Prevalência de síndrome metabólica em estudo de base populacional, Vitória, ES - Brasil

Abstract

Prevalence of Metabolic Syndrome in Population-Based Study, Vitória, ES -Brazil. Metabolic Syndrome (MS) is a complex disorder including several factors predisposing to development of cardiovascular diseases and diabetes. Despite the importance of MS for the health system, the epidemiological characteristics of this condition in the Brazilian population are still scarce. The prevalence of MS as a function of gender, age and socioeconomic level was determined in a population-based study in Vitória, ES, Brazil, by using the NCEP-ATPIII diagnosis criteria. Socioeconomic, biochemical, anthropometric, and hemodynamic data were obtained in 1,663 individuals from a random sample of Vitória population (25-64 y). The estimated prevalence of MS was 29,8% (CI95 = 28-32%). No significant sex-related differences were observed. Prevalence increased from the youngest (26-34 y) to the oldest (55-64 y) group (15.8% and 48.3%, respectively). A progressive increase of MS frequency was observed in women from the higher to the lowest socioeconomic level. The most frequent trait of MS in males was high blood pressure, followed by hypertriglyceridemia, low HDL-c levels, hyperglycemia, and central obesity. In females, hypertension was also the most frequent factor, followed by low HDL-c levels, abdominal obesity, hypertriglyceridemia and hyperglycemia. Our data show that prevalence of MS is high in the studied population, even in the youngest group. Moreover, high blood pressure gives a significant contribution to the diagnosis of this syndrome in both sexes. The precocious control of risk factors is necessary to reduce the impact of cardiovascular morbidity and mortality.

Síndrome metabólica em ambulatório cardiológico

“…This result was observed in several other studies such as those conducted in the USA 23 and Chile 25 , as well as in Brazil, in Vitória-ES 27 , and Bahia 28 , possibly due to reduced physical activity and increased intake of large amounts of calories in these populations.…”

Síndrome metabólica e menopausa: estudo transversal em ambulatório de ginecologia

“…A study conducted in the semiarid region of Bahia State with 138 women found 18.2% of MS (NCEP-2001) among women under the age of 45 and 56.9% among those that were 45 years or older 22 . A study conducted in the city of Vitória, State of Espírito Santo, which evaluated 887 women, found prevalence of MS (NCEP-2001) of 33.6% in women aged 45 to 54 and 53.4% among those aged 55 to 64 23 . A study conducted in Seychelles found prevalence of 46% and 68% among women in the 45 to 54 and 55 to 64 age groups 24 .…”

“…In the city of Vitoria, State of Espírito Santo, there was an inversion only in the first two components. The other ones followed the same order 23 .…”

Neck circumference, cardiometabolic risk, and Framingham risk score: Population-based study

“…Excess fat, especially in the upper body, is associated with lipid profile changes, increased blood pressure and hyperinsulinemia, factors that increase the Cardiovascular Disease (CVD) risks [6][7][8].…”

“…In the United States, this prevalence was even higher in 2009/2010, affecting 35.5% of men and 35.8% of adult women [3][4][5]. Excess fat, especially in the upper body, is associated with lipid profile changes, increased blood pressure and hyperinsulinemia, factors that increase the Cardiovascular Disease (CVD) risks [6][7][8].…”