Metabolic Syndrome Among Rural Indian Adults

Clin Nutr ESPEN. 2018 Feb;23:129-135. doi: 10.1016/j.clnesp.2017.11.002. Epub 2017 Dec 1.


Background & aims: To prevent an increasing level of mortality due to type 2 diabetes mellitus and cardiovascular disease among the rural Indian population, a management strategy of the metabolic syndrome (MetS) should be devised. This study aims to estimate the burden of MetS and its associated risk factors.

Methods: Data from the Birbhum Population Project covering 9886 individuals (4810 male and 5076 female population) aged ≥18 years were used. The burden of metabolic syndrome, as defined by the Third Report of the National Cholesterol Education Program Adult Treatment Panel, was determined. Bivariate and multivariate (logistic regression) analyses were used to attain the study objective.

Results: Over 10.7% of the males and 20.3% of the females were diagnosed with MetS. Irrespective of sex, older individuals, being overweight/obese (body mass index of ≥23 kg/m2) had higher probability of developing MetS, whereas being underweight is deemed a protective factor against MetS. Low physical activity among women appeared to be a risk factor for MetS.

Conclusion: The prevalence of MetS is concerning even in rural India. Any intervention designed to address the issue could emphasize on weight loss, and physical activity, focusing on women and people at an advanced stage of life.

Keywords: BMI; Gender; India; Metabolic syndrome; Physical activity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Blood Glucose / metabolism
  • Blood Pressure
  • Body Mass Index
  • Cholesterol / blood
  • Cross-Sectional Studies
  • European Continental Ancestry Group
  • Exercise
  • Female
  • Health Behavior
  • Humans
  • India / epidemiology
  • Life Style
  • Male
  • Metabolic Syndrome / epidemiology*
  • Middle Aged
  • Risk Factors
  • Rural Population*
  • Socioeconomic Factors
  • Triglycerides / blood
  • Young Adult


  • Blood Glucose
  • Triglycerides
  • Cholesterol