Journal du syndrome métabolique

Prevalence of Metabolic Syndrome in Hospitalized Patients in Two Cardiology Wards

Abstract

R Ostovar, A Rohani, M Fararooi and M Moosavi

Introduction: To the best of our knowledge, there is little data about metabolic syndrome (METS) in hospitalized patients, and we think that the prevalence of syndrome in these patients are higher than normal population, hence we decided to clarify prevalence of this syndrome in this group of patients and compared three criteria of METS definition with each other.
Methods: This study was conducted between January 2009 and December 2010. 194 consecutive patients were enrolled in the study. The diagnoses of the patients were recorded based on their medical charts. The height, weight, body mass index (BMI), waist circumference, blood pressure (BP), High-density lipoprotein (HDL) cholesterol, triglycerides and fasting blood glucose of the subjects were measured. The presence of MetS was determined based on the definitions given by the ATP III-A for Asians, the recent IDF and AHA/NHLBI criteria. Descriptive statistics were computed to describe the demographic and clinical variables.
Results: There were 109 males and 85 females. The MetS was present in 93 of 194 (48.0%) subjects, according to the NCEP-ATPIII (National Cholesterol Education Program Adult Treatment Panel III definition, 100 (51%) according to the IDF definition, and in 102 (52.5%) according to the AHA/NHLBI definition.
Conclusion: Gender (female) and DM were factors significantly associated with the diagnosis of metabolic syndrome. Taking the general population as a reference in this geographic area (25% vs. 48% p=0.01), this value is also elevated. We also recommend using AHA/NHLBI criteria for hospitalized patients.