Título
Classification of metabolic syndrome according to lipid alterations: analysis from the Mexican National Health Nutrition Survey 2006
Autor
LUZ MARIA SANCHEZ ROMERO
Andrea Pedroza Tobias
Belem Trejo Valdivia
Simon Barquera
Nivel de Acceso
Acceso Abierto
Materias
Resumen o descripción
Background: There are 16 possible Metabolic Syndrome (MS) combinations out of 5 conditions (glucose
intolerance, low levels of high density lipoprotein Cholesterol (HDL C), high triglycerides, high blood pressure
abdominal obesity), when selecting those with at least three. Studies suggest that some combinations have
different cardiovascular risk. However evaluation of all 16 combinations is complex difficult to interpret. The
purpose of this study is to describe explore a classification of MS groups according to their lipid alterations.
Methods: This is a cross sectional study with data from the Mexican National Health Nutrition Survey 2006.
Subjects (n = 5,306) were evaluated for the presence of MS; four mutually exclusive MS groups were considered:
mixed dyslipidemia (altered triglycerides HDL C), hypoalphalipoproteinemia: (normal triglycerides but low
HDL C), hypertriglyceridemia (elevated triglycerides normal HDL C) without dyslipidemia (normal triglycerides
HDL C). A multinomial logistic regression model was fitted in order to identify characteristics that were associated
with the groups.
Results: The most frequent MS group was hypoalphalipoproteinemia in females (51.3%) mixed dyslipidemia in
males (43.5%). The most prevalent combination of MS for both genders was low HDL C + hypertension + abdominal
obesity (20.4% females, 19.4% males). The hypoalphalipoproteinemia group was characteristic of women less
developed areas of the country. The group without dyslipidemia was more frequent in the highest socioeconomic
level less prevalent in the south of the country. The mixed dyslipidemia group was characteristic of men, the
Mexico City region.
Conclusions: A simple system to classify MS based on lipid alterations was useful to evaluate prevalences by diverse
biologic sociodemographic characteristics. This system may allow prevention early detection strategies with
emphasis on population specific components may serve as a guide for future studies on MS cardiovascular risk.
Fecha de publicación
9 de febrero de 2018 9 de febrero de 2018 16 de agosto de 2017 2014
Tipo de publicación
Artículo
Recurso de información
http://repositorio.insp.mx:8080/jspui/handle/20.500.12096/6913
http://doi.org/DOI: 10.1186/1471-2458-14-1056
siid.insp.mx:1001-72
Formato
application/pdf
application/pdf
Idioma
Español
Cobertura
Internacional
Repositorio Orígen
Repositorio Institucional Abierto de Conocimiento en Salud Pública
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