Kowalski Jan, Barylski Marcin, Ciećwierz Julita, Pawlicki Lucjan
Uniwersytet Medyczny w todzi, Katedra Rehabilitacji z Klinika Chorób Wewnetrznych i Rehabilitacji Kardiologicznej Szpitala Klinicznego.
Pol Merkur Lekarski. 2009 Oct;27(160):279-83.
Identification of risk factors of metabolic syndrome (MS) as a part of primary prophylaxis allows early diagnosis and appropriate treatment. Secondary prophylaxis may lead to decreased number of complications and deaths resulting from cardiovascular diseases in subjects with MS.
To assess the risk factors of MS and incidence of MS in subjects with or without cardiovascular diseases.
There were two groups of patients. I group--600 patients with primary prophylaxis, without cardiovascular diseases, aged 35-60 (49.57 +/- 8.5) and II group--231 patients with cardiovascular diseases (hypertension, ischaemic heart disease, type 2 diabetes), aged 27-69 (56.5 +/- 11.3). MS was diagnosed according to the IDF criteria from 2005.
MS was diagnosed in 141 cases of 600 patients with primary prevention what gives 23.5% out of whole study group. In the I group the most common were: abdominal obesity (100%), hypertriglyceridemia (80.2%), hypertension (64.7%) and fasting hyperglycemia (55.2%). MS was diagnosed in 158 cases of 231 patients with cardiovascular disease what gives 68.4% out of whole study group. MS was the most frequent in patients with type 2 diabetes (90.32%), in patients with hypertension (71.58%) and the least common in patients with cardiovascular disease (59.05%). In the II group the most frequent were: abdominal obesity (100%), hypertension (89.24%), fasting hyperglycemia (75.32%).
MS occurs more often in patients with cardiovascular diseases than in the total population. Cardiovascular diseases are connected with fasting hyperglycemia, systolic hypertension and high WHR.
识别代谢综合征（MS）的危险因素作为一级预防的一部分，有助于早期诊断和恰当治疗。二级预防可减少MS患者心血管疾病所致并发症和死亡的数量。
评估有无心血管疾病患者的MS危险因素及MS发病率。
有两组患者。第一组——600例进行一级预防的患者，无心血管疾病，年龄35 - 60岁（49.57±8.5）；第二组——231例患有心血管疾病（高血压、缺血性心脏病、2型糖尿病）的患者，年龄27 - 69岁（56.5±11.3）。根据2005年国际糖尿病联盟（IDF）标准诊断MS。
600例一级预防患者中有141例诊断为MS，占整个研究组的23.5%。在第一组中最常见的是：腹型肥胖（100%）、高甘油三酯血症（80.2%）、高血压（64.7%）和空腹血糖升高（55.2%）。231例心血管疾病患者中有158例诊断为MS，占整个研究组的68.4%。MS在2型糖尿病患者中最常见（90.32%），在高血压患者中次之（71.58%），在心血管疾病患者中最不常见（59.05%）。在第二组中最常见的是：腹型肥胖（100%）、高血压（89.24%）、空腹血糖升高（75.32%）。
MS在心血管疾病患者中比在总人口中更常见。心血管疾病与空腹血糖升高、收缩期高血压和高腰臀比相关。
