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    Sociodemographic Factors Associated with Improved Metabolic Syndrome in Slum Dwelling Adults in Kenya: A Randomized Controlled Trial

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    Publication Date
    2024
    Authors
    Okube, Okubatsion Tekeste
    Kimani, Samuel T.
    Type
    Article, Journal
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    Citation

    Okube, O. T., & Kimani, S. T. (2024). Sociodemographic Factors Associated with Improved Metabolic Syndrome in Slum Dwelling Adults in Kenya: A Randomized Controlled Trial. SAGE Open Nursing, 10, 23779608241299647.

    Abstract/Overview

    Abstract Background: Sociodemographic factors have been implicated in cardiovascular health with differential morbidity and mor tality. It is essential to comprehend how sociodemographic factors contribute to the improvement of Metabolic Syndrome (MetS), the primary cardiovascular diseases indicator. Objective: Determine the role of sociodemographic factors in improving MetS among adults residing in the Slums of Nairobi, Kenya. Methods: Adults with MetS participated in this randomized controlled trial study for a period of 12-months. A random assignment was used to place eligible participants in the intervention or control groups. The intervention group received life style intervention that entails not using tobacco products or alcohol, exercising, and adhering to recommended dietary guide lines, while the control group had standard medical care. Clinical, biochemistry, and lifestyle habits were measured before and a year after the intervention. The association between the sociodemographic factors and the improvement in MetS was exam ined using a multiple logistic regression model with backward conditional. Results: In the intervention group, lack of improvement in metabolic syndrome was significantly higher among aged (≥50 years) respondents [AOR=9.097; P < .001]; Protestants [AOR=7.292; P=.017] and Catholics [AOR=5.270; P =.050]. Compared to unemployed, formally employed respondents had an 84.6% lower chance of having MetS [AOR=0.154; P = .005]. Within the control group, lack of improvement in metabolic syndrome was significantly higher among aged (≥50 years) respondents [AOR =5.013; P=.047]. Compared to respondents who had less than $100, individuals with monthly incomes between $100 and $500 had a roughly 10-fold [AOR =10.499; P=.024] higher chance of having MetS. Conclusion: In the current study, the findings show that sociodemographic factors namely: advanced age, unemployment, being Protestants and Catholics as well as higher income were negatively associated with improvement in MetS. The findings indicate that social factors have impact in the management and intervention outcomes of CVDs. Programmers and policy mak ers should plan interventions for CVD prevention and response with these factors in mind.

    Subject/Keywords
    sociodemographic factors; metabolic syndrome; cardio-metabolic risk factors; lifestyle intervention; Randomized controlled trial
    Further Details

    © The Author(s) 2024 Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/23779608241299647 journals.sagepub.com/home/son

    Publisher
    SAGE Open Nursing
    Permalink
    https://repository.amref.ac.ke/handle/20.500.14173/1042
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    • Department of Nursing and Midwifery Sciences [28]

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