Metabolic syndrome in outpatient cardiology clinics

In Brazil, the prevalence of the metabolic syndrome (MS) is little known in several regions. To analyze the prevalence of MS, its components and the agreement between two diagnostic definitions in a population aged > 13 years. Cross-sectional study conducted from June to October 2007 in 719 patie...

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Bibliographic Details
Published in:Arquivos brasileiros de cardiologia 2010-01, Vol.94 (1), p.46-54
Main Authors: Barbosa, José Bonifácio, Silva, Antonio Augusto Moura da, Barbosa, Fabrício de Flores, Monteiro Júnior, Francisco das Chagas, Figueiredo Neto, José Albuquerque de, Nina, Vinicius José da Silva, Ribeiro, Waston Gonçalves, Figuerêdo, Eduardo Durans, Melo Filho, José Xavier de, Chein, Maria Bethânia da Costa
Format: Article
Language:Portuguese
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Ambulatory Care Facilities - statistics & numerical data
Brazil - epidemiology
Cardiac Care Facilities - statistics & numerical data
Epidemiologic Methods
Female
Humans
Hypertension - complications
Hypertension - epidemiology
Male
Metabolic Syndrome - epidemiology
Metabolic Syndrome - etiology
Middle Aged
Risk Factors
Young Adult
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Summary:In Brazil, the prevalence of the metabolic syndrome (MS) is little known in several regions. To analyze the prevalence of MS, its components and the agreement between two diagnostic definitions in a population aged > 13 years. Cross-sectional study conducted from June to October 2007 in 719 patients of outpatient cardiology clinics in the city of São Luis, State of Maranhão, Brazil. Blood pressure (BP), weight, height, waist circumference and lipid profile were measured. Risk factors for MS were evaluated according to the International Diabetes Federation (IDF) definition. Prevalence ratios and 95% confidence intervals were estimated using Poisson regression. The prevalence of MS was higher in both genders when using IDF definition (62.3% in men and 64.6% in women) than when using that of the National Cholesterol Education Program - Adult Treatment Prevention (NCEP ATPIII) (48.9% in men and 59% in women). The most prevalent MS components were: hypertension (87.2% and 86%); hypertriglyceridemia (84.4% and 82.5%); increased waist circumference (77.8% and 100%); low HDL-c (58.1% and 49.9%); and high blood glucose (59.9% and 51.9%), using NCEP ATPIII and IDF definitions, respectively. In the adjusted analysis, age > 60 years and body mass index (BMI) > 30 were associated with a higher risk of MS (p
ISSN:1678-4170
DOI:10.1590/S0066-782X2010000100009