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Sugar intake and metabolic syndrome among older adults in Peninsular Malaysia
NurZetty Sofia Zainuddin1, Suzana Shahar2, Nik Shanita Safii3, Hasnah Haron4, Mohd Azahadi Omar5.
Introduction: Sugar is widely consumed and excessive intake has been associated
with increased risk of weight gain, diabetes mellitus and cardiovascular diseases,
leading to metabolic syndrome (MetSyn). However, the association between sugar
intake and MetSyn has seldom been studied among multi-ethnic Malaysian older
adults.
Methods: A total of 1,057 respondents aged ≥60 years were recruited through
multistage random sampling from selected states. Anthropometric parameters, blood
pressure, blood test for sugar and lipid profile were determined. Dietary intake was
derived using a 7-day dietary history questionnaire (DHQ) and a semi-quantitative
food frequency questionnaire (FFQ) for added sugar intake.
Results: Prevalence of
MetSyn was 39.9%, 30.9% and 42.2% using the harmonised definition, International
Diabetes Federation (IDF) and National Cholesterol Education Program’s Adult
Treatment Panel III (NCEP-ATPIII) definitions respectively. Mean total sugar intake
was 40.5±32.0 g (8 tsp) and added sugar intake was 33.0±31.0 g (6 tsp). Excessive
added sugar consumption at 100th percentile increased risks of high total cholesterol
by two-fold (p<0.001) and triglyceride by 1.8 fold (p<0.001). Total sugar intake at
50th percentile increased risk of high blood pressure by 0.68 fold (p<0.05) and total
sugar intake at 50th, 75th and 100th percentile increased total cholesterol risk by
1.7 fold (p<0.01), 1.5 fold (p<0.05) and 2.3 fold (p<0.001) respectively.
Conclusion:
Excessive sugar consumption among older adults showed no association with
MetSyn but revealed significant associations with blood pressure and lipid profiles.
Effects of long term excessive consumption of sugar on health outcomes in older
persons should be investigated.
Affiliation:
- Universiti Kebangsaan Malaysia, Malaysia
- Universiti Kebangsaan Malaysia, Malaysia
- Universiti Kebangsaan Malaysia, Malaysia
- Universiti Kebangsaan Malaysia, Malaysia
- Kementerian Kesihatan Malaysia, Malaysia
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Indexation |
Indexed by |
MyJurnal (2019) |
H-Index
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0 |
Immediacy Index
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0.000 |
Rank |
0 |
Indexed by |
Scopus (SCImago Journal Rankings 2016) |
Impact Factor
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- |
Rank |
Q4 (Food Science) Q3 (Nutrition and Dietetics) |
Additional Information |
0.182 (SJR) |
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