Universidad Autónoma del Estado de Morelos, Cuernavaca, Mexico.
Institute of Security and Social Services for State Workers, DF, Mexico.
Arch Gerontol Geriatr. 2017 Nov;73:288-293. doi: 10.1016/j.archger.2017.09.001. Epub 2017 Sep 7.
One of the most prevalent chronic diseases among elderly population is the Metabolic Syndrome (MetS). The aim of this study was to assess the prevalence of MetS and associated factors among Mexican elderly people.
Cross-sectional survey carried out in Mexico (2007). A random sample (n=516) of the elderly population (≥65years; 277 female, 239 male) was interviewed. Anthropometric and analytical measurements, and a general questionnaire incorporating questions related to socio-demographic and life-style factors were used. MetS definition AHA/NHLBI/IDF was applied.
The prevalence of MetS in the elderly (≥65years) was of 72.9% (75.7% men; 70.4% women). Participants with values above MetS cut-off points were 92.4% (hypertension), 77.8% (hypertriglyceridemia), 77.1% (low HDL-cholesterol), 71.1% (hyperglycaemia), and 65.4% (central obesity). People with MetS showed higher values of anthropometric and biochemical variables than those without MetS, except for the height, cholesterol and creatinine. Mid-high education level (9-12 years), no smokers and former smokers, and Central-Western inhabitants of Mexico were associated with MetS components. BMI status was the main determinant of MetS prevalence and MetS components.
The reported prevalence of MetS among the elderly Mexican population was higher than those previously obtained in the geographical area, showing a major public health problem in Mexican elders.
代谢综合征(MetS)是老年人群中最常见的慢性疾病之一。本研究旨在评估墨西哥老年人代谢综合征的患病率及其相关因素。
在墨西哥进行的横断面调查(2007 年)。对随机抽取的(≥65 岁;277 名女性,239 名男性)老年人群进行访谈。使用人体测量和分析测量以及综合问卷,其中包含与社会人口统计学和生活方式因素相关的问题。采用 AHA/NHLBI/IDF 代谢综合征定义。
≥65 岁老年人中代谢综合征的患病率为 72.9%(男性 75.7%;女性 70.4%)。超过代谢综合征切点值的参与者为 92.4%(高血压)、77.8%(高甘油三酯血症)、77.1%(低高密度脂蛋白胆固醇血症)、71.1%(高血糖)和 65.4%(中心性肥胖)。患有代谢综合征的人的人体测量和生化变量值高于无代谢综合征的人,除了身高、胆固醇和肌酐。中高教育程度(9-12 年)、不吸烟者和前吸烟者、以及墨西哥中-西部居民与代谢综合征的各个组成部分相关。BMI 状况是代谢综合征患病率和代谢综合征各个组成部分的主要决定因素。
报告的墨西哥老年人群代谢综合征的患病率高于该地区以前的患病率,表明墨西哥老年人存在重大公共卫生问题。