METABOLIC SYNDROME AND EARLY RENAL DYSFUNCTION: A CROSS-SECTIONAL ANALYSIS IN AN URBAN INDIAN POPULATION

Main Article Content

Simmi Dubey
Dr.Ashutosh Jain

Keywords

Metabolic Syndrome, Early renal dysfunction, Chronic Kidney disease, Obesity

Abstract

Metabolic syndrome (MetS) is an escalating public health problem and is increasingly recognised as a contributor to early renal dysfunction. This study evaluated the association between MetS severity and renal function markers in an urban Indian population. Among 1000 screened individuals, 350 met the NCEP-ATP III criteria for MetS. Participants were stratified into three groups based on the number of MetS components present. Anthropometric, biochemical, and renal parameters were analysed. Progressive worsening of fasting glucose, lipid abnormalities, serum urea, uric acid, estimated glomerular filtration rate (eGFR), and urinary markers was observed with increasing MetS components. Central obesity showed significant correlations with multiple renal indices. These findings emphasise the importance of routine renal monitoring in individuals with MetS to enable early detection of kidney involvement.

Abstract 0 | PDF Downloads 0

References

1. Grundy, S. M., Cleeman, J. I., & Daniels, S. R. (2005). Diagnosis and management of the metabolic syndrome: An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation, 112(17),2735-2752.
2. Kaur J. A comprehensive review on metabolic syndrome. Cardiology Research and Practice. 2014.
3. Valizadeh A, Nikoohemmat M, Ebadinejad A, Soltani S, Tape PMK, Sohrabi A, Abiri B, Valizadeh M. Metabolic syndrome as a risk factor for the development of kidney dysfunction: a meta-analysis of observational cohort studies. J Diabetes Metab Disord. 2023 Nov 23;23(1):215-227. doi: 10.1007/s40200-023-01348-5
4. Vaia D, Raikou S, Gavriil S. Metabolic syndrome and chronic renal disease. Dis (Basel). 2018;6(1):12.
5. Chowdhury, M. A., Kumar, P., & Ray, M. (2020). Insulin resistance and its role in metabolic syndrome. Indian Journal of Endocrinology & Metabolism, 24(2), 134-141.
6. Bansal, M., Gupta, R., & Patel, R. (2020). Regional variations in the prevalence of metabolic syndrome in India: A systematic review. Journal of Diabetes & Metabolic Disorders, 19(1), 57-68.
7. Wisse BE. The inflammatory syndrome: The role of adipose tissue cytokines in metabolic disorders linked to obesity. JASN. 2004;15(11):2792-800.
8. Vaia D, Raikou S, Gavriil S. Metabolic syndrome and chronic renal disease. Dis (Basel). 2018;6(1):12.
9. Ramachandran A, Snehalatha C, Satyavani K, Sivasankari S, Vijay V. Metabolic syndrome in urban Asian Indian adults—a population study using modified ATP III criteria. Diabetes Res Clin Pract. 2003;60(3):199-204.
10. Anjana RM, Pradeepa R, Das AK, Deepa M, Bhansali A, Joshi SR, et al. Metabolic non-communicable disease health report of India: the ICMR-INDIAB national cross-sectional study. Lancet Diabetes Endocrinol. 2023;11(7):474-489.
11. Deepa M, Farooq S, Datta M, Deepa R, Mohan V. Prevalence of metabolic syndrome using WHO, ATP-III and IDF definitions in Asian Indians: the Chennai Urban Rural Epidemiology Study (CURES-34). Diabetes Metab Res Rev. 2007;23(2):127-134.
12. Gupta R, Deedwania PC, Gupta A, Rastogi S, Panwar RB, Kothari K. Prevalence of metabolic syndrome in an Indian urban population. Int J Cardiol. 2004;97(2):257-261.
13. Misra A, Shrivastava U. Obesity and dyslipidemia in South Asians. Nutrients. 2013;5(7):2708-2733.
14. Vikram NK, Misra A, Pandey RM, Dwivedi M. Association between subclinical inflammation and fasting insulin in urban young adult North Indian males. Indian J Nephrol. 2008;18(2):57-62.
15. Prasad N, Gulati S, Gupta RK, Sharma RK. Metabolic syndrome and chronic kidney disease: current status and future directions. Indian J Nephrol. 2010;20(2):59-67.