Prevalence of metabolic syndrome in Murcia Region, a southern European Mediterranean area with low cardiovascular risk and high obesity

BMC Public Health

Research Article

José M Huerta¹  Diego Salmerón²  Alfonso Pérez-Martínez³  José-Manuel Egea-Caparrós³  Diana Gavrila⁴  María-José Tormo⁵  Carmen Navarro⁵ 

[1] CIBER Epidemiología y Salud Pública (CIBERESP), Spain;Department of Epidemiology, Regional Authority for Health & Consumer Affairs (Consejería de Sanidad y Consumo), Ronda de Levante 11, 30008, Murcia, Spain;CIBER Epidemiología y Salud Pública (CIBERESP), Spain;Department of Epidemiology, Regional Authority for Health & Consumer Affairs (Consejería de Sanidad y Consumo), Ronda de Levante 11, 30008, Murcia, Spain;Department of Socio-health Sciences, University of Murcia School of Medicine, Spain;Clinical Laboratory, Hospital Morales Meseguer, Avda. Marqués de los Vélez s/n, 30008, Murcia, Spain;Department of Epidemiology, Regional Authority for Health & Consumer Affairs (Consejería de Sanidad y Consumo), Ronda de Levante 11, 30008, Murcia, Spain;CIBER Epidemiología y Salud Pública (CIBERESP), Spain;Department of Epidemiology, Regional Authority for Health & Consumer Affairs (Consejería de Sanidad y Consumo), Ronda de Levante 11, 30008, Murcia, Spain;CIBER Epidemiología y Salud Pública (CIBERESP), Spain;Department of Socio-health Sciences, University of Murcia School of Medicine, Spain;

关键词: Metabolic Syndrome;    Waist Circumference;    International Diabetes Federation;    Cholesterol Education Program Adult Treatment;    Education Program Adult Treatment Panel;   

DOI  :  10.1186/1471-2458-11-562

 received in 2011-02-16, accepted in 2011-07-14,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundMetabolic syndrome (MS) is associated with subsequent appearance of diabetes and cardiovascular disease. As compared to other Spanish regions, Murcia (southern Spain) registers increased obesity as well as cardiovascular morbidity and mortality. The aim of this study was to assess the prevalence of MS and its components, awareness of obesity as a health risk and associated lifestyles.MethodsA population-based, cross-sectional study was conducted in 2003, covering a sample of 1555 individuals 20 years and over. MS was defined according to the Revised National Cholesterol Education Program Adult Treatment Panel III (R-ATPIII), International Diabetes Federation (IDF) and Joint Interim Statement (JIS) criteria. Both low (94/80) and high (102/88) waist circumference (WC) thresholds were considered.ResultsPrevalence of MS was 27.2% (95%CI: 25.2-29.2), 32.2% (95%CI: 30.1-34.3) and 33.2% (95%CI: 31.2-35.3) according to the R-ATPIII, IDF and JIS94/80 respectively. It increased with age until reaching 52.6% (R-ATPIII) or 60.3% (JIS94/80) among persons aged 70 years and over, and was higher in persons with little or no formal education (51.7% R-ATPIII, 57.3% JIS94/80). The most common risk factors were hypertension (46.6%) and central obesity (40.7% and 66.1% according to high and low WC cut-off points respectively). Although most persons were aware that obesity increased health risks, regular exercise was very unusual (13.0% centrally obese, 27.2% non-centrally obese). Adherence to dietary recommendations was similar among centrally obese and non-centrally obese subjects.ConclusionsPrevalence of MS is high in our population, is comparable to that found in northern Europe and varies with the definition used. Adherence to preventive recommendations and to adequate weight promotion is very low. In the absence of a specific treatment for MS, integrated intervention based on a sustained increase in physical activity and changes in diet should be reinforced.

【 授权许可】

CC BY   
© Gavrila et al; licensee BioMed Central Ltd. 2011