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卡塔尔老年门诊患者中代谢综合征的临床管理

Clinical Management of Metabolic Syndrome Among the Population Attending Geriatric Outpatient Clinics in Qatar.

作者信息

Mohieldeen Osman Susan, Sathian Brijesh, Bhaskaran Biju, Ramadan Marwan, Saleh Haroon, Abbas Asma, Al Hamad Hanadi

机构信息

Geriatrics and Long-Term Care Department, Rumailah Hospital, Hamad Medical Corporation, Doha, QAT.

出版信息

Cureus. 2024 Aug 26;16(8):e67826. doi: 10.7759/cureus.67826. eCollection 2024 Aug.

Abstract

INTRODUCTION

Research on the clinical management of metabolic syndrome (MetS) among older individuals in Qatar is limited. This study aimed to determine the clinical management of MetS and associated risk factors.

METHODS

A retrospective study was conducted to examine the risk factors for MetS (hypertension, diabetes mellitus, obesity, and hyperlipidemia) among patients aged ≥ 60 years who visited geriatric outpatient clinics in Rumailah Hospital, Doha, Qatar between November 1, 2016, and November 1, 2018.

RESULTS

The mean age of the patients was 70.1 years, and 50% were male. Of the study population, 97% had MetS with a 95% confidence interval (95.3-98.7). In addition, 45.5% of the patients were obese, 97.75% had diabetes mellitus, and 98.25% had hypertension. The most commonly prescribed medications for treatment included amlodipine for hypertension, metformin for diabetes mellitus, rosuvastatin for lipid reduction, and bisoprolol for cardiovascular management.

CONCLUSION

This study found that MetS is common among the population attending geriatric outpatient clinics in Qatar. The majority of these individuals had high rates of diabetes, hypertension, and dyslipidemia. The early identification of at-risk patients through exercise programs may also delay or reverse the risks associated with MetS. More research, especially prospective and population-based studies, is required to improve preventative efforts and optimize treatment options for metabolic syndrome in older persons in Qatar.

摘要

引言

卡塔尔针对老年人群代谢综合征(MetS)临床管理的研究有限。本研究旨在确定MetS的临床管理及相关风险因素。

方法

开展一项回顾性研究,以调查2016年11月1日至2018年11月1日期间在卡塔尔多哈哈马德医院老年门诊就诊的60岁及以上患者中MetS的风险因素(高血压、糖尿病、肥胖和高脂血症)。

结果

患者的平均年龄为70.1岁,50%为男性。在研究人群中,97%患有MetS,95%置信区间为(95.3 - 98.7)。此外,45.5%的患者肥胖,97.75%患有糖尿病,98.25%患有高血压。最常开具的治疗药物包括用于高血压的氨氯地平、用于糖尿病的二甲双胍、用于降脂的瑞舒伐他汀以及用于心血管管理的比索洛尔。

结论

本研究发现,MetS在卡塔尔老年门诊就诊人群中很常见。这些个体中的大多数患有糖尿病、高血压和血脂异常的比例较高。通过运动项目早期识别高危患者也可能延缓或逆转与MetS相关的风险。需要更多研究,尤其是前瞻性和基于人群的研究,以改善卡塔尔老年人代谢综合征的预防措施并优化治疗方案。

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