title: Metabolic syndrome as a cardiovascular disease risk factor: patients evaluated in primary care.
abstract: 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.
authors.affiliation: ABS Reus-1, Camí de Riudoms, 53-55, 43202 Reus, Spain. jcabre.tarte.ics@gencat.net
authors.forename: Joan-Josep
authors.initials: JJ
authors.lastname: Cabré
authors.forename: Francisco
authors.initials: F
authors.lastname: Martín
authors.forename: Bernardo
authors.initials: B
authors.lastname: Costa
authors.forename: Josep L
authors.initials: JL
authors.lastname: Piñol
authors.forename: Josep L
authors.initials: JL
authors.lastname: Llor
authors.forename: Yolanda
authors.initials: Y
authors.lastname: Ortega
authors.forename: Josep
authors.initials: J
authors.lastname: Basora
authors.forename: Marta
authors.initials: M
authors.lastname: Baldrich
authors.forename: Rosa
authors.initials: R
authors.lastname: Solà
authors.forename: Jordi
authors.initials: J
authors.lastname: Daniel
authors.forename: Josep Ma
authors.initials: JM
authors.lastname: Hernández
authors.forename: Judit
authors.initials: J
authors.lastname: Saumell
authors.forename: Jordi
authors.initials: J
authors.lastname: Bladé
authors.forename: Ramon
authors.initials: R
authors.lastname: Sagarra
authors.forename: Teresa
authors.initials: T
authors.lastname: Basora
authors.forename: Dolors
authors.initials: D
authors.lastname: Montañés
authors.forename: Joan L
authors.initials: JL
authors.lastname: Frigola
authors.forename: Angel
authors.initials: A
authors.lastname: Donado-Mazarrón
authors.forename: Maria Teresa
authors.initials: MT
authors.lastname: García-Vidal
authors.forename: Isabel
authors.initials: I
authors.lastname: Sánchez-Oro
authors.forename: Josep M
authors.initials: JM
authors.lastname: de Magriñà
authors.forename: Ana
authors.initials: A
authors.lastname: Urbaneja
authors.forename: Francisco
authors.initials: F
authors.lastname: Barrio
authors.forename: Jesús
authors.initials: J
authors.lastname: Vizcaíno
authors.forename: Josep M
authors.initials: JM
authors.lastname: Sabaté
authors.forename: Irene
authors.initials: I
authors.lastname: Pascual
authors.forename: Vanesa
authors.initials: V
authors.lastname: Revuelta
mesh_terms: 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
chemical_list: D014280:Triglycerides; D002784:Cholesterol