González-Zapata Laura I, Deossa Gloria Cecilia, Monsalve-Álvarez Julia, Díaz-García Juliana, Babio Nancy, Salas-Salvadó Jordi
School of Nutrition and Dietetics, University of Antioquia, Colombia.
Nutr Hosp. 2013 Mar-Apr;28(2):522-31. doi: 10.3305/nh.2013.28.2.6315.
Hypertension (HTN), atherogenic dyslipidemia, an increased glycemia in a fasting state, and abdominal obesity (AO), constitute a cluster of risk factors for cardiovascular disease named metabolic syndrome (MS).
To analyze the prevalence and distribution of MS and its components in healthcare personnel from the University of Antioquia.
Cross-sectional study conducted between 2010 and 2011. The collected data included anthropometrical, biochemical, socio-demographic, and lifestyle variables. The MS was diagnosed using the harmonized IDF/AHA definition. Descriptive and analytical statistical analyses were performed, including χ2 tests, and a = 0.05.
285 volunteers (29.1% men) with ages between 20 and 61 years were included. 31.6% of participants were overweight with a Body Mass Index higher than 25 kg/m2 (BMI). AO (29.8%) and HTN (29.8%) were the most frequent components of MS. Global prevalence of MS was 17.5% (95%CI: 13.1; 22). There was a lower presence of MS among women (OR 0.328; 95%CI: 0.175; 0.614; p < 0.05), and a positive gradient with age and income. Likewise, the prevalence of MS was higher among smokers and those who are overweight (p < 0.05). After adjusting for age, MS was associated with sex (OR 0.348; 95%CI: 0.178; 0.680) and being overweight (OR 14.592; 95%CI: 6.343; 33.570).
The most frequently observed components of MS in the studied sample were AO and HTN. BMI, sex, and socio-economic status are important independent risk factors associated with MS.
高血压（HTN）、致动脉粥样硬化性血脂异常、空腹血糖升高以及腹型肥胖（AO），构成了一组名为代谢综合征（MS）的心血管疾病危险因素。
分析安蒂奥基亚大学医护人员中代谢综合征及其组分的患病率和分布情况。
于2010年至2011年开展横断面研究。收集的数据包括人体测量学、生化、社会人口统计学和生活方式变量。采用统一的国际糖尿病联盟/美国心脏协会（IDF/AHA）定义诊断代谢综合征。进行描述性和分析性统计分析，包括χ²检验，α = 0.05。
纳入了285名年龄在20至61岁之间的志愿者（男性占29.1%）。31.6%的参与者超重，体重指数（BMI）高于25kg/m²。腹型肥胖（29.8%）和高血压（29.8%）是代谢综合征最常见的组分。代谢综合征的总体患病率为17.5%（95%置信区间：13.1；22）。女性中代谢综合征的患病率较低（比值比0.328；95%置信区间：0.175；0.614；p < 0.05），且与年龄和收入呈正相关梯度。同样，吸烟者和超重者中代谢综合征的患病率较高（p < 0.05）。在对年龄进行校正后，代谢综合征与性别（比值比0.348；95%置信区间：0.178；0.680）和超重（比值比14.592；95%置信区间：6.343；33.570）相关。
在所研究样本中，代谢综合征最常观察到的组分是腹型肥胖和高血压。体重指数、性别和社会经济地位是与代谢综合征相关的重要独立危险因素。
