Valdés Sergio, García-Torres Francisca, Maldonado-Araque Cristina, Goday Albert, Calle-Pascual Alfonso, Soriguer Federico, Castaño Luis, Catalá Miguel, Gomis Ramon, Rojo-Martínez Gemma
Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Spain; Servicio de Endocrinología y Nutrición, Hospital Universitario Carlos Haya, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.
Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Spain; Servicio de Endocrinología y Nutrición, Hospital Universitario Carlos Haya, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.
Rev Esp Cardiol (Engl Ed). 2014 Jun;67(6):442-8. doi: 10.1016/j.rec.2013.09.029. Epub 2014 Feb 26.
The aim of this study was to compare the prevalences of obesity, diabetes and other cardiovascular risk factors in the region of Andalusia with those in the rest of Spain.
The Di@bet.es study is a national, cross-sectional, population-based survey of cardiometabolic risk factors and their association with lifestyle. The sample consisted of 5103 participants ≥ 18 years. The variables analyzed were clinical, demographic and lifestyle survey, physical examination, and oral glucose tolerance test. The prevalence of cardiovascular risk factors in Andalusia (n=1517) was compared with that for the rest of Spain (n=3586).
In data adjusted to the Spanish population, the prevalence of diabetes (World Health Organization, 1999), hypertension (blood pressure ≥ 140/90 mmHg), high-sensitivity CRP levels (≥ 3 mg/L) and obesity (body mass index ≥ 30 kg/m(2)) were 16.3%, 43.9%, 32.0%, and 37.0% in Andalusia compared with 12.5%, 39.9%, 28.3%, and 26.6% in the rest of Spain (P<.001 for differences except P=.01 for the difference in high-sensitivity CRP levels). The corresponding figures for the Andalusia data adjusted to the Andalusian population were 15.3%, 42.3%, 31.4%, and 34.0%, respectively. Differences in diabetes, hypertension and high-sensitivity CRP were not significant in models adjusted for age, sex, and adiposity measurements. Differences in obesity were not significant in models adjusted for age, sex, educational level, marital status, work status, and physical activity (P=.086) CONCLUSIONS: This study contributes information from a national study perspective and shows a higher prevalence of cardiovascular risk factors in southern Spain, in close relation to obesity, a sedentary lifestyle, and markers of socioeconomic disadvantage.
本研究旨在比较安达卢西亚地区与西班牙其他地区肥胖、糖尿病及其他心血管危险因素的患病率。
Di@bet.es研究是一项基于全国人口的横断面调查，涉及心脏代谢危险因素及其与生活方式的关联。样本包括5103名年龄≥18岁的参与者。分析的变量包括临床、人口统计学和生活方式调查、体格检查以及口服葡萄糖耐量试验。将安达卢西亚地区（n = 1517）心血管危险因素的患病率与西班牙其他地区（n = 3586）进行比较。
在根据西班牙人口进行数据调整后，安达卢西亚地区糖尿病（世界卫生组织，1999年标准）、高血压（血压≥140/90 mmHg）、高敏CRP水平（≥3 mg/L）和肥胖（体重指数≥30 kg/m²）的患病率分别为16.3%、43.9%、32.0%和37.0%，而西班牙其他地区分别为12.5%、39.9%、28.3%和26.6%（除高敏CRP水平差异P = 0.01外，其他差异P < 0.001）。根据安达卢西亚人口调整后的安达卢西亚数据相应数字分别为15.3%、42.3%、31.4%和34.0%。在根据年龄、性别和肥胖测量指标进行调整的模型中，糖尿病、高血压和高敏CRP的差异不显著。在根据年龄、性别、教育水平、婚姻状况、工作状况和身体活动进行调整的模型中，肥胖差异不显著（P = 0.086）。结论：本研究从全国性研究角度提供了相关信息，显示西班牙南部心血管危险因素的患病率较高，这与肥胖、久坐不动的生活方式以及社会经济劣势指标密切相关。
