title: The Prevalence of Demodex Species and Its Relationship With the Metabolic Syndrome in Women of Malatya Province, Turkey.
abstract: BACKGROUND
  Demodex species are ectoparasites living in the hair follicles and sebaceous glands in human. Only two species, Demodex folliculorum and D. brevis were identified in human. While the D. folliculorum is settling in infundibular part of the hair follicles mostly, D. brevis settles into the sebaceous glands and ducts, which are deeper. These parasites live preferentially in hair follicles on the face and in the sebaceous glands, although they have also been reported to reside in seborrheic parts of the human body. The Demodex species have the highest rate on the face which has thesignificant number of sebaceous glands and sebum production in the skin. However, the rate of infestation increases with age in healthy skin.
  
  
  OBJECTIVE
  The aim of this study was to determine the prevalence of Demodex species in healthy women and the relationship between the incidence of Demodex and metabolic syndrome (MetS).
  
  
  METHODS
  This study consisted of 151,498 women aged ≥ 20 years who reside in the central district of Malatya province, Turkey. In 5% confidence interval of sample size, while the design effect was 1.5 it was calculated as 552 individuals and while the design effect was 2 it was calculated as 736 individuals. The World Health Organization 30 cluster sampling method was used to select the samples. Women aged ≥ 20 years who were not pregnant or lactating were included in the study. From a total of 669 subjects included in this study, 90.89% of the largest sample was accessed.
  
  
  RESULTS
  Parasites were detected in 263 (39.3%) of 669 subjects and 3 of them were D. brevis. In chi-square analysis, nosignificant relationship was found between the incidence of the parasite, age, education level, occupation, marital status, family type, and MetS. However, a significant relationship was found between the diastolic pressure and those who fed with fatty foods and the incidence of parasite's occurrence.
  
  
  CONCLUSIONS
  According to the results of this study, MetS has no effect on the frequency of occurrence of the parasite; however, weight, fatty foods, and high diastolic pressure are effective in the frequency of occurrence of the parasite. The effects of these factors on the incidence of parasites should be supported by further study designs.
authors.affiliation: Department of Family Medicine, Faculty of Medicine, Ordu University, Ordu, Turkey.
authors.forename: Ozgur
authors.initials: O
authors.lastname: Enginyurt
authors.affiliation: Department of Medical Parasitology, Faculty of Medicine, Ordu University, Ordu, Turkey.
authors.forename: Ulku
authors.initials: U
authors.lastname: Karaman
authors.affiliation: Kardesler Family Health Center, Ankara, Turkey.
authors.forename: Feray
authors.initials: F
authors.lastname: Cetin
authors.affiliation: Department of Public Health, Faculty of Medicine, Inonu University, Malatya, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Ozer
keywords: Metabolic Syndrome X; Parasites; Prevalence; Women