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PLoS One. 2013 Aug 2;8(8):e68319. doi: 10.1371/journal.pone.0068319. Print 2013.

Higher gravidity and parity are associated with increased prevalence of metabolic syndrome among rural Bangladeshi women.

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1
Health & Disease Research Center for Rural Peoples (HDRCRP), 14/15, Probal Housing Ltd., Mohammadpur, Dhaka, Bangladesh.

Abstract

BACKGROUND:

Parity increases the risk for coronary heart disease; however, its association with metabolic syndrome among women in low-income countries is still unknown.

OBJECTIVE:

This study investigates the association between parity or gravidity and metabolic syndrome in rural Bangladeshi women.

METHODS:

A cross-sectional study was conducted in 1,219 women aged 15-75 years from rural Bangladesh. Metabolic syndrome was defined according to the standard NCEP-ATP III criteria. Logistic regression was used to estimate the association between parity and gravidity and metabolic syndrome, with adjustment of potential confounding variables.

RESULTS:

Subjects with the highest gravidity (> = 4) had 1.66 times higher odds of having metabolic syndrome compared to those in the lowest gravidity (0-1) (P trend = 0.02). A similar association was found between parity and metabolic syndrome (P(trend) = 0.04), i.e., subjects in the highest parity (> = 4) had 1.65 times higher odds of having metabolic syndrome compared to those in the lowest parity (0-1). This positive association of parity and gravidity with metabolic syndrome was confined to pre-menopausal women (P(trend) <0.01). Among the components of metabolic syndrome only high blood pressure showed positive association with parity and gravidity (P(trend) = 0.01 and <0.001). Neither Parity nor gravidity was appreciably associated with other components of metabolic syndrome.

CONCLUSIONS:

Multi parity or gravidity may be a risk factor for metabolic syndrome.

PMID:
23936302
PMCID:
PMC3732242
DOI:
10.1371/journal.pone.0068319
[Indexed for MEDLINE]
Free PMC Article
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