Prevalence of metabolic syndrome in cardiac rehabilitation/secondary prevention programs.
Prevalence of metabolic syndrome in cardiac rehabilitation/secondary prevention programs.
复制标题
心脏康复/二级预防计划中代谢综合征的患病率。
DOI：
10.1016/j.ahj.2004.07.037
复制
发表时间：
2005
影响因子：
4.8
通讯作者：
Ades,PhilipA
中科院分区：
文献类型：
--
作者：
Savage,PatrickD;Banzer,JohnA;Balady,GaryJ;Ades,PhilipA
代谢综合征（MS）由一组肥胖相关的危险因素组成，这些因素与冠心病（CHD）的发生和进展有关。本研究的目的是检查MS的患病率，如国家胆固醇教育计划高血胆固醇检测、评估和治疗专家小组所定义的，冠心病患者在冠状动脉事件后参加心脏康复（CR）。进入CR的患者中有50%患有MS。女性患有MS的比例显著高于男性（分别为54%和48%，P <0.001）。这是由于女性中腹部肥胖、高甘油三酯和高血压的患病率更高（所有，P <0.05）。在女性中，MS的患病率在第八个十年与第五个十年的男性达到高峰。CONCLUSIONSSThe患病率MS参与CR的冠心病患者是一般人群的两倍以上。MS的患病率较高，女性比男性发生的年龄更大。这项研究强调了CR计划需要制定具体的干预措施，以帮助患者主要通过针对身体活动和体重控制来改变风险因素。
BACKGROUNDMetabolic syndrome (MS) consists of a cluster of obesity-related risk factors that have been linked to the development and progression of coronary heart disease (CHD). The purpose of this study was to examine the prevalence of MS, as defined by the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol, in patients with CHD attending cardiac rehabilitation (CR) after a coronary event.METHODSWe analyzed baseline data of 1912 individuals with established coronary artery disease entering CR in Burlington, Vt, and Boston, Mass.RESULTSOverall, 50% of patients entering CR have MS. A significantly greater percentage of women than men have MS (54% vs 48, respectively, P < .001). This is due to higher prevalence of abdominal obesity, high triglycerides, and hypertension (all, P < .05) in women. In women, the prevalence of MS peaked in the eighth decade vs the fifth decade in men.CONCLUSIONSThe prevalence of MS in patients with CHD participating in CR is greater than twice that of the general population. The prevalence of MS is higher and occurs at an older age in women than men. This study highlights the need for CR programs to develop specific interventions to assist patients with risk factor modification primarily by targeting physical inactivity and weight control.