A2221 Prevalence of metabolic syndrome in the workplace: case of a Senegalese company

Wednesday, March 21, 2012
Ground Floor (Cancun Center)
Babacar Fall, Medical Department occupational Health and Safety at Work, Sonatel, Dakar, Senegal
Oumar Diop, Faculty of Medicine and Pharmacy, Cheikh Anta Diop University,, Dakar, Senegal
Philomème Sall-lopez, Faculty of Medicine and Pharmacy, Cheikh Anta Diop University, Dakar, Senegal
Aïnina Cissé, Faculty of Medicine and Pharmacy, Cheikh Anta Diop University, Dakar, Senegal
Introduction
The aim of this study is to assess the frequency of this pathology based on definitions established by WHO and the NCEP-ATPIII in a Senegalese population, search relationship and cardiovascular risk factors. 

Methods
902 workers aged 20 to 60 years are concern and received wide review: general examination, cardiopulmonary examination: ECG, possibly cardiac ultrasound and x-ray, complete blood count . Anthropometric, clinical and biological parameters involved in the development of the syndrome, were studied. 

Results
clinically: 28.05% hypertension, obesity: 11.75 BMI 31.04 WC 39.91 WC/HC 
Biological: Hyperglycemia: 10.09, 4.77 IFG, 5.32 diabetes. , Dyslipidemia: hypertriglyceridemia, 21.84, 38.25 HDLcholestérol low, High LDLcholestérol: 25.06 
Positive Correlation: glucose and blood pressure, triglycerides and DBP, triglycerides and BMI, LDL-cholesterol and SBP, 
Negatively correlated HDL-cholesterol and blood pressure, HDL cholesterol and BMI. 

Discussion
• Incidence of metabolic syndrome as defined by 
• WHO: 8.87. This frequency is low compared to that observed in the U.S. and European populations: respectively 41.3 and 23. High prevalence observed in the US and Europe could be explained by their lifestyle, including diet and physical inactivity. 
• NCEP-ATPIII: 22.73. This frequency is remarkable because indicates that the syndrome is almost one-fifth of subjects is similar to that told in a U.S 21.8 using the same criteria. 
• Comparison of frequencies found by WHO and NCEP-ATPIII: 
NCEP-ATPIII‘s frequency is 2.6 times higher than WHO. It follows that WHO criteria would be less sensitive for the detection of metabolic syndrome than NCEP-ATPIII. Therefore it’s more likely to diagnose the syndrome by applying NCEP-ATPIII definition than WHO’s. Indeed.