Rosas Muñoz Marcelo, Rivas Sanhueza Rodrigo, Daroch Hormazabal Carolina, Guerrero Wyss Marion, Cea Leiva Fredy
Escuela de Nutrición y Dietética. Facultad de Salud. Universidad Santo Tomás. Temuco. Chile.
Unidad de Tratamiento del Ataque Cerebrovascular. Clínica Alemana. Departamento de Especialidades Médicas. Facultad de Medicina. Universidad de La Frontera.
Nutr Hosp. 2021 Apr 19;38(2):267-273. doi: 10.20960/nh.03157.
Background: Chile has experienced an increase in the prevalence of metabolic syndrome (MS) among the adult population. MS is proposed as a predictor for the occurrence of vascular defects causing ischemic stroke. Objective: to determine the frequency and characteristics of MS in a sample of adults after an ischemic ACV. Methods: a descriptive, cross-sectional study that consisted of reviewing variables related to MS in 180 adult patients admitted to a clinic for an ischemic stroke between the years 2011 and 2017. Weight and height measurements were considered to obtain BMI and nutritional status. Waist circumference (CC), systolic (PAS) and diastolic blood pressure (PAD), total cholesterol, HDL-cholesterol, LDL-cholesterol, triglycerides (TG), and glycemia were also measured. Results: 62.8 % of the sample had MS. BMI (CI, 28.5-29.9; p = 0.001), CC (CI, 101.3-105.3; p = 0.001), PAS (CI, 147.4-155.7; p = 0.000), PAD (CI, 87.7-93.6; p = 0.000), glycemia (CI, 132.9-159.2; p = 0.000), and TG (CI, 181.2-228.8; p = 0.000) were higher in the group with SM. HDL-cholesterol (CI, 35.5-39.2; p = 0.000) was lower in this same group. Older age (p = 0.007), male gender (p = 0.017), and excess nutritional status (p = 0.000) had a positive association with MS. Of the subjects with MS, there were no differences obtained when comparing the components that define MS between men and women. Conclusion: our findings reveal a high frequency of MS in adults admitted to a clinic for ischemic stroke.
智利成年人群中代谢综合征(MS)的患病率有所上升。MS被认为是导致缺血性中风的血管缺陷发生的预测指标。目的:确定缺血性中风后成年样本中MS的频率和特征。方法:一项描述性横断面研究,包括回顾2011年至2017年间因缺血性中风入住一家诊所的180名成年患者中与MS相关的变量。通过体重和身高测量来获取BMI和营养状况。还测量了腰围(WC)、收缩压(SBP)和舒张压(DBP)、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、甘油三酯(TG)和血糖。结果:62.8%的样本患有MS。患有MS的组中,BMI(置信区间,28.5 - 29.9;p = 0.001)、WC(置信区间,101.3 - 105.3;p = 0.001)、SBP(置信区间,147.4 - 155.7;p = 0.000)、DBP(置信区间,87.7 - 93.6;p = 0.000)、血糖(置信区间,132.9 - 159.2;p = 0.000)和TG(置信区间,181.2 - 228.8;p = 0.000)较高。该组中高密度脂蛋白胆固醇(置信区间,35.5 - 39.2;p = 0.000)较低。年龄较大(p = 0.007)、男性(p = 0.017)和营养过剩状态(p = 0.000)与MS呈正相关。在患有MS的受试者中,比较定义MS的各组分时,男性和女性之间未发现差异。结论:我们的研究结果显示,因缺血性中风入住诊所的成年人中MS的发生率很高。