title: A Cross-Sectional Study of the Prevalence of Metabolic Syndrome among Young Female Emirati Adults.
abstract: BACKGROUND
  Metabolic syndrome (MetS) is a growing problem in the United Arab Emirates (UAE). Moreover, the prevalence of overweight and obesity is rapidly increasing in the UAE especially among young females. However, few studies have evaluated the prevalence of MetS among young female adults in the UAE. This study determined the prevalence of MetS in Emirati females aged 17-25 years and its relation to overweight and obesity.
  
  
  METHODS
  In total, 555 Emirati female college students were enrolled in a cross-sectional study, conducted during 2013-2014 at United Arab Emirates University in Al Ain, UAE. Anthropometric measurements, blood pressure and biochemical measurements were collected. MetS was defined according to the harmonised International Diabetes Federation criteria.
  
  
  RESULTS
  Of the 555 participants enrolled, 23.1% were overweight and 10.4% were classified as obese. The overall prevalence of MetS was 6.8%. MetS prevalence was highest among obese participants (34.5%), as compared with normal-weight (1.7%) and overweight (10.1%) participants. MetS was significantly associated with overweight (adjusted odds ratio [aOR] = 3.8, 95% confidence interval [CI]; 1.15-12.52) and obesity (aOR = 11.2, 95% CI; 3.1-40.9), as compared with normal-weight. Waist-hip ratio ≥ 0.8 (aOR = 3.04, 95% CI; 1.10-8.44) was significantly associated with MetS, as compared with waist-hip ratio <0.8. The odds of MetS were 22 fold higher in participants with glycated haemoglobin (HbA1c) ≥ 6.5% (aOR = 22.5, 95% CI; 6.37-79.42) compared to HbA1c <6.5%. This difference was 9 fold higher when HbA1c between 5.6%-6.4% was compared to HbA1c <5.6% (aOR = 8.9, 95% CI; 3.4-23.5).
  
  
  CONCLUSIONS
  The prevalence of MetS among obese Emirati female students was significantly higher than overweight and normal weight students. The high prevalence of MetS highlights the importance of regular screening and intervention programmes targeting weight reduction.
authors.affiliation: Nutrition and Health Department, College of Food and Agriculture, United Arab Emirates University, Al Ain, UAE.
authors.forename: Ayesha S
authors.initials: AS
authors.lastname: Al Dhaheri
authors.affiliation: Nutrition and Health Department, College of Food and Agriculture, United Arab Emirates University, Al Ain, UAE.
authors.forename: Maysm N
authors.initials: MN
authors.lastname: Mohamad
authors.affiliation: Nutrition and Health Department, College of Food and Agriculture, United Arab Emirates University, Al Ain, UAE.
authors.forename: Amjad H
authors.initials: AH
authors.lastname: Jarrar
authors.affiliation: Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology & Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.|Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
authors.forename: Eric O
authors.initials: EO
authors.lastname: Ohuma
authors.affiliation: Nuffield Department of Obstetrics & Gynaecology and Oxford Maternal & Perinatal Health Institute, Green Templeton College, University of Oxford, Oxford, United Kingdom.
authors.forename: Leila Cheikh
authors.initials: LC
authors.lastname: Ismail
authors.affiliation: Nutrition and Health Department, College of Food and Agriculture, United Arab Emirates University, Al Ain, UAE.
authors.forename: Fatima T
authors.initials: FT
authors.lastname: Al Meqbaali
authors.affiliation: Nutrition and Health Department, College of Food and Agriculture, United Arab Emirates University, Al Ain, UAE.
authors.forename: Usama
authors.initials: U
authors.lastname: Souka
authors.affiliation: Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE.
authors.forename: Syed M
authors.initials: SM
authors.lastname: Shah
mesh_terms: D000293:Adolescent; D000328:Adult; D001835:Body Weight; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D024821:Metabolic Syndrome / Q000453:epidemiology*; D009765:Obesity / Q000453:epidemiology; D050177:Overweight / Q000453:epidemiology; D015995:Prevalence; D011795:Surveys and Questionnaires; D014479:United Arab Emirates / Q000453:epidemiology; D055815:Young Adult