| Revista: | Revista mexicana de cardiología |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000326952 |
| ISSN: | 0188-2198 |
| Autores: | Solís Olivares, Carlos Alberto1 Solís Soto, Juan Manuel1 |
| Instituciones: | 1Instituto Mexicano del Seguro Social, Hospital General de Zona 6, Monterrey, Nuevo León. México |
| Año: | 2010 |
| Periodo: | Ene-Mar |
| Volumen: | 21 |
| Número: | 1 |
| Paginación: | 9-18 |
| País: | México |
| Idioma: | Español |
| Tipo de documento: | Artículo |
| Enfoque: | Aplicado, analítico |
| Resumen en español | 130.37 ± 47.28 vs 96.88 ± 34.43 mg/dL, p ‹ 0.05. Los sujetos con OC comparados a aquéllos sin ella, tuvieron mayor IMC, 31.2 ± 4.99 vs 25.42 ± 2.84, cintura, 104.98 ± 9.93 vs 90.45 ± 8.64 cm, (p ‹ 0.01 para ambas) y glucosa, 128.05 ± 59.23 vs 109.14 ± 42.31 mg/dL (p £ 0.05), sin mostrar diferencias en la edad y lípidos. Se asociaron a obesidad central el SM, OR de 5.18 (IC 95% de 2.8116 a 9.5579) DM2, OR 1.80 (IC 95% de 0.956 a 3.3978), sedentarismo, OR 2.22 (IC 95% de 1.265 a 3.9202 ) e HTA, OR 2.02 (IC 95% de 1.464 a 3.5686), pero no la CI. Conclusión: La presencia de obesidad central en nuestros pacientes fue indicativa de valores más altos de glucosa e IMC, asociándose significativamente a sedentarismo, SM, HTA y DM2 sin mostrar relación directa con CI. Nuestros resultados sugieren un papel opcional de la obesidad central como criterio diagnóstico del síndrome metabólico |
| Resumen en inglés | tral obesity (CO) in the metabolic syndrome (MS) by the National Cholesterol Education Program-Adult Treatment Panel (NCEP ATP III) criteria in patients evaluated in a cardiology office. Methods: Case-control study of patients evaluated in the Cardiology Unit of a community hospital in August 2006 to June 2007. Inclusion criteria: a) patients of both sexes. Exclusion: a) severe systemic disease or terminal, b) acute coronary syndrome, c) severe systolic dysfunction, d) after lipid lowering treatment. Procedures: We performed complete medical history, measurement of waist circumference, body mass index (BMI), glucose, lipids and stress test, cardiac catheterization according to clinical situation. They were divided into 4 groups: 1) No MS/No CO) 2) No MS/CO 3) MS/ CO) and 4) MS/No CO. Dependent variable: ischemic heart disease. Statistics: Descriptive, t-test, contingency tables, Chi square and odds ratios (OR). Data analysis using SPSS software. It was considered a significant p ≤ 0.05. Results: Of 130 patients, 49.23% were males and 50,769% females, with age 58.6 ± 11.66 years. Metabolic syndrome (MS), 63.84%, smokers: 28.46%, diabetics: 29.23% and with hypertension: 59.23%. Group 3 compared to 2, had higher BMI, 31.866 ± 5.297 vs 29.095 ± 3.129, waists wider 106.95 ± 9.936 vs 99.952 ± 8.28 cm, higher levels of glucose, 139.485 ± 63.767 vs 92.095 ± 9.07 mg/dL and triglyceride (TG), 229.488 ± 118.819 ± 139.966 vs 65.734 mg/dL (p < 0.01 for all), with lower levels of high density lipoprotein (HDL-C), 42.586 ± 12.31 vs 49,605 ± 11.988 mg/dL, p ≤ 0.05. Group 4 compared to 1 had higher levels of TG, 247.15 ± 84.23 vs 155.25 ± 78.5 mg/dL and lower HDL-C, 34.14 ± 5.567 vs 44.132 ± 9.7 mg/ dL (p < 0.01 for both) and higher levels of glucose, 130.37 ± 47.28 vs 96.88 ± 34.43 mg/dL, p < 0.05. In comparison, subjects with CO vs those without it, had the highest BMI, 31.2 ± 4.99 vs 25.42 ± 2.84, larger waists, 104.98 ± 9.93 vs.. |
| Disciplinas: | Medicina |
| Palabras clave: | Diagnóstico, Metabolismo y nutrición, Obesidad, Síndrome metabólico, Criterios diagnósticos, Indice de masa corporal, Diabetes, Hipertensión arterial, Cardiopatía isquémica |
| Keyword: | Medicine, Diagnosis, Metabolism and nutrition, Obesity, Metabolic syndrome, Diagnostic criteria, Body mass index, Diabetes, Arterial hypertension, Ischemic cardiopathy |
| Texto completo: | Texto completo (Ver PDF) |
