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绝经前后女性代谢综合征的患病率。

Prevalence of metabolic syndrome in pre- and postmenopausal women.

作者信息

Marchi Ricardo de, Dell'Agnolo Cátia Millene, Lopes Tiara Cristina Romeiro, Gravena Angela Andréia França, Demitto Marcela de Oliveira, Brischiliari Sheila Cristina Rocha, Borghesan Deise Helena Pelloso, Carvalho Maria Dalva de Barros, Pelloso Sandra Marisa

机构信息

Departamento de Ciências da Saúde, Pós-Graduação em Ciências da Saúde, Universidade Estadual de Maringá (UEM), PR, Brasil.

Departamento de Enfermagem, Pós-Graduação em Enfermagem, Universidade Estadual de Maringá (UEM), PR, Brasil.

出版信息

Arch Endocrinol Metab. 2017 Mar-Apr;61(2):160-166. doi: 10.1590/2359-3997000000253. Epub 2017 Feb 16.

Abstract

OBJECTIVE

The objective of this study was to determine the prevalence of metabolic syndrome (MS) and its components among pre- and postmenopausal women, as well as the association between menopausal status and MS.

MATERIALS AND METHODS

A retrospective study was conducted at a reference cardiology outpatient clinic in a city located in Northwestern Paraná State, Brazil. A total of 958 medical records of symptomatic climacteric women evaluated between 2010 and 2014 were analyzed. The study consisted of two groups: pre- and post-menopausal women. MS was characterized according to the criteria of the National Cholesterol Education Program's Adult Treatment Panel III - NCEP-ATP III-2005.

RESULTS

MS was observed in 18.5% of the total study population; 9.4% of the premenopausal women and 22.2% of the postmenopausal women displayed MS, corresponding to a relative risk of 2.75. In addition, the frequency of MS increased with age. Regarding the components of MS, postmenopausal women were more likely to have high density lipoprotein (HDL-C) levels < 50 mg/dL; systolic blood pressure (SBP) values ≥ 130 mmHg or diastolic blood pressure (DBP) values ≥ 85 mmHg; and fasting glucose levels ≥ 100 mg/dL.

CONCLUSION

MS was more prevalent among postmenopausal women than among premenopausal women.

摘要

目的

本研究的目的是确定绝经前和绝经后女性代谢综合征(MS)及其组分的患病率,以及绝经状态与MS之间的关联。

材料与方法

在巴西巴拉那州西北部一个城市的一家心脏病学专科门诊进行了一项回顾性研究。分析了2010年至2014年间评估的958例有症状的更年期女性的病历。该研究包括两组:绝经前和绝经后女性。根据美国国家胆固醇教育计划成人治疗小组第三次报告(NCEP-ATP III-2005)的标准对MS进行定义。

结果

在整个研究人群中,18.5%的人患有MS;9.4%的绝经前女性和22.2%的绝经后女性患有MS,相对风险为2.75。此外,MS的患病率随年龄增加。关于MS的组分,绝经后女性更易出现高密度脂蛋白(HDL-C)水平<50mg/dL;收缩压(SBP)值≥130mmHg或舒张压(DBP)值≥85mmHg;以及空腹血糖水平≥100mg/dL。

结论

绝经后女性中MS的患病率高于绝经前女性。

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