Metrika

  • citati u SCIndeksu: [1]
  • citati u CrossRef-u:0
  • citati u Google Scholaru:[]
  • posete u poslednjih 30 dana:6
  • preuzimanja u poslednjih 30 dana:2

Sadržaj

članak: 5 od 79  
Back povratak na rezultate
2019, vol. 25, br. 3-4, str. 58-69
Učestalost i značaj metaboličkog sindroma i njegovih komponenata u ambulantnih pacijenata
Dom zdravlja, Varvarin

e-adresadulemiljkovic@mts.rs
Sažetak
Uvod. Metabolički sindrom (MS) predstavlja grupu kardiovaskularnih faktora rizika koji uključuje hiperglikemiju, povišen krvni pritisak, povišene nivoe triglicerida, centralnu gojaznost i sniženi HDL holesterol. Rezultati populacionih studija pokazuju da je MS koristan u prognozi kardiovaskularnog morbiditeta i mortaliteta. Cilj rada. Ispitati učestalost i značaj metaboličkog sindroma i njegovih pojedinačnih komponenata u ambulantnih pacijenata. Metod. Studija je obuhvatila 178 (71,26±8,93) ambulantnih pacijenata odabranih metodom slučajnog uzorka, 67 (71,24±9,5) muškaraca i 111 (71,28±11,29) žena (p>0,05). Stanje uhranjenosti je ocenjeno na osnovu antropometrijskih parametara (telesna visina, telesna težina, obim struka). Kod svih ispitanika određivani su glikemija, HDL holesterol, trigliceridi i izmerene su vrednosti krvnog pritiska. Za postavljanje dijagnoze MS korišćeni su kriterijumi Američkog udruženja za srce (American Heart Association - AHA) i Nacionalnog instituta za srce, pluća i krv (National Heart, Lung and Blood Institute - NHLBI). Rezultati. Metabolički sindrom je dijagnostikovan kod 42,7% pacijenata, 31,6% muškaraca i 68,4% žena. Učestalost MS je bila veća kod žena (47,7%) u odnosu na muškarce (35,8%) (p>0,05); tri komponente MS imalo je 51,3%, četiri 42,1% i pet 6,6% ispitanika. Od pojedinačnih komponenata MS, najčešće je zastupljen povećan obim struka (92,1%). Sa koronarnom bolešću bilo je ukupno 10,5% pacijenata sa MS, a u grupi pacijenata bez MS 1,96% (p<0,01). U posmatranom periodu umrlo je 10,5% pacijenata sa MS i 0,98% bez MS (p<0,01). Zaključak. Učestalost metaboličkog sindroma u populaciji ambulantnih pacijenata je 42,7%, muškaraca 35,8% i žena 46,8%. Povećan obim struka je najčešća pojedinačna komponenta metaboličkog sindroma. Pacijenti sa metaboličkim sindromom imaju značajno veću učestalost koronarne bolesti i veći mortalitet nego pacijentini bez MS, što ukazuje da je MS značajan faktor rizika za nastanak i razvoj koronarne bolesti i lošiju prognozu ovih pacijenata, zbog čega moraju biti na odgovarajući način podvrgnut kontroli radi efikasne primarne i sekundarne prevencije.
Reference
Aguilar, M., Bhuket, T., Torres, S., Liu, B., Wong, R.J. (2015) Prevalence of the Metabolic Syndrome in the United States, 2003-2012. JAMA, May;313(19):1973-1974
Alsheikh-Ali, A.A., Lin, J.L., Abourjaily, P., Ahearn, D., Kuvin, J.T., Karas, R.H. (2007) Prevalence of Low High-Density Lipoprotein Cholesterol in Patients with Documented Coronary Heart Disease or Risk Equivalent and Controlled Low-Density Lipoprotein Cholesterol. American Journal of Cardiology, 100(10): 1499-1501
Bataille, V., Perret, B., Dallongeville, J., Arveiler, D., Yarnell, J., Ducimetiere, P., Ferrieres, J. (2006) Metabolic syndrome and coronary heart disease risk in a population-based study of middle-aged men from France and Northern Ireland. Diabetes & Metabolism, 32(5): 475-479
Bayameen, M.A., Al-Raddadi, M.R., Hassan, A., Banamah, O.B., Mohammad, M.E., Habadi, M., et al. (2018) Prevalence o f Metabolic Syndrome among Primary Health Care attendees in King Fahad Armed Forces Hospital in Jeddah. Arch Med, March; 10(2):9
Broderstad, A.R., Melhus, M. (2016) Prevalence of metabolic syndrome and diabetes mellitus in Sami and Norwegian populations: The SAMINOR-a cross-sectional study. BMJ Open, 6(4): e009474-e009474
Hildrum, B., Mykletun, A., Hole, T., Midthjell, K., Dahl, A.A. (2007) Age-specific prevalence of the metabolic syndrome defined by the International Diabetes Federation and the National Cholesterol Education Program: The Norwegian HUNT 2 study. BMC Public Health, Aug;7:220
Illane-Parikka, P., Eriksson, J., Lindström, J., Hämäläinen, J., Keinänen-Kiukaanniemi, S., Laakso, M., et al. (2004) Prevalence o f the Metabolic Syndrome and its Components. Diabetes Care, September; 27(9):2135-2140
Isomaa, B., Almgren, P., Tuomi, T., Forsen, B., Lahti, K., Nissen, M., Taskinen, M.R., Groop, L. (2001) Cardiovascular Morbidity and Mortality Associated with the Metabolic Syndrome. Diabetes Care, 24(4): 683-689
Jover, A., Corbella, E., Muñoz, A., Millán, J., Pintó, X., Mangas, A., Zúñiga, M., Pedro-Botet, J., Hernández-Mijares, A. (2011) Prevalence of Metabolic Syndrome and its Components in Patients with Acute Coronary Syndrome. Revista Española de Cardiología (English Edition), 64(7): 579-586
Khan, A., Saif, M., Nargis, S., Nagvi, F., Samad, A.M., Rashed, Z., Ishaq, M. (2018) Prevalence and predictors o f metabolic syndrome in patients with coronary artery disease. Pak Heart J, 51(4): 280-285
Khan, Y., Lalchandani, A., Gupta, A.C., Khadanga, S., Kumar, S. (2018) Prevalence of Metabolic syndrome crossing 40% in Northern India: Time to act fast before in runs out proportion. J Family Med Prim Care, 7(1): 118-123
Lakka, H., Laaksonen, D.E., Lakka, T.A., Niskanen, L.K., Kumpusalo, E., Tuomilehto, J., Salonen, J.T. (2002) The metabolic syndrome and total and cardiovascular disease mortality in middle-aged men. JAMA, 288(21): 2709-16
Lović, M.B., Đorđević, D.B., Tasić, I.S., Nedeljković, I.P. (2018) Impact of metabolic syndrome on clinical severity and long-term prognosis in patients with myocardial infarction with ST-segment elevation. Hellenic Journal of Cardiology, July-August; 59(4):226-231
Mahabaleshwarkar, R., Taylor, Y.J., Spencer, M.D., Mohanan, S. (2016) Prevalence of Metabolic Syndrome in a Large Integrated Health Care System in North Carolina. North Carolina Medical Journal, May-June; 77(3):168-174
Montazerifar, F., Bolouri, A., Mozaffar, M.M., Karajibani, M. (2016) The Prevalence of Metabolic Syndrome in Coronary Artery Disease Patients. Cardiology Research, Dec; 7(6):202-208
Moore, J.X., Chaudhary, N., Akinyemiju, T. (2017) Metabolic Syndrome Prevalence by Race/Ethnicity and Sex in the United States, National Health and Nutrition Examination Survey, 1988-2012. Preventing Chronic Disease, March; 14: 160287-160287
Moreira, G.C., Cipullo, J.P., Ciorlia, L.A.S., Cesarino, C.B., Vilela-Martin, J.F. (2014) Prevalence of Metabolic Syndrome: Association with Risk Factors and Cardiovascular Complications in an Urban Population. PLoS One, Sep; 9(9):e105056
Mornar-Jelavić, M. (2015) Utjecaj antropometrijskih parametara i metaboličkog sindroma na težinu i prognozu akutnog infarkta miokarda sa ST-elevacijom. Zagreb: Sveučilište u Zagrebu-Stomatološki fakultet, Doktorska disertacija
Neto, L.G.C.J., Xavier, A.M., Borges, P.W.J., de Araujo, M.F.M., Damasceno, C.M.M., de Freitas, F.J.W.R. (2017) Prevalence of Metabolic Syndrome in individuals with Type 2 Diabetes Mellitus. Rev Bras Enform, mar-apr; 70(2):265-270
Nolan, P.B., Carrick-Ranson, G., Stinear, J.W., Reading, S.A., Dalleck, L.C. (2017) Prevalence of metabolic syndrome and metabolic syndrome components in young adults: A pooled analysis. Preventive Medicine Reports, Sep;7:211-215
Osei-Yeboah, J., Owiredu, W.K.B.A., Norgbe, G.K., Yao, L.S., Gyamfi, J., Alote, A.E., Asumbasiya, A.R., Noagbe, M., Attah, F.A. (2017) The Prevalence of Metabolic Syndrome and its Components among People with Type 2 Diabetes in the Ho Municipality, Ghana: A Cross-Section Study. International Journal of Chronic Diseases, 2017: 1-8
Oz, T.K., Özbilgin, N., Sungur, A., Bas, E.G., Zengin, A., Gürol, T., Soylu, Ö., Dagdeviren, B. (2018) Prevalence of metabolic syndrome in young patients with ST-elevation myocardial infarction. International Journal of the Cardiovascular Academy, Jul; 4(3):53-58
Pandey, S., Baral, N., Majhi, S., Acharya, P., Karki, P., Shrestha, S., et al. (2009) Prevalence of the metabolic syndrome in acute myocardial infarction and its impact on hospital outcomes. Int J Diabetes Dev Ctries, Apr-Jun; 29(2):52-55
Pećanac, Ž., Stanetić, K., Šormaz, L. (2018) Učestalost komponenti metaboličkog sindroma kod bolesnika sa ishemijskom bolesti srca. Biomedicinska istraživanja, vol. 9, br. 1, str. 16-26
Ramić, E., Prasko, S., Mujanović-Batić, O., Gavran, L. (2016) Metabolic Syndrome: Theory and Practice. Materia Socio Medica, Feb;28(1):71-73
Saklayen, M. (2018) The Global Epidemic of the Metabolic Syndrome. Current Hypertension Reports, Feb; 20(2):12
Sales, M.C., Praça, O.L., Camila, P.L.L., Tuane, O.C.A., Sousa, S.E.S., Maria, A.M.L.T., Carla, V.C.L.S., Costa, L.K. (2018) Frequency of metabolic syndrome and associated factors in institutionalized elderly individuals. Clinical Interventions in Aging, Volume 13: 2453-2464
Sinha, S.K., Goel, A., Madaan, A., Thakur, R., Krishna, V., Singh, K., Sachan, M., Pandey, U., Varma, C.M. (2016) Prevalence of Metabolic Syndrome and Its Clinical and Angiographic Profile in Patients with Naive Acute Coronary Syndrome in North Indian Population. Journal of Clinical Medicine Research, Sep; 8(9):667-673
Stanković, I., Tesić, V., Kovačević, V., Dedović, V., Živković, M., Aleksandrić, C., i sar. (2011) Prevalencija i prognostički značaj metaboličkog sindroma kod pacijenata sa akutnim infarktom miokarda sa ST elevacijom. u: Aktuelnosti u kardiologiji, Balneoklimatologia, maj; 35(2): 67-75
Stojanović, S. (2014) Povezanost nivoa adiponektina u serumu pacijenta u zavisnosti od metaboličkog sindroma i koronarne bolesti. Kragujevac: Univerzitet u Kragujevcu-Fakultet medicinskih nauka, Doktorska disertacija
Stojisavljević, D. (2014) Prevalencija metaboličkog sindroma kod odraslih stanovnika Republike Srpske. Beograd: Univerzitet u Beogradu-Medicinski fakultet, Doktorska disertacija
Uppalakal, B., Karanayil, S.L. (2017) Incidence of Metabolic Syndrome in Patients Admitted to Medical Wards with ST Elevation Myocardial Infarction. Journal of Clinical and Diagnostic Research, Mar; 11(3):17-20
Vukčević, V., Ostojić, M. (2002) Metabolički sindrom X. u: Prevencija ishemijske bolesti srca - nacionalni vodič kliničke prakse, Beograd, 149-150
Xiao, J., Wu, C.L., Gao, Y.X., Wang, S.L., Wang, L.L., Lu, Q.L., Wang, X.L., Hua, T., Shen, H., Cai, H. (2016) Prevalence of metabolic syndrome and its risk factors among rural adults in Nantong, China. Scientific Reports, 6(1): 38089-38089
 

O članku

jezik rada: srpski, engleski
vrsta rada: originalan članak
DOI: 10.5937/opmedi904058M
objavljen u SCIndeksu: 09.11.2019.
Creative Commons License 4.0

Povezani članci