The association of metabolic syndrome and its factors with gallstone disease

BMC Fam Pract. 2014 Jul 29:15:138. doi: 10.1186/1471-2296-15-138.

Abstract

Background: To investigate the association between metabolic syndrome, including its factors, and gallstone disease (GSD) in a Taiwanese population.

Methods: We conducted a cross-sectional study during 2011 ~ 2012. A total of 12050 subjects who completed a questionnaire and underwent physical examination, laboratory tests and abdominal ultrasonography formed the study population.

Results: The prevalences of metabolic syndrome and gallstone disease were 24.09% and 6.16%. In an age- and sex-adjusted logistic regression model, metabolic syndrome was associated with gallstone disease (OR = 1.61; P < 0.0001). Age, abdominal obesity, and lower high-density lipoprotein cholesterol were associated with gallstone disease after adjusting for other factors. Females had a higher odds ratio than males in waist circumference for GSD, whereas males had a lower odds ratio than females in HDL-C for GSD.

Conclusions: The present study suggests that metabolic syndrome is related to gallstone disease. Waist circumference and high-density lipoprotein cholesterol are all associated with GSD. Men and women may possibly have different priorities and strategies to reduce the burden of GSD.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Cholelithiasis / epidemiology
  • Cholesterol, HDL / blood
  • Cross-Sectional Studies
  • Dyslipidemias / blood
  • Dyslipidemias / epidemiology*
  • Female
  • Gallstones / epidemiology*
  • Humans
  • Logistic Models
  • Male
  • Metabolic Syndrome / epidemiology*
  • Middle Aged
  • Obesity, Abdominal / epidemiology*
  • Risk Factors
  • Sex Factors
  • Taiwan / epidemiology
  • Waist Circumference

Substances

  • Cholesterol, HDL