菲律宾老年人代谢综合征及特定心血管危险因素的患病率：第八次菲律宾全国营养调查结果

Prevalence of Metabolic Syndrome and Specific Cardiovascular Risk Factors among Older Persons in the Philippines: Results from the 8th Philippine National Nutrition Survey.

作者信息

Lusica Patricia Marie M, Jimeno Cecilia A

机构信息

Department of Medicine, Philippine General Hospital, University of the Philippines Manila.

Department of Pharmacology and Toxicology, College of Medicine, University of the Philippines Manila.

出版信息

Acta Med Philipp. 2023 Dec 18;57(12):5-11. doi: 10.47895/amp.vi0.5719. eCollection 2023.

DOI:10.47895/amp.vi0.5719

PMID:39429764

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11484595/

Abstract

BACKGROUND

Cardiovascular diseases are the leading causes of deaths among adults in the Philippines, and this is true also among older persons aged 60 years and above. Identification of risk factors and diseases that lead to cardiovascular mortality among the elderly is important to have an impact on longevity.

OBJECTIVE

This study aimed to determine the prevalence of metabolic syndrome and specific cardiovascular risk factors among older persons in the Philippines.

METHODS

A cross sectional design was used, with data taken from the results of the 8 Philippine National Nutrition Survey (NNS) Clinical and Health Survey done in 2013. Although there is a more recent survey, only the 2013 data is complete and available for secondary analyses.

RESULTS

There were 1,835 older persons who were participants in the 8 Philippine NNS who had complete clinical data. The prevalence of Metabolic Syndrome was 52.6% in this population with the distribution of the components as follows: 33.5% have elevated waist circumference; 59.25 had elevated BP >130/85 mm Hg; 30.1% had fasting blood glucose ≥100 mg/dL (includes prediabetes and diabetes); 63% have low HDL, and 39% have elevated triglycerides ≥150 mg/dL.The results for other cardiovascular diseases and risk factors are as follows: 44% had hypertension using the criterion of the JNC VII report (BP ≥140/90 mm Hg); 85% had LDL cholesterol ≥100 mg/dL; 31% are current alcohol drinkers; 22% are current smokers; 53.7% have low physical activity; and 82% have an unhealthy diet.

CONCLUSION

Fifty-two percent (52%) of older Filipinos have metabolic syndrome and have a high prevalence of cardio-vascular risk factors, foremost of which are elevated LDL-cholesterol at 85%, hypertension at 44% based on JNC VII, approximately 10% with diabetes mellitus, but with a double burden of overweight/obesity and undernutrition. This data can help plan for public health approaches to improve quality of life and increase longevity of Filipinos.

摘要

背景

心血管疾病是菲律宾成年人死亡的主要原因，60岁及以上的老年人也是如此。识别导致老年人心血管死亡的风险因素和疾病对于影响长寿至关重要。

目的

本研究旨在确定菲律宾老年人中代谢综合征和特定心血管风险因素的患病率。

方法

采用横断面设计，数据取自2013年进行的第8次菲律宾全国营养调查（NNS）临床与健康调查结果。尽管有更新的调查，但只有2013年的数据完整且可用于二次分析。

结果

有1835名参与第8次菲律宾NNS的老年人拥有完整的临床数据。该人群中代谢综合征的患病率为52.6%，各组分分布如下：33.5%腰围升高；59.25%血压升高>130/85 mmHg；30.1%空腹血糖≥100 mg/dL（包括糖尿病前期和糖尿病）；63%高密度脂蛋白水平低，39%甘油三酯升高≥150 mg/dL。其他心血管疾病和风险因素的结果如下：根据美国国立卫生研究院第七次报告标准（血压≥140/90 mmHg），44%患有高血压；85%低密度脂蛋白胆固醇≥100 mg/dL；31%为当前饮酒者；22%为当前吸烟者；53.7%身体活动不足；82%饮食不健康。