The prevalence of metabolic syndrome among older adults in Ecuador: Results of the SABE survey

Orces, Carlos H.; Gavilánez, Enrique López

doi:10.1016/j.dsx.2017.04.004

Cited by 22 publications

(13 citation statements)

References 25 publications

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“…In Brazil, different prevalence in older people were seen according to their age groups: 60–69 years (48.6%), 70–79 (41.6%), and 80 or over (45.2%) [ 21 ]. When differentiating between sexes, a prevalence of MetS is found of 45% in men and 42% in women, which differs from most studies in which the prevalences are significantly higher [ 3 , 22 , 23 , 24 ]. However, in a Mexican study [ 25 ] ( n = 516), a higher prevalence in men, 75.7%, was shown than in women (70.4%).…”

Section: Discussioncontrasting

confidence: 88%

“…The cut-off points for the anthropometric variables are specific for each population group (ethnicity, age, and gender) [ 3 , 23 , 24 , 39 ]. Although the WC cut-off point for men (102.5 cm) was similar to that used in the harmonized definition, in the WC/basal glucose model for older women, a different point from that established for the WC (92.5 cm) is observed.…”

Section: Discussionmentioning

confidence: 99%

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New Simplified Diagnostic Decision Trees for the Detention of Metabolic Syndrome in the Elderly

Rodríguez-Guerrero¹,

Romero-Saldaña

Carbonell

et al. 2020

IJERPH

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Background: A new simplified method for the detention of metabolic syndrome (MetS) is proposed using two variables (anthropometric and minimally invasive). Methods: A study of MetS prevalence was made on a sample of 361 older people. The anthropometric variables analyzed were: blood pressure, body mass index, waist circumference (WC), waist–height ratio, body fat percentage, and waist–hip ratio. A crude and adjusted binary logistic regression was performed, and receiver operating characteristic curves were obtained for determining the predictive capacity of those variables. For the new detection method, decision trees were employed using automatic detection by interaction through Chi-square. Results: The prevalence of the MetS was of 43.7%. The final decision trees uses WC and basal glucose (BG), whose cutoff values were: for men, WC ≥ 102.5 cm and BG > 98 mg/dL (sensitivity = 67.1%, specificity = 90.3%, positive predictive value = 85%, validity index = 79.9%); and for women, WC ≥ 92.5 cm and BG ≥ 97 mg/dL (sensitivity = 65.9%, specificity = 92.7%, positive predictive value = 87.1%, validity index = 81.3%). In older women the best predictive value of MetS was a WC of 92.5 cm. Conclusions: It is possible to make a simplified diagnosis of MetS in older people using the WC and basal capillary glucose, with a high diagnostic accuracy and whose use could be recommended in the resource-poor health areas. A new cutting point in older women for the WC should be valued.

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Section: Discussioncontrasting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

New Simplified Diagnostic Decision Trees for the Detention of Metabolic Syndrome in the Elderly

Rodríguez-Guerrero¹,

Romero-Saldaña

Carbonell

et al. 2020

IJERPH

View full text Add to dashboard Cite

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“…Korean survey of cardiometabolic syndrome reported that there was an increasing trend of metabolic syndrome with elevating ages and with the highest rate among subjects older than 60 years (37.9%) [1]. Similarly, results from the SABE survey claimed that the prevalence of MetS was 66.0% in elderly women and 47.1% in elderly men which was closed to many previous studies [2][3][4]. Previous studies already con rmed that MetS were relatively more prevalent among urban residents when compared with rural residents [5,6].…”

Section: Introductionmentioning

confidence: 71%

Predictors of Cardiovascular Events in Elderly with Metabolic Syndrome from Rural Northeast China

Guo

et al. 2020

Preprint

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Background: Metabolic syndrome (MetS) had close relationship with cardiovascular events (CVEs). In the present study, among elderly with MetS, we intend to estimate the possible predictors of CVEs in order to prevent cardiovascular complications; among elderly without MetS, we aim to evaluate the possible risk factors for developing MetS in order to control it more effectively. Methods: In total 2869 elderly from rural China were enrolled. They took part in a physical examination and completed a questionnaire during 2012-2013 and were followed up during 2015-2017. Cox proportional hazards analysis was conducted to assess the possible predictors of CVEs and multivariate analysis was used to estimate the risk factors of newly diagnosed MetS. Results: Over a median follow-up of 4.66 years, 128 nonfatal or fatal cardiovascular events were documented and the cumulative incidence of MetS was 28.7% (36.3% for female; 24.3% for male). Cox proportional hazards analysis showed that family history of hypertension [Hazard ratio (HR): 1.694], current smoking (HR: 1.518), per 1 unit increase of systolic blood pressure (SBP) (HR: 1.016), and HDL-C (HR: 0.365) were strong predictors of newly onset CVEs among elderly with MetS at baseline. As for newly diagnosed MetS, male [Odd ratio (OR): 0.390] and proper sleep duration (8-9 hours/day) (OR: 0.580) served as protective factors. Furthermore, SBP (OR: 1.013), body mass index (OR: 1.178) and all lipid profiles were also associated factors of newly diagnosed MetS among elderly. Conclusions: Current smoking and relatively higher value of SBP, and HDL-C at baseline were correlated with higher possibility to have CVEs among elderly with MetS. In order not to develop MetS, elderly should pay more attention to metabolic parameters and have proper sleep duration.

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“…Obesity has reached epidemic proportions globally, 1 – 3 with more than 1 billion adults being overweight – at least 300 million of them being clinically obese. 4 It leads to adverse metabolic effects, blood pressure, 5 and lipid and glucose metabolism mediated by insulin resistance. 4 This constellation of cardiovascular risk factors constitutes the metabolic syndrome (MS).…”

Section: Introductionmentioning

confidence: 99%

Testosterone, obesity, and waist circumference as determinants of metabolic syndrome in Saudi women

Fatani¹,

Abdelbasit²,

Al-Amodi³

et al. 2018

DMSO

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BackgroundHigh serum total testosterone is associated with metabolic syndrome (MS). This study aimed to identify possible alterations in total testosterone and their relationship with plasma glucose, blood pressure, and serum lipid profile.MethodsOne hundred forty-two female subjects were selected to participate in this study, and they were recruited by consultant physicians from the Clinic and Medical Out-Patient, King Abdulaziz Hospital, Kingdom of Saudi Arabia. The anthropometric characteristics were obtained from questionnaires by using standard methods. Blood samples were obtained for the determination of glucose, triglycerides, total cholesterol, low-density lipoprotein, and high-density lipoprotein by using enzymatic methods. Total testosterone was determined by enzyme-linked immunosorbent assay for the quantitative measurement of testosterone in human serum.ResultsSignificantly higher concentrations of total testosterone, low-density lipoprotein, and glucose, but lower concentrations of high-density lipoprotein, were observed in subjects with MS compared with women without MS (P<0.05).ConclusionThis study suggests that high levels of total testosterone and disturbance in lipid profile were associated with MS in Saudi women.

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The prevalence of metabolic syndrome among older adults in Ecuador: Results of the SABE survey

Cited by 22 publications

References 25 publications

New Simplified Diagnostic Decision Trees for the Detention of Metabolic Syndrome in the Elderly

New Simplified Diagnostic Decision Trees for the Detention of Metabolic Syndrome in the Elderly

Predictors of Cardiovascular Events in Elderly with Metabolic Syndrome from Rural Northeast China

Testosterone, obesity, and waist circumference as determinants of metabolic syndrome in Saudi women

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