Síndrome metabólico y riesgo cardiovascular en mujeres posmenopáusicas de una institución de primer nivel de Envigado (Colombia)

M. P. Hormaza Angel, J. S. Lopera Valle, M. M. Massaro Ceballos, G. J. Rendón Pereira, N. Campo Campo

    Producción científica: Contribución a una revistaArtículo en revista científica indexadarevisión exhaustiva

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    Resumen

    Objective: To compare the prevalence of metabolic syndrome in postmenopausal women by applying the IDF and the NCEP/ATPIII criteria and to assess the risk of cardiovascular disease in postmenopausal women and associated risk factors. Material and methods: A cross-sectional study of 224 women aged ≥45 years was carried out following IDF and NCEP/ATPIII guidelines. Cardiovascular risk was estimated using Framingham projections of 10-year absolute cardiovascular disease risk and AHA cardiovascular disease risk assessment. Results: Among evaluated women, the mean age was 59 years (SD 8.36 years). Half of the women had had their last menstrual period >10 years previously, from the FUM (RIQ: 5-18). A total of 62.9% were overweight or obese. The prevalence of metabolic syndrome was 57.1% according to the IDF criteria (IC 95%: 50.4-63.7) vs. 37.5% according to the NCEP/ATPIII criteria (IC 95%: 31.1-44.2). Framingham score was >10% in 46% of the women. According to AHA criteria, 76.8% were at risk, or at high risk, for cardiovascular disease. In the multivariate analysis, the factors most strongly associated with metabolic syndrome according to IDF criteria were obesity (OR 5.05; IC 95%: 2.18-11.69) and age >65 years (OR 2.75; IC 95% 1.34-5.64). The factors most strongly associated with cardiovascular risk were hypertension (OR 11.58; IC 95%: 4.81-27.86), low levels of high-density lipoprotein cholesterol (OR 16.63; IC 95%: 5.96-46.37), and age >55 years (OR 4.5; IC 95%: 1.90-10.67). Conclusion: The joint application of the IDF criteria for metabolic syndrome and the AHA criteria for cardiovascular disease risk assessment is useful to identify a greater number of women at risk.

    Título traducido de la contribuciónMetabolic syndrome and cardiovascular disease risk in postmenopausal women attending a primary health center in Envigado, Colombia
    Idioma originalEspañol
    Páginas (desde-hasta)151-157
    Número de páginas7
    PublicaciónClinica e Investigacion en Ginecologia y Obstetricia
    Volumen41
    N.º4
    DOI
    EstadoPublicada - 1 oct. 2014

    Nota bibliográfica

    Publisher Copyright:
    © 2012 Elsevier España, S.L.U.

    Palabras clave

    • Cardiovascular diseases
    • Metabolism
    • Postmenopause
    • Risk assessment

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