Hypertensive Waist: First Step of the Screening for Metabolic Syndrome

Nita, Cristina; Hâncu, Nicolae; Rusu, Adriana; Bala, Cornelia; Román, Gabriela

doi:10.1089/met.2008.0039

Cited by 9 publications

(19 citation statements)

References 21 publications

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“…The data of a study conducted on a population in central Romania shows a prevalence of the metabolic syndrome of 45.7%, more frequent in females (57.8%) compared to males (28.8%) (9).…”

Section: Discussionmentioning

confidence: 97%

The prevalence of the metabolic syndrome and its components in a rural community

Mihalache¹

2012

Acta Endo (Buc)

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Background. The literature contains several definitions of the metabolic syndrome, different from one another through the components included and the reference ranges considered normal. The aim of this study is to evaluate the prevalence of the metabolic syndrome and its components in a rural community from the North-East region of Romania.Methods. The study included 3248 persons from the rural environment. The data recorded regarded gender, age, anthropometric parameters (weight, waist circumference, body mass index), arterial blood pressure, and laboratory findings. The defining criteria for the metabolic syndrome used were IDF 2005 in comparison with the criteria NCEP-ATP III.Results. Over half of the studied population presents excess body weight, the prevalence of obesity (Body Mass Index -BMI≥30kg/m 2 ) being 17.5% with a proportional relationship between age and BMI value (p<0.001), as well as between age and waist circumference value (p<0.001). The prevalence of the metabolic syndrome according to IDF criteria is 16.3% and 14.2% according to NCEP-ATP III criteria. Irrespective of the BMI value, there is an individual increase in the number of cardiovascular risk factors parallel to the increase of the WC. Conclusions.The metabolic syndrome is frequently encountered in the clinical practice and the use of the IDF definition criteria allows a wider identification of the patients with high cardiometabolic risk. This is the group of people that need to be targeted by the diagnostic and treatment of important cardiometabolic pathology.

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“…The data of a study conducted on a population in central Romania shows a prevalence of the metabolic syndrome of 45.7%, more frequent in females (57.8%) compared to males (28.8%) (9).…”

Section: Discussionmentioning

confidence: 97%

The prevalence of the metabolic syndrome and its components in a rural community

Mihalache¹

2012

Acta Endo (Buc)

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“…De esta manera, la cintura hipertensiva es un examen preliminar valioso. 1,27 En el presente trabajo se propuso evaluar el impacto de la presencia de cintura hipertensiva mediante la variación de la frecuencia de las categorías de riesgo coronario así como el cumplimiento de la meta colesterol LDL. Se encontró una mayor frecuencia de categorías de riesgo moderadamente alto y alto en los pacientes con cintura hipertensiva; al ser la cintura hipertensiva con sus dos componentes una definición breve del síndrome metabólico como lo relata Nita, 1 se explica la tendencia encontrada, En varones y mujeres, logro de la meta en riesgo bajo vs alto, p < 0,00001.…”

Section: Discussionunclassified

“…Meta de colesterol LDL: para alto riesgo es < 100 mg/dl (muy alto < 70 mg/dl); para riesgo moderadamente alto y moderado, < 130 mg/dl y riesgo bajo, < 160 mg/dl. 1,4,14,[17][18][19][20][21][22][23] El impacto fue medido por la mayor frecuencia de las categorías alto riesgo y riesgo moderadamente alto en los pacientes con cintura hipertensiva, asimismo, por la menor frecuencia en el cumplimiento de la meta LDL.…”

Section: Categoría De Riesgo Coronariounclassified

Impacto de la cintura hipertensiva en el riesgo coronario y cumplimiento de la meta colesterol LDL en adultos de Trujillo

et al. 2016

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Introducción. La determinación de la cintura hipertensiva (CH) es propuesta como la primera etapa para el despistaje de síndrome metabólico y riesgo coronario. Objetivo. Determinar el impacto de la CH en el riesgo coronario y cumplimiento de la meta colesterol LDL en adultos de Trujillo, Perú. Pacientes y Método. Estudio descriptivo, observacional, analítico, prospectivo realizado en 552 personas, 276 varones y 276 mujeres dividido en grupos etarios de 2039, 4059, 6079 años. Se determinaron la presión arterial, cintura, glicemia y perfil lipídico. Se consideró CH si PAS ≥ 130 mm Hg, PAD ≥ 85 mmHg o antecedentes de hipertensión arterial, y cintura ≥ 94 cm en varones y ≥ 80 cm en mujeres; las categorías de riesgo coronario y las metas de LDL según el Adult Treatment Panel III. ResultadOs. 126 personas con CH (23,14%), 55 varones (19,92%) y 71 mujeres (26,44%); la categoría baja fue 27,27% en varones y 39,73% en mujeres; la alta, 30,91 y 15,07%, respectivamente. Sin CH, la categoría de riesgo baja fue en varones 65,16% y en mujeres 84,65% y la alta 10,41 y 4,95% respectivamente. El cumplimiento de la meta de LDL fue: con CH en varones 56,36%, mujeres 31,51%; sin CH 87,33 y 72,77%respectivamente. COnClusiOnes. El impacto de la presencia de cintura hipertensiva es expresado al encontrar una mayor frecuencia de categoría de riesgo moderadamente alto y alto y un menor cumplimiento de la meta LDL en las categorías de riesgo bajo, moderado y moderadamente alto.

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“…El fenotipo hipertrigliceridemia-obesidad abdominal (FHGOA) ha sido el binomio más estudiado de los componentes del SM y se ha reafirmado como predictor de riesgo cardiovascular, mediante su asociación con alteraciones metabólicas, entre las que figuran: la alteración del perfil de lípidos, la HTA, la DM2 y la resistencia a la insulina. El FHGOA también se ha reconocido como una herramienta que apoya la detección sencilla y menos costosa de estas enfermedades [16][17][18][19][20][21] .…”

Section: Introductionunclassified

Utilidad del fenotipo hipertensión-obesidad abdominal para identificar personas con síndrome metabólico

Cabrera-Rode¹,

Coronel²,

Oca-Somoano³

et al. 2020

ALAD

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The objective of the present study was to determine if the hypertension-abdominal obesity phenotype (HTAOP) is the most useful binomial to identify people with metabolic syndrome (MS). Observational, descriptive and cross-sectional study that included 350 subjects with excess weight between 19 and 70 years old, who were consecutively recruited in a consultation enabled for this investigation. The definition of the joint provisional declaration was used as a diagnostic criterion for MS. In addition, the HTAOP, the hypertriglyceridemia-abdominal obesity phenotype (HGAOP) and the hyperglycaemia-abdominal obesity phenotype (HGLAOP) were also studied. The concordance between the MS criteria and the phenotypes studied was estimated with the kappa coefficient; the sensitivity and specificity of phenotypes to identify people with MS were also calculated. The frequency of HTA-OP was 76.9% (269/350) and the frequency of MS was 69.1% (242/350), followed by the HGAOP (28.0%) and the HGLAOP (20.9%). The HTAOP showed high sensitivity (90.5%) and moderate concordance (0.475) to detect people with MS. The high sensitivity and moderate concordance of the HTAOP to identify people with MS, as well as the simplicity in its determination, make it a useful option for detecting people with MS.

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Hypertensive Waist: First Step of the Screening for Metabolic Syndrome

Abstract: On the basis of the easy-to-determine clinical parameters and on high predictive value, the clinical couple of hypertensive waist could be used as a starting point to screen for metabolic syndrome in Romanian population.

Cited by 9 publications

References 21 publications

The prevalence of the metabolic syndrome and its components in a rural community

The prevalence of the metabolic syndrome and its components in a rural community

Impacto de la cintura hipertensiva en el riesgo coronario y cumplimiento de la meta colesterol LDL en adultos de Trujillo

Utilidad del fenotipo hipertensión-obesidad abdominal para identificar personas con síndrome metabólico

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