[Metabolic syndrome in patients after coronary bypass surgery: prevalence and compliance with treatment].
OBJECTIVE
The aim of this study was to evaluate the prevalence of metabolic syndrome (MS) and its components, to determine the patients' compliance with pharmacological therapy and lifestyle modification, and to clarify the association of demographic and socioeconomic factors with the MS in Turkish patients with prior coronary artery bypass surgery (CABG).


METHODS
Two hundred and seventy-three patients (age range 35-77, 208 men) were interviewed and examined 1.0-2.2 years after CABG.


RESULTS
The prevalence of MS was 44.8% (55.4% among women and 41.3% among men). The most prevalent metabolic risk factor was visceral obesity among females, and elevated blood pressure among males. Rates for regular physical activity were lower in patients with MS, compared with those without MS (36.9% vs. 47.7%, p<0.05). Compared with patients without MS, use of aspirin was lower among patients with MS (84.4% vs. 93.4%, p<0.05). Logistic regression analysis revealed an independent association of age>65 years and low educational level with MS.


CONCLUSIONS
We found a high prevalence of metabolic syndrome and its components among patients with prior CABG. Patients with MS had lower rate of regular physical activity and aspirin use, compared with those without MS.
Baltali
Mehmet
M
Başkent Universitesi Tip Fakültesi Kardiyoloji ve Kardiyovasküler Cerrahi Anabilim, Adana, Ankara. baltalim@turk.net
Kiziltan
Hidayet Tarik
HT
Korkmaz
Mehmet Emin
ME
Topçu
Semra
S
Demirtaş
Mustafa
M
Müderrisoğlu
Haldun
H
Topçuoğlu
Sah
S
Birand
Ahmet
A
D000328:Adult; D000368:Aged; D001026:Coronary Artery Bypass; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D024821:Metabolic Syndrome / Q000453:epidemiology* / Q000209:etiology / Q000628:therapy*; D008875:Middle Aged; D010349:Patient Compliance; D015995:Prevalence; D012959:Socioeconomic Factors; D014421:Turkey / Q000453:epidemiology