Prevalence of metabolic syndrome among Thai monks in the Priest Hospital
Main Article Content
Abstract
Abstract
Background and Objective: The Priest hospital provides medical services for monks in Thailand. Studies showed Metabolic syndrome (Met.S) is associated with the risk of cardiovascular disease and type 2 diabetes mellitus. The present study aimed to evaluate and compare the prevalence of Met.S in Thai monks attended Diabetes Clinic and other general OPD clinics in Priest Hospital.
Methods: This study was a retrospective-descriptive research. Data were collected from medical records of Thai monks presented in Priest Hospital from 2017-2019. A total 500 monks were randomly sampling from all records; 250samples from Diabetes Clinic and the other 250 from general OPD clinics. Statistical Analysis was performed by using Chi-Square test.
Results: The present study showed that the prevalence of Met.S in year 2017, 2018 and 2019 was 32.4%, 35.4% and 40.6% respectively. Met.S was more commonly found in
diabetes group than in general OPD group. [Year 2017: 41.2% VS 23.6% (p=0.004), year 2018: 44.8% VS 26.0% (p< 0.001), year 2019: 40.6% VS 33.2% (p=0.001)]. In general OPD group, Impair fasting glucose (IFG) increased consecutively each year (from 36.4% to 47.2% and 54.8%). Similarly, Low HDL-cholesterol was raising from 16.4% to
18.0% and 26.0% yearly. The prevalence of obesity in diabetes clinic was significantly higher than that in general OPD in 2017 and 2018 [67.6% VS 54.8% (p=0.004) and
68.4% VS 50.4% (p< 0.001)].
Conclusion: The prevalence of metabolic syndrome among Thai monks in Priest hospital has tendency to increase yearly from 2017 to 2019. Monitoring and screening for metabolic syndrome in non-diabetes monks may help decreasing risk in this group.
Downloads
Article Details
Articles in this journal are copyrighted by the Royal Thai Army Medical Department and published under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license.
may be read and used for academic purposes, such as teaching, research, or citation, with proper credit given to the author and the journal.
Use or modification of the articles is prohibited without permission.
Statements expressed in the articles are solely the opinions of the authors.
Authors are fully responsible for the content and accuracy of their articles.
Any other republication of the articles requires permission from the journal.
References
overweight Fact sheet. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.
2.Patchata Norasigha, Krittinat Navaphongpaveen, Pannawit Piyaaramwong. Prevalence
and associated factors of metabolic syndrome in Buddhist monks at Phra Nakhon Si Ayutthaya province, Thailand. J Med Health Sci. 2018;25:21-9.
3.James L Rosenzweig., George L Bakris., Lars F Berglund., Marie-France Hivert., Edward S
Horton., Rita R Kalyani., et al. Primary prevention of ASCVD and T2DM in Patients at Metabolic Risk: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2019;104:3939-85.
4.Alberti., FRCP., Robert H. Eckel., MD., FAHA., Scott M. Grundy., et al. Harmonizing the
metabolic syndrome: A joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation 2009;120:1640-5.
5.Wichai Akepolakorn, Yaowarat porapakkham, Surasak Thanee Phanichsakul,
Hathichanok Phongcharoen, Waraporn, Sathien Noppakao, Kanittha Thai Klang.
Report of the Thai public health survey by Body No. 4 2008-2. Nonthaburi:
The Grafico Systems; 2010.
6.Wichai Akepolakorn, Hathai Chanok, Pongcharoen, Kanitta Thaikla, Waraporn
Sathiannoppakao. Survey report Thai public health by the 5th physical
examination, 2014. Nonthaburi: Graphic and Design Publishing House; 2559.
7.Kwancharoen R., Leewattanapat P., Suraamornkul S., Metabolic Syndrome of Thai
Buddhist Monks in Bangkok Metropolitan Temples. .J Med Assoc Thai. 2019;102:14-19.
8.Phrakruthammajakjetiyapiban. Vinaya: Law clergy. Journal of Nakhonratchasima College.
2016;10:339-345.
9.The committee for preparing the annual report. Annual Report of thepriest Hospital
2019, Bangkok: Monastic Hospital; 2020.
10.Medical records statistics. Statistics of priest Hospital Year 2019. Bangkok:
Priest Hospital; 2020.
11.Prospective Studies Collaboration. Body-mass Index and Cause-Specific Mortality in
900 000 Adults: Collaborative Analyses of 57 Prospective Studies. Lancet 2009;373:1083-96.
12.Warodom Samerchua, Chompunuch Singmanee, Benjamas Suksatit. Body Mass Index
among Buddhist Monks in Phayao Province and It’s Related Factors.
Journal of MCUNan Review. 2560;1:57-68.
13.Phraratsittivetee (Wirat Wirochano), Benjamas Suksatit, Warodom Samerchua
Chompunut Singmanee. Situational analysis of health based on the concept of
bhavana 4 among buddhist monks in Phichit province.
Journal of MCUSocial Science Review. 2562;8:15-27.
14.Michael EJ Lean , et al. Primary care-led weight management for remission of type 2
diabetes (DiRECT): An open-label, cluster-randomised trial. The Lancet.2018;391:541-51.
15.Clinical Guidelines Task Force. Global guideline for type 2 diabetes. International
Diabetes Federation; 2012
16.Peter W.F.,Willson,R.D.,Abbote.,William P.C. High density lipoprotein cholesterol and
mortality, The framingham heart study. Arteriosclerosis.1988;8:737-41.
17.Tachapon T., Jeeranan K. Physical Activities of the Elderly Monks in Sisaket Province.
Journal of Liberal Arts Maejo University. 2019;7:48-61
18.Mahachulalongkornrajavidyalaya University. Tripitaka Thailand:
Mahachulalongkornrajavidyalaya University Issue. Vol. ๒๙ Phrasuttantapidok Khutthakanikai Mahanitthes. Bangkok: Mahachulalongkornrajavidyalaya University Press; 2539:466-80.