taiwan Geriatr Gerontol. 2006;1(4):226-40.

Huang KC, Lee MS, Lee SD. Obesity in the Elderly and Its Relationship with Cardiovascular Risk Factors in Taiwan. Obes Res. 2005;13:170-78.

International Diabetes Federation. The IDF Consensus- worldwide definition of the metabolic syndrome. 2005.

Huang KC, Lee MS, Lee SD. Obesity in the elderly and its relationship with cardiovascular risk factors in Taiwan. Obes Res. 2005;13:170-78.

Yao CA, Lee LT, Chen CY. The study of metabolic syndrome in elderly receiving health check-up. Taiwan J Geriatr Gerontol. 2005;1:18-25.

Ford ES, Giles WH, Dietz WH. Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. JAMA. 2002;287:6-9.

Das M, Pal S, Ghosh A. Association of metabolic syndrome with obesity measures, metabolic profiles, and intake of dietary fatty acids in people of Asian Indian origin. J Cardiovasc Dis Res. 2010;1:130-5.

Deepa R, Santhirani CS, Premalatha G, Sahtry NG, Mohan V. Prevalence of insulin resistance syndrome in a selected south Indian population-The Chennai urban population study-7 [CUPS-7]. Ind. J Med Res. 2002;115:118-27.

Prabhakaran D. Cardiovascular risk factor prevalence among men in a large industry of northern India. The Nat Med J. India. 2005;18(2):59-65.

Lin WY, Yang WS, Lee LT. Insulin Resistance, Obesity, and Metabolic Syndrome among Non-Diabetic Pre- and Post-menopausal Women in North Taiwan. Int J Obes Relat Metab Disord. 2006;30:192-7.

Ferrari CKB. Metabolic Syndrome and Obesity: Epidemiology and Prevention by Physical Activity and Exercise. J.Exerc Sci Fit. 2008;6(2):87-96.

Pandit K, Goswami S, Ghosh S, Mukhopadhyay P, Chowdhury S. Metabolic syndrome in South Asians. Ind J End Met. 2012;16(1):44-55.

Gupta R, Deedwania PC, Gupta A, Rastogi S, Panwar RB, Kothari K. Prevalence of metabolic syndrome in an Indian urban population.Int J Cardiol. 2004;97:257-61.

Goodpaster BH. Obesity, regional body fat distribution, and the metabolic syndrome in older men and women. Arch Intern Med. 2005;1(65):777-83.

Kamble P, Deshmukh PR, Garg N. Metabolic syndrome in adult population of rural Wardha, central India. Indian J Med Res. 2010;132:701-5.

Kassi E, Pervanidou P, Kaltsas G, Chrousos G. Metabolic syndrome: Definitions and controversies. BMC Medicine. 2011;9:48:2-13.