| Título: | The Prevalence of Metabolic Syndrome and the Cluster of Metabolic Syndrome Components in Person with and without Glucose Level Abnormalities |
| Autores: |
MOLDOVAN, Lăcrămioara Ana; Military Hospital, Cluj-Napoca, Romania HÂNCU, Nicolae; Diabetes Center and Clinic, Cluj-Napoca, Romania |
| Fecha: | 2011-01-18 |
| Publicador: | Romanian Society for Applied Medical Informatics - SRIMA Publishing House |
| Fuente: |
Ver documento |
| Tipo: | Peer-reviewed Article |
| Tema: | Cardiovascular diseases; Risk factors; Blood glucose abnormalities; Metabolic syndrome; Insulin resistance; Waist. |
| Descripción: | Objectives: to assess the prevalence of metabolic syndrome, to observe the cluster of metabolic syndrome components, to compare the groups with/ without metabolic syndrome and to quantify the level of cardiovascular risk. Methods: A screening in the military population was performed, including male and female with age at least 20 years, without or diagnosed with diabetes/ impaired fasting glucose / obesity/ hypertension. The anthropometrics parameters, body fat percent and blood pressure were measured; was collected blood for glycemia and lipid profile, renal and hepatic function; the level of physical activity, smoking status, the personal associated diseases and family history of cardiovascular diseases was noted. Were calculated IRIS 2 score of insulin resistance and cardiovascular risk using EURO’98 charts, Framingham Score and SCORE system. The metabolic syndrome diagnosis was performed using the American Diabetes Association 2005 criteria. The group of studied person was divided in four parts: with normal glycemia, impaired fasting glucose, newly diagnosed diabetes and diabetes with more than one year. Results: In the studied group of 455 persons, the majority were males, from urban area, Romanian people. The prevalence of metabolic syndrome in the entire group was around 60% and its prevalence increased with age and together with glycemic disturbances. In persons without dysglycemia, more than 65% from three asociated components were waist, hypertension and hypertriglyceridemia and 28.12% of persons have met four components. Hyperglicemia was mainly combined with waist and hypertriglyceridemia in impaired fasting glycemia and with waist and hypertension in diabetes irrespective of diabetes duration. In these groups, the prevalence of metabolic syndrome exceeded 80%. When four component of metabolic syndrome are combined, waist, hypertension and hypertriglyceridemia are associated in person with dysglicemia. From the components of metabolic syndrome waist has the highest prevalence, folowed by hypertriglyceridemia and hipertension(almost equal to 75%), disglycemia (about 50%) and a low HDL cholesterol was found in one third of persons. The cardiovascular risk is significant higher in persons with metabolic sindrome, irrespective of methods used to evaluation of this risk. The level of cardiovascular risk was significant higher in the groups of persons with dysglycemia and highest in the case of newly diagnosed type 2 diabetic patients; more than 20% of studied persons have a high cardiovascular risk, assessed by different systems. Conclusions: These results show that the metabolic syndrome is highly prevalent in the military adult population. This may have major implications for the incidence of CVD. The main cluster of metabolic syndrome were as three components- waist, hypertension and hypertriglyceridemia in persons without disglycemia, waist and hypertriglyceridemia combined with hyperglicemia in impaired fasting glycemia, waist and hypertension combined with hyperglicemia in diabetes irrespective of diabetes duration. When four component of metabolic syndrome are combined, waist, hypertension and hypertriglyceridemia are associated in person with dysglicemia. A low HDL cholesterol has the lowest prevalence in comparison with the other components of metabolic syndrome. Metabolic syndromes represents a “negative” condition, with a augmentation together with the age. The cardiovascular risk is significant higher in persons with metabolic syndromes, irrespective of methods used to evaluation of this risk. Is necessary an active attitude to promote a healthy lifestyle in the respect of prevention of metabolic and cardiovascular morbidity. |
| Idioma: | Inglés |
1 Automated Erythema Quantification in Radiation Therapy - a Java Based Tool por PUTORA, Paul Martin; Department of Radiation-Oncology, Kantonsspital St. Gallen, 9007 St. Gallen, Switzerland.,PAULIS, Ludovit; Institute of Pathophysiology, School of Medicine, Comenius University and Institute, Slovakia.
Center for Cardiovascular Research, Charité-Universitätsmedizin, Berlin, Germany.,PLASSWILM, Ludwig; Department of Radiation-Oncology, Kantonsspital St. Gallen, 9007 St. Gallen, Switzerland. | 6 The Antidiabetics Market: Tendencies and Research Directions por MOROGVAN, Claudiu; Department of Pharmaceutical Marketing and Legislation, Faculty of Medicine, Pharmacy and Dentistry, „Vasile Goldiş” Western University of Arad, 1 Feleacului Street, 310396, Arad, Romania,COSMA, Smaranda; Department of Business, Faculty of Business, Babeş-Bolyai University, 7 Horea Street, 400174 Cluj-Napoca, Romania, Cluj-Napoca, Romania.,GHIBU, Steliana; Department of Pharmacology, Faculty of Pharmacy, „Iuliu Haţieganu” Medicine and Pharmacy University Cluj-Napoca, 13 Emil Isac Street, 400023 Cluj-Napoca, Romania.,VĂLEANU, Mădălina A.; Department of Medical Informatics and Biostatistics, Faculty of Medicine, „Iuliu Haţieganu” Medicine and Pharmacy University Cluj-Napoca, 13 Emil Isac Street, 400023 Cluj-Napoca, Romania. |
2 Driven-Walking for Visually Impaired/Blind People through WiMAX por GIOANNIS, Panagiotis; Technological Educational Institute of Athens, Department of Informatics, Ag. Spyridonos str., 12210 Aigaleo, Greece. | 7 Medical Informatics and Statistics in an Undergraduate Nursing Curriculum: Survey of Students’ Perception por BOLBOACĂ, Sorana D.; “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, 13 Emil Isac, 400023 Cluj-Napoca, Cluj, Romania.,MARTA, Monica M.; “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, 13 Emil Isac, 400023 Cluj-Napoca, Cluj, Romania.,DRUGAN, Tudor C.; “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, 13 Emil Isac, 400023 Cluj-Napoca, Cluj, Romania. |
3 Evolution of the Birth Rates and Infant Mortality Rates between 1990-2007 in Cluj District por RADU, Rodica; Institute of Public Health “Prof. dr. Iuliu Moldovan” Cluj-Napoca, 6 Louis Pasteur, 400349 Cluj-Napoca, Cluj, Romania.,MOLNAR, Anamaria; Institute of Public Health “Prof. dr. Iuliu Moldovan” Cluj-Napoca, 6 Louis Pasteur, 400349 Cluj-Napoca, Cluj, Romania.,MÎRZA, Tudor; Institute of Public Health “Prof. dr. Iuliu Moldovan” Cluj-Napoca, 6 Louis Pasteur, 400349 Cluj-Napoca, Cluj, Romania.,ŢIGAN, Ştefan I.; “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, 13 Emil Isac, 400023 Cluj-Napoca, Cluj, Romania. | 8 Direct and Indirect Employee Questionnaires for Assessing Patient Safety in Saudi Hospitals por AL-SALEH, Khalid S.; Industrial Engineering Department, King Saud University, P.O.Box 800, Riyadh, 11421, Saudi Arabia.,RAMADAN, Mohamed Z.; Industrial Engineering Department, King Saud University, P.O.Box 800, Riyadh, 11421, Saudi Arabia. |
4 Monitoring of Water Source Gilău and its Affluent Someşul Rece during 2005-2009 por FARKAS, Anca; Someş Water Company, 79 21 December 1989 Boulevard, 400604 Cluj-Napoca, Romania.,CIATARÂŞ, Dorin; Someş Water Company, 79 21 December 1989 Boulevard, 400604 Cluj-Napoca, Romania.,BOCOŞ, Brînduşa; National Public Health Institute - Regional Public Health Center of Cluj, 6-8 Pasteur Street, Cluj-Napoca, Romania,ŢIGAN, Ştefan I.; “Iuliu Haţieganu” University of Medicine and Pharmacy, 6 Loius Pasteur, Cluj-Napoca, Romania. | 9 The Use of Numerical Applications in the Study of Dental Contacts por FRUNZĂ, Mihai Cătălin; University of Medicine and Pharmacy, Bucharest, Romania, Faculty of Dentistry, str. Dionisie Lupu 37,FRUNZĂ, Gheorghe; University of Suceava, Romania, Faculty of Mechanical Engineering, Mechatronics and Management, str. Universitatii 9,LUCA, Rodica; University of Medicine and Pharmacy, Bucharest, Romania, Faculty of Dentistry, str. Dionisie Lupu 37 |
5 Road Safety Related Behaviours of Romanian Young People por LOTREAN, Lucia Maria; “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, 13 Emil Isac, 400023 Cluj-Napoca, Cluj, Romania.,LOTREAN, Simion; Pharmacist, Lusor SRL, 6 Cezar Petrescu, Cluj-Napoca, Cluj, Romania,MOCEAN, Floarea; “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, 13 Emil Isac, 400023 Cluj-Napoca, Cluj, Romania.,LAZA, Valeria; “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, 13 Emil Isac, 400023 Cluj-Napoca, Cluj, Romania.,OLIVO DEL VALLE, Maria; University of Oviedo, Spain, Avda. Julián Clavería, 33006 Oviedo, Asturias, Spain. | 10 Gender and Diabetes Mellitus Relevance on Outcomes of Coronary Artery Bypass Grafting. A Retrospective Study por BATÂR, Sergiu C.; “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, 13 Emil Isac, 400023 Cluj-Napoca, Cluj, Romania.,ŞARLEA, Stelian V.; “Asteco Lifestyle & Communication”, 50 Calea Giulesti, 060282 Bucharest, Romania.,ŢIGAN, Ştefan I.; “Iuliu Haţieganu” University of Medicine and Pharmacy Cluj-Napoca, 13 Emil Isac, 400023 Cluj-Napoca, Cluj, Romania.,BÂRSAN, Mircea; Cardio-Vascular Surgery Clinic, “Nicolae Stancioiu” Heart Institute, 2-4 Clinicilor st., 400006 Cluj-Napoca. |