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Prevalence and Risk Factors for Metabolic Syndrome in Past Child Bearing and Perimenopausal Women with Abnormal Uterine Bleeding

Parvathy Deth and Nirmala. C

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ABSTRACT

Metabolic syndrome is a disorder of combined lipid and glucose metabolism in a genetically susceptible individual with sufficient visceral adiposity to provoke adipose tissue dysfunction. The major features of metabolic syndrome include central obesity, hypertriglyceridemia, low HDL cholesterol, hyperglycemia and hypertension. It is a major predictor of morbidity and mortality. Aim and Objectives: To study the prevalence and risk factors of metabolic syndrome among past childbearing and perimenopausal women with abnormal uterine bleeding. Methodology: Cross sectional study in women between 30 to 50 years of age with abnormal uterine bleeding who attended Gynaecology OP in SATH, sample size was 186 patients. Observations and Results: Among 186 women studied, 100 of them were found to have metabolic syndrome, the prevalence was 53.76% {95% CI, = [39.6-67.52]}. Significant association was found between metabolic syndrome and age, history of gestational diabetes and gestational hypertension, postpartum weight gain, personal history of excess calorie intake and lack of exercise, history of diabetes, hypothyroidism, hypertension and family history of diabetes and cardiac disease.

 Keywords: Abnormal uterine bleeding, Metabolic syndrome, IDF criteria, Diabetes, Hypertension, Weight gain

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