Cardiovascular risk factors in a Mexican middle-class urban population. The Lindavista Study. Baseline data

Meaney, Alejandra; Ceballos, Guillermo; Gutiérrez-Salmeán, Gabriela; Samaniego-Méndez, Virginia; Vela-Huerta, Agustín; Alcocer, Luis; Zárate-Chavarría, Elisa; Mendoza-Castelán, Emma; Olivares-Corichi, Ivonne María; García-Sánchez, Rubén; Martínez-Marroquín, Yolanda; Ramírez-Sánchez, Israel; Meaney, Eduardo

doi:10.1016/j.acmx.2013.05.002

Cited by 25 publications

(33 citation statements)

References 38 publications

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“…The present findings clearly demonstrate that MetS is more prevalent among obese adults (73.7%) when compared with overweight (58.0%) and normal weight adults (36.7%). A significant prevalence was observed for all components of the syndrome, which were higher for the obese with respect to overweight and normal weight people from Nuevo León, with similar percentages to those reported in a previous study analysing cardiovascular risk factors in a Mexican urban population (The Lindavista Study) [25]. The prevalence of abdominal obesity was evidenced by the elevated number of obese or overweight people, reaching 97.5% in the obese and 83.5% in overweight adults.…”

Section: Discussionsupporting

confidence: 85%

“…Abdominal obesity is associated with insulin resistance, hyperinsulinaemia, and increased risk of type 2 diabetes and vascular problems [26]. An interesting parameter to highlight was the high incidence of low HDL-cholesterol, which was also previously observed among Mexican population [25]. Moreover, more than half of the subjects had elevated triglyceride levels, a fact that might be inversely associated with HDL-cholesterol, which has been previously described [27].…”

Section: Discussionmentioning

confidence: 74%

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Metabolic Syndrome Prevalence among Northern Mexican Adult Population

et al. 2014

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Background and AimsDietary habits in the Mexican population have changed dramatically over the last few years, which are reflected in increased overweight and obesity prevalence. The aim was to examine the prevalence of metabolic syndrome (MetS) and associated risk factors in Northern Mexican adults aged ≥16 years.Methods and ResultsThe study was a population-based cross-sectional nutritional survey carried out in the State of Nuevo León, Mexico. The study included a sub-sample of 1,200 subjects aged 16 and over who took part in the State Survey of Nutrition and Health–Nuevo León 2011/2012. Anthropometric measurements, physical activity, blood pressure and fasting blood tests for biochemical analysis were obtained from all subjects. The prevalence of MetS in Mexican adults aged ≥16 years was 54.8%, reaching 73.8% in obese subjects. This prevalence was higher in women (60.4%) than in men (48.9%) and increased with age in both genders. Multivariate analyses showed no evident relation between MetS components and the level of physical activity.ConclusionsObese adults, mainly women, are particularly at risk of developing MetS, with the associated implications for their health. The increasing prevalence of MetS highlights the need for developing strategies for its early detection and prevention.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 74%

Metabolic Syndrome Prevalence among Northern Mexican Adult Population

et al. 2014

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“…Moreover, in a prior Mexican survey (ENSANUT 2006) performed around the same time as CARMELA, the reported frequency of hypertension was 31.6% [Barquera et al 2010]. In a sample of 2602 middle class urban subjects in Mexico City, the frequency of hypertension was 32% [Meaney et al 2013], which is similar to the percentage found in the ENSANUT survey but almost three times higher than in the CARMELA study.…”

Section: The Problem Of Information About Hypertension In the Lac Regionsupporting

confidence: 63%

Applicability of the current hypertension guidelines in Latin America

Alcocer¹,

Meaney²,

Hernandez-Hernandez³

2015

Therapeutic Advances in Cardiovascular Disease

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Recent research has focused on the development of evidence-based guidelines that are intended to regulate the conduct of physicians in the diagnosis and control of hypertension, with the goal of achieving greater effectiveness and equity at the lowest possible cost. In Latin America, guidelines are available for the management of hypertension at three levels: national, regional and international. The national and regional Latin American and Caribbean (LAC) guidelines are in fact adaptations of the international guidelines. The potential benefit of applying guidelines developed in other regions to local healthcare decision making is that it will enable decision makers to take advantage of existing analyses and transfer or adapt them to their local contexts. However, this adaptation precludes the assessment of their generalizability and potential transferability. In addition, this region is characterized by wide socioeconomic differences between its inhabitants, both among and within nations. Therefore, new guidelines for the LAC region must include recommendations that are common to all hypertensive patients in the region. Moreover, we advocate the inclusion of a specific section that makes comprehensive recommendations and provides strategies for implementation according to the socioeconomic conditions of particular groups. In addition to developing guidelines that are truly applicable to the LAC region, it seems sensible to consider information that is specific to this region. Furthermore, developing evidence-based guidelines is not enough to affect positively the burden of disease caused by hypertension. Therefore, professional programs are required for the implementation of such guidelines as well as the auditing of their results. Achieving these ambitious goals will require collaborative efforts by many groups including policymakers, international organizations, healthcare providers, universities and society.

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“…Para ello, es necesario abarcar distintos tipos de poblaciones de tal forma que las acciones preventivas sean más eficientes. En el presente estudio no se presentaron diferencias en cuanto a la incidencia de HTA, 29 % para la comunidad rural y 24 % para la urbana; cifras consistentes con las reportadas en otras investigaciones en Venezuela y América Latina (17)(18)(19)(20). Sin embargo, investigaciones peruanas encontraron que la prevalencia de HTA no alcanza el 20 % y que, a diferencia de la similitud entre comunidades encontrada en el presente estudio, la prevalencia de HTA en la población urbana es mayor que en la población rural (21).…”

Section: Discussionunclassified