Características basales y manejo clínico de los primeros 3.000 pacientes incluidos en el estudio IBERICAN (Identificación de la población española de riesgo cardiovascular y renal)

Cinza‐Sanjurjo, Sergio; Díaz, M.A. Prieto; Llisterri, J.L.; Pallarés-Carratalá, Vicente; García, A. Barquilla; Padial, Luis Rodrı́guez; Rodríguez, Ángel Díaz; García, J. Polo; Martín, Jesús Vergara; Vidal-Pérez, Rafael; Roca, G.C. Rodríguez; Iberican, en representación de los investigadores del estudio

doi:10.1016/j.semerg.2016.07.006

Cited by 35 publications

(17 citation statements)

References 21 publications

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“…16 In contrast, the data from the United States indicate a prevalence of obesity of 34% 17 and a prevalence of MetS of 36.1%. 18 In our study, the prevalence of obesity (33.0%) 9 similar results to those obtained in the United States. Further evidence of this is the increase or decrease in MetS parallel to the increase or decrease in patients' weight.…”

Section: Discussionsupporting

confidence: 89%

“…12 The criteria used for the diagnosis and assessment of the degree of control of the different CVRF, TOD, and CVE have been defined in previous articles. 9 Particularly, we use the definition of the European Society of Hypertension in the pulse pressure in over 65 years as TOD when the value of this pulse pressure is more than 60 mmHg in this group of patients. 10 The CVR has been estimated according to the criteria established by SCORE.…”

Section: Study Variablesmentioning

confidence: 99%

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Characteristics of the Metabolic Syndrome in the Patients of IBERICAN Study (Identification of the Spanish Population at Cardiovascular and Renal Risk)

Cinza‐Sanjurjo

Luis²,

FragosoAntonio³

et al. 2017

Metabolic Syndrome and Related Disorders

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Objective: The main objective of this study is to know the prevalence and the clinical and epidemiological characteristics of patients with metabolic syndrome ( MetS) and premorbid metabolic syndrome (pre-MetS) included in the Identification of the Spanish Population at Cardiovascular and Renal Risk (IBERICAN) study. Materials and Methods: The IBERICAN study is an epidemiological, multicentric observational study carried out in Primary Healthcare Centers from all over Spain, in which an open cohort of subjects with/ without cardiovascular risk factors (CVRF) is constituted. The MetS was defined according to the international criterion based on the presence of at least three of the five criteria of the harmonized definition. Results: A total of 4304 patients were selected; 38.5% patients (95% confidence interval 37.0-40.0) met the MetS criteria. In both groups (MetS and pre-MetS), patients were older (62.3 -12.1 vs. 54.4 -15.2, P < 0.001). The CVRF analyzed were more frequent in patients with MetS: hypertension (HT) (71.1% vs. 33.0%, P < 0.001), dyslipidemia (65.8% vs. 40.2%, P < 0.001), diabetes mellitus (DM) (38.2% vs. 6.4%, P < 0.001), and obesity (54.8% vs. 21.7%, P < 0.001), and all the cardiovascular diseases (CVDs) analyzed were more prevalent in these patients: stroke (5.1% vs. 3.6%, P = 0.013), heart failure (5.1% vs. 1.6%, P < 0.001), ischemic heart disease (9.8% vs. 5.8%, P < 0.001), and peripheral arterial disease (6.8% vs. 3.7%, P < 0.001). We observed that patients with DM were 6.36 times more likely to present MetS; patients with obesity, 3.81 times; and patients with HT, 2.66 times. Conclusion:Patients with MetS and with pre-MetS presented higher CVRF and increased associated renal and CVD. The prognostic value of these findings must be analyzed in the longitudinal follow-up of the IBERICAN cohort.

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Section: Discussionsupporting

confidence: 89%

Section: Study Variablesmentioning

confidence: 99%

Characteristics of the Metabolic Syndrome in the Patients of IBERICAN Study (Identification of the Spanish Population at Cardiovascular and Renal Risk)

Cinza‐Sanjurjo

Luis²,

FragosoAntonio³

et al. 2017

Metabolic Syndrome and Related Disorders

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“…These results are in line with other international studies [6,8,11,13,17]. In Spain, the prevalence of the main stroke RFs is high: 50.3% of the subjects have high apolipoproteins levels, 47.4% HBP, 29.7% sedentary lifestyle, 28.2% abdominal obesity, 19% DM, and 18% was an active smoker [20].…”

Section: Discussionsupporting

confidence: 90%

“…In this study, stroke RFs are distributed similarly to other studies, with some differences, which may be due to the characteristics of the sample analyzed or cultural components [ 6 , 17 , 20 ]. The IBERICAN project, a longitudinal study focused on cardiovascular RFs in Spanish adults treated in primary health care, has shown that its prevalence is increasing in the last years due to its low control [ 20 ]. These results indicate that adults should regularly visit a physician to check over their health and stroke or heart disease RFs [ 7 ].…”

Section: Discussionmentioning

confidence: 65%

Age-Related Risk Factors at the First Stroke Event

Soto-Cámara

González-Bernal

González‐Santos

et al. 2020

JCM

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(1) Background: Stroke is a multifactorial disease, which can affect individuals at any age. Risk factors (RFs) associated with the first stroke event have been well identified; however, the influence of these RFs on the patient´s age needs to be studied. (2) Objective: This study aimed to examine the effect of modifiable RFs on the age at which a stroke occurs. (3) Methods: A cross-sectional study was conducted on patients admitted consecutively with a first-ever acute stroke at the Burgos University Hospital (Spain). Data on sociodemographic and clinical parameters were collected (high blood pressure (HBP), smoking habit, diabetes mellitus (DM), dyslipemia, abdominal obesity, sedentary lifestyle, alcohol consumption, and cardiovascular diseases). The possible associations between RFs and age were studied using univariate and multivariate regression analyses and a decision tree. (4) Results: A total of 436 patients with a mean age of 75.39 years (standard deviation (SD) ± 12.67) were included. HBP and overweight/obesity were the most prevalent stroke RFs. Being an active smoker (OR 21.48; 95% confidence interval (CI) 8.80–52.41), having a sedentary lifestyle (OR 3.24; 95% CI 1.97–5.31), being an excessive alcohol drinker (OR 2.36; 95% CI 1.45–3.84), or being overweight or obese (OR 1.95; 95% CI 1.14–3.34) increased the risk of having an acute cerebrovascular event in individuals aged 75 years or below. However, a personal history of HBP (OR 0.40; 95% CI 0.24–0.67) was significantly associated with a greater likelihood of having an acute stroke in individuals aged more than 75 years. (5) Conclusions: This study showed that the modifiable RFs strongly influence the first stroke event in patients aged below 75 years, which will be useful in guiding different prevention strategies.

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“…El reciente estudio longitudinal IBERICAN, centrado en el riesgo cardiovascular en adultos atendidos en atención primaria en España, muestra que la prevalencia de los principales factores de riesgo cardiovascular es elevada y su control, escaso 15 . Así, el 50,3% de los sujetos tiene dislipidemia, el 47,4%, hipertensión, el 29,7%, sedentarismo, el 28,2%, obesidad abdominal, el 19%, diabetes y el 18% fuma.…”

Section: Revisión Epidemiológicaunclassified