Use este identificador para citar ou linkar para este item: http://repositorio.bc.ufg.br/handle/ri/18168
Tipo do documento: Artigo
Título: Metabolic syndrome in patients with high blood pressure in Cuiabá-Mato Grosso state: prevalence and associated factors
Autor: Franco, Gilberto Paulo Pereira
Scala, Luiz César Nazário
Alves, Carlos José
França, Giovanny Vinícius Araújo de
Cassanelli, Tatiane
Jardim, Paulo César Brandão Veiga
Abstract: Background: Metabolic Syndrome (MS) is a cluster of predisposing factors for cardiovascular diseases and diabetes mellitus, whose epidemiological characteristics are poorly known at regional and national levels. Objective: To estimate the prevalence of MS and its associated factors in a sample of patients with high blood pressure in the urban area of Cuiabá, Mato Grosso State. Metods: This was a cross-sectional study (May to November 2007) in a sample of 120 patients with high blood pressure (aged ≥ 20 years), paired by gender and selected by the systematic sampling of a source population of 567 patients with high blood pressure in Cuiabá. All patients answered to home inquiries to provide sociodemographic and life habits data. The following measurements were taken: blood pressure; body mass index (BMI); waist and hip circumferences; plasma glucose, insulin, and lipid levels; homeostasis model assessment-estimated insulin resistance (HOMA); C- reactive protein, uric acid and fibrinogen levels. High blood pressure criterion: average systolic blood pressure ≥ 140mmHg and/or diastolic blood pressure ≥ 90mmHg; and Metabolic Syndrome diagnosis according to the I Brazilian Directive for Metabolic Syndrome and the NCEP-ATP III criteria. Results: 120 patients (60 women), with high blood pressure and an average age of 58.3 ± 12.6 years, were analyzed. We found a MS prevalence of 70.8% (95%CI 61.8 to 78.8), predominantly among women (81.7% vs. 60.0%; p=0.009), with no difference between adults (71.4%) and elderly patients (70.2%). The multiple regression analysis showed a positive association between MS and BMI ≥ 25 kg/m 2 , insulin resistance and family history of high blood pressure. Conclusion: A high prevalence of MS was observed among patients with high blood pressure living in Cuiabá, with a significant association with BMI > 25 kg/m 2 , insulin resistance (HOMA index) and, especially, a family history of high blood pressure. These results suggest the need for deeper studies on this subject.
Palavras-chave: Metabolic syndrome
Hypertension
Risk factors
Cuiaba (MT)
Brazil
País: Brasil
Unidade acadêmica: Faculdade de Medicina - FM (RG)
Citação: FRANCO, Gilberto Paulo Pereira et al. Metabolic syndrome in patients with high blood pressure in Cuiabá-Mato Grosso state: prevalence and associated factors. Arquivos Brasileiros de Cardiologia, São Paulo, v. 92, n. 6, p. 472-478, 2009.
Tipo de acesso: Acesso Aberto
Identificador do documento: 10.1590/S0066-782X2009000600010
Identificador do documento: 10.1590/S0066-782X2009000600010
URI: http://repositorio.bc.ufg.br/handle/ri/18168
Data de publicação: 2009
Aparece nas coleções:FM - Artigos publicados em periódicos

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