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

Abstract

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.

Association between adherence to the Mediterranean diet and the prevalence of cardiovascular risk factors

“…However, the figures obtained are below the bulk of those reported in other Spanish population-based studies (2,(7)(8)(9)17) . This difference may be related to the location of the different studies.…”

“…Several studies have analyzed the prevalence of CV risk factors in the Spanish population (7)(8)(9) . However, these investigations have been carried out on the general population, with little literature on the prevalence of these factors in more specific populations such as workers.…”

Prevalence of Modifiable Risk Factors among Stroke Patients in Tertiary Care Hospital

“…Cinza-Sanjurjo et al reported that stroke patients on an average basis had 55 years of age at the time of presentation. Age is the prominent factor of stroke and our study mean age was lower than reported in Western studies of 76-80 years [16,17]. Males outnumbered females in our study, with a male frequency of 54.1% and a female frequency of 42.9%.…”