Abstract

MANZUR, Fernando; ALVEAR, Ciro  and  ALAYON, Alicia. Phenotypic and metabolic characterization of the metabolic syndrome in Cartagena de Indias. Rev. Col. Cardiol. [online]. 2008, vol.15, n.3, pp.97-101. ISSN 0120-5633.

Introduction: the metabolic syndrome gathers a series of risk factors that affect a subject and predispose to cardiovascular disease and diabetes mellitus type 2. Its early detection and treatment allow improving the population’s health indicators. Objective: describe the prevalence of the metabolic syndrome and its components through the comparison of the Adult Treatment Pannel III (ATP III) criteria and those of the International Diabetes Federation (IDF), in adults over 55 years born in Cartagena de Indias. Methods: cross-sectional study in which 749 persons of different zones in Cartagena were evaluated at random in a structured survey with informed consent. Blood pressure and waist circumference were measured, and fasting glycemia, total cholesterol, HDL cholesterol and triglycerides were determined. Results: the sample consisted of 545 women (73%) and 204 men (27%) with mean age 51,7 ± 13 years. Using ATP III criteria, metabolic syndrome prevalence was 25.4% and according to those of IDF it was 31,5%. According to common criteria, hypertriglyceridemia was 21,1%; arterial hypertension 49,1% and low HDL cholesterol 55,1%. Non-common components of central obesity and fasting hyperglycemia ATP vs. IDF criteria were 41% vs. 71% and 10% vs. 13% respectively. Conclusions: the presence of metabolic syndrome became larger when applying IDF criteria, especially in the male population. These results show that metabolic syndrome has a high prevalence in Cartagena de indias; hence the importance of promotion and prevention to improve quality of life in this population.

Keywords : metabolic syndrome; cardiovascular disease; diabetes mellitus; promotion; prevention.

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