Metabolic syndrome as a cardiovascular disease risk factor: patients evaluated in primary care.
To estimate the prevalence of metabolic syndrome (MS) in a population receiving attention in primary care centers (PCC) we selected a random cohort of ostensibly normal subjects from the registers of 5 basic-health area (BHA) PCC. Diagnosis of MS was with the WHO, NCEP and IDF criteria. Variables recorded were: socio-demographic data, CVD risk factors including lipids, obesity, diabetes, blood pressure and smoking habit and a glucose tolerance test outcome. Of the 720 individuals selected (age 60.3 +/- 11.5 years), 431 were female, 352 hypertensive, 142 diabetic, 233 pre-diabetic, 285 obese, 209 dyslipemic and 106 smokers. CVD risk according to the Framingham and REGICOR calculation was 13.8 +/- 10% and 8.8 +/- 9.8%, respectively. Using the WHO, NCEP and IDF criteria, MS was diagnosed in 166, 210 and 252 subjects, respectively and the relative risk of CVD complications in MS subjects was 2.56. Logistic regression analysis indicated that the MS components (WHO set), the MS components (IDF set) and the female gender had an increased odds ratio for CVD of 3.48 (95CI%: 2.26-5.37), 2.28 (95%CI: 1.84-4.90) and 2.26 (95%CI: 1.48-3.47), respectively. We conclude that MS and concomitant CVD risk is high in ostensibly normal population attending primary care clinics, and this would necessarily impinge on resource allocation in primary care.
Cabré
Joan-Josep
JJ
ABS Reus-1, Camí de Riudoms, 53-55, 43202 Reus, Spain. jcabre.tarte.ics@gencat.net
Martín
Francisco
F
Costa
Bernardo
B
Piñol
Josep L
JL
Llor
Josep L
JL
Ortega
Yolanda
Y
Basora
Josep
J
Baldrich
Marta
M
Solà
Rosa
R
Daniel
Jordi
J
Hernández
Josep Ma
JM
Saumell
Judit
J
Bladé
Jordi
J
Sagarra
Ramon
R
Basora
Teresa
T
Montañés
Dolors
D
Frigola
Joan L
JL
Donado-Mazarrón
Angel
A
García-Vidal
Maria Teresa
MT
Sánchez-Oro
Isabel
I
de Magriñà
Josep M
JM
Urbaneja
Ana
A
Barrio
Francisco
F
Vizcaíno
Jesús
J
Sabaté
Josep M
JM
Pascual
Irene
I
Revuelta
Vanesa
V
D000368:Aged; D001794:Blood Pressure; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000453:epidemiology* / Q000209:etiology; D002784:Cholesterol / Q000097:blood; D015331:Cohort Studies; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications / Q000453:epidemiology*; D008875:Middle Aged; D015995:Prevalence; D011320:Primary Health Care; D012307:Risk Factors; D012494:Sampling Studies; D013030:Spain / Q000453:epidemiology; D014280:Triglycerides / Q000097:blood
D014280:Triglycerides; D002784:Cholesterol