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年轻健康专业人员的代谢综合征组成部分;拉丁美洲代谢综合征(LATINMETS)墨西哥研究。

Metabolic syndrome components in young health professionals; LATIN America METabolic Syndrome (LATINMETS) Mexico study.

作者信息

Betancourt Núñez Alejandra, Márquez Sandoval Fabiola, Babio Nancy, Vizmanos Barbara

机构信息

Universidad de Guadalajara.

出版信息

Nutr Hosp. 2018 Aug 2;35(4):864-873. doi: 10.20960/nh.1694.

Abstract

INTRODUCTION

metabolic syndrome (MS) components are independent risk factors for the development of cardiovascular disease and type 2 diabetes, major causes of mortality in the world.

OBJECTIVE

to evaluate the frequency of MS components and its association with sociodemographic variables and physical activity among young health professionals at the University of Guadalajara.

METHODS

a cross-sectional study entitled LATIN America METabolic Syndrome Mexico (LATINMETS-Mex) was conducted. Weight, height, waist circumference, blood pressure, triglycerides, glucose and HDL cholesterol were measured. Socio-demographic and physical activity data were surveyed. MS components were diagnosed based on the revised criteria of Alberti et al. (2009). Associations were assessed using logistic regression adjusted for age and sex.

RESULTS

a total of 316 volunteer subjects were analyzed (70.9% women, 83.8% ≤ 29 years). The frequency of MS was 7.0% and 55.5% of subjects presented one or more MS components (27.2% abdominal obesity, 26.6% low HDL cholesterol). After adjustment, abdominal obesity, high blood pressure and hypertriglyceridemia were positively associated with BMI ≥ 25 kg/m2. High blood pressure and hypertriglyceridemia were negatively associated with being female while low HDL cholesterol was positively associated with this gender after adjustment. Abdominal obesity was the only component negatively associated with physical activity (300 to 600 minutes per week) after adjusting for age and sex. No association between MS and sociodemographic variables or physical activity was found.

CONCLUSIONS

half of the participants presented one or more metabolic syndrome components. Actions are required to reduce cardiometabolic risk in the study population considering the sociodemographic and lifestyle variables associated.

摘要

引言

代谢综合征(MS)的各个组成部分是心血管疾病和2型糖尿病发生的独立危险因素,而心血管疾病和2型糖尿病是全球主要的死亡原因。

目的

评估瓜达拉哈拉大学年轻健康专业人员中MS各组成部分的发生率及其与社会人口统计学变量和身体活动的关联。

方法

开展了一项名为拉丁美洲代谢综合征墨西哥研究(LATINMETS - Mex)的横断面研究。测量了体重、身高、腰围、血压、甘油三酯、血糖和高密度脂蛋白胆固醇。调查了社会人口统计学和身体活动数据。根据阿尔贝蒂等人(2009年)修订的标准诊断MS各组成部分。使用经年龄和性别调整的逻辑回归评估关联。

结果

共分析了316名志愿者受试者(70.9%为女性,83.8%年龄≤29岁)。MS的发生率为7.0%,55.5%的受试者存在一个或多个MS组成部分(腹部肥胖占27.2%,高密度脂蛋白胆固醇低占26.6%)。调整后,腹部肥胖、高血压和高甘油三酯血症与体重指数≥25 kg/m²呈正相关。高血压和高甘油三酯血症与女性呈负相关,而调整后高密度脂蛋白胆固醇低与女性呈正相关。调整年龄和性别后,腹部肥胖是唯一与身体活动(每周300至600分钟)呈负相关的组成部分。未发现MS与社会人口统计学变量或身体活动之间存在关联。

结论

一半的参与者存在一个或多个代谢综合征组成部分。鉴于相关的社会人口统计学和生活方式变量,需要采取行动降低研究人群中的心脏代谢风险。

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