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109 THE FREQUENCY OF DIAGNOSIS OF METABOLIC SYNDROME IN A PRIMARY CARE CLINIC.
  1. E. Volozhanina1,
  2. S. Jayawardena1,
  3. Z. Siddiqi1,
  4. S. Niranjan1
  1. 1Coney Island Hospital, Brooklyn, NY.

Abstract

Background The World Health Organization (WHO) and National Cholesterol Education Program Adult Treatment Panel III (ATP III) have identified physiologic abnormalities associated with metabolic syndrome (MS). Impaired glucose metabolism, elevated blood pressure, abnormal levels of HDL, abnormal triglyceride levels, and abdominal obesity are included in the diagnosis of MS. Approximately 47 million Americans have metabolic syndrome according to the statistics.

Objective To find out how often the diagnosis of metabolic syndrome is made in primary care clinic.

Methods The patients who presented to the primary medical care clinic between January and June 2005 were randomly selected for this study. The sex, age, blood pressure (BP), fasting blood sugars (FBG), triglyceride, HDL levels, and BMI were recorded.

Results In our study, the male to female ratio was 1.17:1. The average age was 58.3 years for the whole group. Of the whole group, 59% had elevated BP. In the group of patients with elevated BP, 35% were female and 24% were male. The average BP for the hypertensive group was 148.34 mm Hg. Forty-two percent of the patients had elevated triglycerides; among them, 23% were female and 19% were male. The average triglyceride level for this group was 253.75. When considering HDL, 53% had low HDL, and of this, 25% were female and 32% were male, and the average HDL for this group was 37.40. Sixty percent of the patients had fasting blood glucose above 100 mg/dL, and of this, 32% were female and 28% were male. The average FBG for the group with elevated FBG was 135.4. Sixty percent of the patients had high BMI, and of this, 31% were female and 29% were male; for the elevated BMI group, it was 33.42. Finally, in the whole group of patients, 59% were found to have metabolic syndrome and 37% were female and 22% were male. There was no statistical significance between males and female when considering hypertension, TG, HDL, FBG, and BMI, but, overall, females had a greater degree of MS than males, which was statistically significant (p < .05).

Conclusion We found that although MS was not diagnosed in any of our patients prior to this, 59% had MS. In our study, the incidence of MS was more in females than in males. It is equally important to screen both sexes for MS. We incur that primary care physicians should pay more attention in the diagnosis of MS so that patient education and lifestyle modification can be initiated as a primary preventive measure.

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