Nghiên cứu nhằm tìm hiểu tỷ lệ của Hội chứng chuyển hóa và các yếu tố liên quan ở nhân viên ngành y tế thành phố Hồ Chí Minh. Có 504 đối tượng trong đó 125 nam (tuổi 38±10) và 379 nữ (tuổi 39±10) tham gia vào điều tra cắt ngang. Các thông tin về dân số, xã hội và thói quen được thu thập bằng bộ câu hỏi. Các chỉ tiêu nhân trắc và lâm sàng được thu...

English summary: Metabolic syndrome (MS), also known as the insulin resistant syndrome, consists of a cluster of metabolic disorders that were strongly associated with diabetes and cardiovascular diseases. Unbalanced diet (more fat, less healthy food), sedentary lifestyle which becomes more popular in developing country including Vietnam were risk factor for the syndrome. Healthcare-related staff, who provide healthcare to patients were well-trained in medical field and may had better knowledge on either general diseases or this syndrome than general population. However, information about the syndrome in this population in Ho Chi Minh City, a biggest city of Vietnam is unknown. We sought to determine the prevalence of metabolic syndrome and its related factors in healthcare-related individuals in Ho Chi Minh City. Five hundreds and four individuals [(125 men, age: 38 ± 10 y) and (379 women, age: 39 ± 10 y) were enrolled in the cross-sectional study. The demographic, social characteristics and habits were collected using structured questionnaire. Anthropometric, clinical parameters were measured. Fasting blood sample was collected for measurement of plasma concentration and lipid profile. The MS was defined using either international diabetes foundation (IDF) 2005 criteria which is presence of central obesity plus presences of two or more of the rest four components i.e., hyper triglyceride, low HDL-cholesterol, high blood pressure and, elevated fasting blood glucose or ATP III (for determine the prevalence only), which is presence of three or more in the five components above. All statistical analyses were performed using SPSS for Windows 11.5. A p-value<0.05 was considered significant. Using IDF criteria, the prevalence of MS is 22% and this prevalence is 13%, based on ATP III criteria. Women had significantly higher proportion of MS than men. No relationship between MS and locality. The prevalence of MS significantly increased with menopause status. However, after adjustment for age, this relationship is no longer existed. No relationship between MS and educational level, work type was observed. Compare to individuals without MS, individuals with MS have significantly higher in BMI, total body fat, skin-fold thickness, hip circumference and total cholesterol concentration. After adjustment for age, sex, general linear model reveals that MS individuals have similar BMI but more total body fat, skin-fold thickness, hip circumference and total cholesterol concentration. Binary logistic regression analyses, show that ageing and sex are associated factors for the prevalence of MS and that total body fat, hip circumference and total cholesterol concentration were determinants for the prevalence of MS independently with age, sex and BMI. In conclusion, the first study of MS in healthcare related staff shows that the prevalence is 22%, indicating an increasing trend of this syndrome in Vietnamese population. Our findings also indicate that ageing, gender (female), total body fat, hip circumference and total cholesterol concentration are associated determinants for the increased prevalence of MS. Because of the negative effects of MS on both human health and society, it suggests that the healthcare staff should pay attention on their own health and that a national regular screening and prevention program need to be established.