Prevalence of Premorbid Metabolic Syndrome in Spanish Adult Workers Using IDF and ATPIII Diagnostic Criteria: Relationship with Cardiovascular Risk Factors

Show simple item record Tauler Riera, Pedro José Bennasar Veny, Miguel Morales Asencio, José Miguel López González, Ángel Arturo Vicente Herrero, María Teófila De Pedro Gómez, Joan Ernest Royo, Vanessa Pericás Beltrán, Jorge Aguiló Pons, Antonio 2016-01-29T12:03:59Z 2016-01-29T12:03:59Z 2014-02-20
dc.identifier.citation 1932-6203
dc.description.abstract Background Metabolic Syndrome (MetS) is a complex disorder defined as a cluster of interconnected risk factors such as hypertension, dyslipidemia, obesity and high blood glucose levels. Premorbid metabolic syndrome (PMetS) is defined by excluding patients with previously diagnosed cardiovascular disease or diabetes mellitus from those suffering MetS. We aimed to determine the prevalence of PMetS in a working population, and to analyse the relationship between the diagnostic criteria of the International Diabetes Federation (IDF) and of the National Cholesterol Education Program Adult Treatment Panel III (ATPIII). The relationship between the presence of PMetS and cardiovascular risk factors was also analysed. Research Methodology/Findings A cross-sectional study was conducted in 24,529 male and 18,736 female Spanish (white western European) adult workers (20-65 years) randomly selected during their work health periodic examinations. Anthropometrics, blood pressure and serum parameters were measured. The presence of MetS and PMetS was ascertained using ATPIII and IDF criteria. Cardiovascular risk was determined using the Framingham-REGICOR equation. The results showed MetS had an adjusted global prevalence of 12.39% using ATPIII criteria and 16.46% using IDF criteria. The prevalence of PMetS was slightly lower (11.21% using ATPIII criteria and 14.72% using IDF criteria). Prevalence in males was always higher than in females. Participants with PMetS displayed higher values of BMI, waist circumference, blood pressure, glucose and triglycerides, and lower HDL-cholesterol levels. Logistic regression models reported lower PMetS risk for females, non-obese subjects, non-smokers and younger participants. Cardiovascular risk determined with Framingham-REGICOR was higher in participants with PMetS. Conclusions PMetS could be a reliable tool for the early identification of apparently healthy individuals who have a significant risk for developing cardiovascular events and type 2 diabetes.
dc.language.iso eng
dc.publisher Public Library of Science
dc.relation.isformatof Reproducció del document publicat a:
dc.relation.ispartof Plos One, 2014, vol. 9, num. 2, p. e89281
dc.rights cc-by (c) Tauler Riera, Pedro José et al., 2014
dc.subject.classification Ciències de la salut
dc.subject.classification Nutrició
dc.subject.classification Biologia
dc.subject.other Medical sciences
dc.subject.other Nutrition
dc.subject.other Biology
dc.title Prevalence of Premorbid Metabolic Syndrome in Spanish Adult Workers Using IDF and ATPIII Diagnostic Criteria: Relationship with Cardiovascular Risk Factors
dc.type info:eu-repo/semantics/article
dc.type info:eu-repo/semantics/publishedVersion 2016-01-29T12:03:59Z
dc.subject.keywords Body Mass Index
dc.subject.keywords nutrition
dc.subject.keywords Public Healht
dc.subject.keywords Obesity
dc.subject.keywords Body Adiposity Index
dc.rights.accessRights info:eu-repo/semantics/openAccess

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