Prevalence of metabolic syndrome among Thai monks in the Priest Hospital
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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.
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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.