@article{fdi:010060734,
  title = {{P}revalence and determinants of the metabolic syndrome among {T}unisian adults : results of the {T}ransition and {H}ealth {I}mpact in {N}orth {A}frica ({TAHINA}) project},
  author = {{B}elfki, {H}. and {B}en {A}li, {S}. and {A}ounallah-{S}khiri, {H}. and {T}raissac, {P}ierre and {B}ougatef, {S}. and {M}aire, {B}ernard and {D}elpeuch, {F}rancis and {A}chour, {N}. and {B}en {R}omdhane, {H}.},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective: {T}o determine the prevalence of metabolic syndrome ({M}et{S}) and its components and to evaluate the relationship between this diagnosis and cardiovascular risk factors, demographic and socio-economic variables. {D}esign: {A} cross-sectional study using a questionnaire including information on sociodemographic and {CVD} risk factors. {B}lood pressure, anthropometric indices, fasting glucose and lipid profile were measured. {M}et{S} was defined according to the criteria of the {N}ational {C}holesterol {E}ducation {P}rogram, {A}dult {T}reatment {P}anel {III}. {S}etting: {T}he whole {T}unisian territory; {T}ransition and {H}ealth {I}mpact in {N}orth {A}frica ({TAHINA}) project. {S}ubjects: {A} total of 4654 individuals (1840 men and 2814 women), aged 35 to 74 years, who participated in the {T}unisian national survey. {R}esults: {T}he overall prevalence of {M}et{S} was 30.0%, higher in women (36.1%) than in men (20.6%; {P}<0.001). {I}n both genders {M}et{S} prevalence increased significantly with age ({P}<0.001), but this increase was more important in women. {M}ultiple regression analyses showed that the odds for {M}et{S} increased significantly with urban area for both men and women ({P}<0.05 and {P}<0.001, respectively). {T}he multivariate models showed also that the odds for {M}et{S} increased significantly with increasing level of education and in those with a family history of {CVD} for men (both {P}<0.05) and after the menopausal transition for women ({P}<0.05). {C}onclusions: {T}he study highlights the {M}et{S} problem in a middle-income developing country. {T}here is an urgent need for a comprehensive, integrated, population-based intervention programme to ameliorate the growing problem of {M}et{S} in {T}unisians.},
  keywords = {{M}etabolic syndrome ; {CVD} risk factors ; {S}ociodemographic factors ; {TUNISIE} ; {PAYS} {EN} {DEVELOPPEMENT}},
  booktitle = {},
  journal = {{P}ublic {H}ealth {N}utrition},
  volume = {16},
  numero = {4},
  pages = {582--590},
  ISSN = {1368-9800},
  year = {2013},
  DOI = {10.1017/s1368980012003291},
  URL = {https://www.documentation.ird.fr/hor/fdi:010060734},
}