González Deschamps Enrique, Palmeros Exsome Carolina, Villanueva Sánchez Javier, Torres Flores Beatriz, Bastida Sara, Vaquero M Pilar, Sánchez-Muniz Francisco J
Centro de Estudios y Servicios en Salud, Universidad Veracruzana, Veracruz, México.
Med Clin (Barc). 2007 Dec 1;129(20):766-9. doi: 10.1157/13113766.
Few studies exist about metabolic syndrome (MS) in young Mexican adult populations. The prevalences of overweight, obesity, and MS were evaluated in a sample of university students from Veracruz, México.
Transversal analytical study performed in 402 student of new admission, aged 20-29 years belonging to Veracruzana University. Waist circumference, systolic and diastolic blood pressures, and serum glucose, triglycerides, and high-density lipoproteins (HDL)-cholesterol were determined. The MS was diagnosed applying the current National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP-III) criteria.
Male subjects showed higher values of waist circumference, weight, stature, body mass index (BMI), triglycerides, and systolic and diastolic blood pressures (p < 0.005, in all cases). The prevalence of central obesity was 9.5%; hypertriglyceridemia, 13.2; low HDL-cholesterol, 28.9%; high systolic and diastolic blood pressures, 9.2%; and hyperglucemia, 6.0%. 48% showed 1-4 NCEP-ATPIII criteria for MS. Global prevalence of MS was 3.7%. The BMI inclusion increased the MS prevalence in overweight and obese student (8.2 vs 0.8%) (x2 = 14.6; p < 0.001; odds ratio = 10.8; 95% confidence interval, 2.4-48.8).
The BMI inclusion improved the MS diagnostic in young adults. Because almost half of the subjects presented at least one MS factor, the need of preventive implementations in young populations and to develop longitudinal studies to ascertain the effect of MS later in life is suggested.
关于墨西哥年轻成年人群代谢综合征（MS）的研究较少。对来自墨西哥韦拉克鲁斯的一组大学生样本进行超重、肥胖和MS患病率评估。
对韦拉克鲁斯大学402名年龄在20 - 29岁的新入学学生进行横断面分析研究。测定腰围、收缩压和舒张压以及血清葡萄糖、甘油三酯和高密度脂蛋白（HDL）胆固醇。采用现行的美国国家胆固醇教育计划成人治疗组第三次报告（NCEP - ATP - III）标准诊断MS。
男性受试者的腰围、体重、身高、体重指数（BMI）、甘油三酯以及收缩压和舒张压值更高（在所有情况下，p < 0.005）。中心性肥胖患病率为9.5%；高甘油三酯血症为13.2%；低HDL胆固醇为28.9%；高收缩压和舒张压为9.2%；高血糖为6.0%。48%的人符合1 - 4项NCEP - ATPIII的MS标准。MS总体患病率为3.7%。纳入BMI增加了超重和肥胖学生的MS患病率（8.2%对0.8%）（x2 = 14.6；p < 0.001；比值比 = 10.8；95%置信区间，2.4 - 48.8）。
纳入BMI改善了年轻成年人MS的诊断。由于几乎一半的受试者至少有一个MS因素，建议在年轻人群中实施预防措施并开展纵向研究，以确定MS在以后生活中的影响。
