Prevalencia de obesidad, diabetes, hipertensión, hipercolesterolemia y síndrome metabólico en adultos mayores de 50 años de Sanlúcar de Barrameda

Suarez, Alejandro L.; González, Javier Elvira; Robles, Manuel Beltrán; Alwakil, Michael; Saucedo, Juan Manuel Tarelo; Quirell, A Bascuñana; Ramos, Miguel Ángel Barón; Palacín, Fernando Fernández

doi:10.1157/13127846

Cited by 35 publications

(6 citation statements)

References 31 publications

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“…It is noteworthy that over 60% of the adults studied were overweight or obese and 56% had abdominal obesity. These data are consistent with other studies performed in our environment (10,11,13,14) and confirm that Andalusia has one of the highest obesity rates when compared with the remaining regions of Spain (15). Over recent decades, Spain has suffered a continuous increase in the prevalence of obesity (16) and has the highest child and adolescent obesity rates in Europe (17).…”

Section: Discussionsupporting

confidence: 93%

“…As in other studies (24), we found no age pattern in the prevalence of low HDL-c. Nor did we find any gender differences in the prevalence of the components of dyslipidaemia, except for hypertriglyceridaemia, which was more common in men (11).…”

Section: Discussioncontrasting

confidence: 69%

“…Despite the high impact of CVD in the regions of southern Spain, such as Andalusia, the few cross‐sectional studies examining the overall frequency of exposure to CVRF in Andalusia were published over a decade ago (8,9), with more recent studies being local and focussing on the rural population (10) or older people (11). The aim of this study was to determine the prevalence of several CVRF in the general adult population belonging to the urban area of Malaga (Spain).…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of cardiovascular risk factors in an urban adult population from southern Spain. IMAP Study

Gómez-Huelgas

Mancera-Romero²,

Bernal-López

et al. 2010

International Journal of Clinical Practice

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Section: Discussionsupporting

confidence: 93%

Section: Discussioncontrasting

confidence: 69%

Section: Introductionmentioning

confidence: 99%

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Prevalence of cardiovascular risk factors in an urban adult population from southern Spain. IMAP Study

Gómez-Huelgas

Mancera-Romero²,

Bernal-López

et al. 2010

International Journal of Clinical Practice

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“…This is an observational cohort study consisting of a random sample of participants selected through the local census of the city of Sanlúcar de Barrameda in 2006. 15 Eligible participants were those who were 50 to 75 years old but did not have a malignant neoplasm, an estimated glomerular filtration rate <30 mL/min/1.73 m 2 , a Child stage B or C cirrhosis, a connective tissue disease, a neurodegenerative disease or a known infection with HIV. Only those participants who had not experienced CVD events were included.…”

Section: Methodsmentioning

confidence: 99%

Metabolic Syndrome Does Not Improve the Prediction of 5-Year Cardiovascular Disease and Total Mortality Over Standard Risk Markers. Prospective Population Based Study

et al. 2014

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Metabolic syndrome (MS) is widely believed to be an important risk factor for cardiovascular disease (CVD). We assessed whether a model based on MS improved prediction of CVD and total mortality over the Framingham's general CVD system (FRS) and whether MS was better than its individual components.Prospective cohort study of 855 participants randomly selected from the general population. Cox proportional hazards models were used to estimate the hazard ratios selecting a composite endpoint of CVD and total mortality. The performance of the FRS was compared with that of 4 MS-based models that differed in their use of individual components of MS as well as in the use of optimized cut-points of MS. The assessment included metrics of discrimination, calibration, and risk reclassification.Of all the models, only the model containing the 5 optimized components of MS improved model fit (deviance 10.7, P = 0.005), discrimination (difference of areas under the receiving operating curves 0.018), and risk reclassification in participants without events (net reclassification index 5.97, P = 0.01). The addition of optimized waist circumference to the FRS model improved the performance more than any other MS-based model. Every model containing the dichotomous definition of MS failed to improve model fit, discrimination, and risk reclassification.MS did not contribute predictive information over the FRS for the 5-year risk of CVD and total mortality. Some individual components of MS, in particular waist circumference, might play a role as part of the FRS provided their cut-off points are optimized.

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“…The epidemic is a major public health concern as it is a key risk factor for a range of chronic conditions (ie, hypertension, diabetes, dyslipidaemia, heart disease, stroke, narcolepsy, osteoarthritis, asthma, apnoea, gout and certain cancers), which tend to reduce quality of life and ultimately cause death 9 10. In addition, most of these patients suffer from mental disorders and perceived social rejection leading to loss of self-esteem, a particularly sensitive concern in children 11…”

Section: Introductionmentioning

confidence: 99%

Healthcare use and costs associated with obesity in Badalona, Spain: a study protocol: Table 1

et al. 2012

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IntroductionThe objectives of the study are twofold. First, to calculate healthcare resource utilisation and costs for a cohort of adult overweight and obese patients observed in primary and hospital care centres during eight consecutive years (2003–2010) in an urban setting in Spain. An analysis of whether these costs vary by groups of individuals and types of disease, and of how they compare with the previous literature, is carried out in order to predict actions or policies for resource optimisation. The second objective is to estimate the impact of overweight and obesity on the consumption of resources and costs, accounting for a wide array of controls.Methods and analysisObservational and retrospective cohort data are used, consisting of medical records of patients followed up in outpatient and hospital care facilities during the years 2003–2010. Three cohorts of patients are analysed: normal weight (18.5≥ body mass index (BMI) <25), overweight (25≥ BMI <30) and obese (BMI ≥30); BMI is computed using clinical information. Individual-level data on comorbidity, resource utilisation and costs are available, and external information provided by the population census regarding socioeconomic status is used. Utilisation and associated costs across BMI groups are compared by computing ratios for overweight and obese individuals relative to those of normal weight. Count data regression models (hurdle and finite mixture models) are used, together with two-part model regression models and taking into account the panel structure of the data set to explore the impact of overweight and obesity on the increased utilisation of health services and costs, accounting for a wide set of controls.

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Prevalencia de obesidad, diabetes, hipertensión, hipercolesterolemia y síndrome metabólico en adultos mayores de 50 años de Sanlúcar de Barrameda

Cited by 35 publications

References 31 publications

Prevalence of cardiovascular risk factors in an urban adult population from southern Spain. IMAP Study

Prevalence of cardiovascular risk factors in an urban adult population from southern Spain. IMAP Study

Metabolic Syndrome Does Not Improve the Prediction of 5-Year Cardiovascular Disease and Total Mortality Over Standard Risk Markers. Prospective Population Based Study

Healthcare use and costs associated with obesity in Badalona, Spain: a study protocol: Table 1

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