Prevalence of metabolic syndrome among Hispanics/Latinos of diverse background: the Hispanic Community Health Study/Study of Latinos.

Prevalence of metabolic syndrome among Hispanics/Latinos of diverse background: the Hispanic Community Health Study/Study of Latinos.
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DOI:
10.2337/dc13-2505
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发表时间:
2014-08
期刊:
影响因子:
16.2
通讯作者:
Avilés-Santa L
Avilés-Santa L
中科院分区:
医学1区
文献类型:
--
作者:
Heiss G;Snyder ML;Teng Y;Schneiderman N;Llabre MM;Cowie C;Carnethon M;Kaplan R;Giachello A;Gallo L;Loehr L;Avilés-Santa L

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大约三分之一的美国成年人患有代谢综合征。其患病率在西班牙裔成年人中最高,但西班牙裔/拉丁裔背景的差异尚不清楚。我们的目的是量化不同西班牙裔/拉丁裔背景的18-74岁男性和女性中代谢综合征的患病率。美国四个地区的家庭的两阶段区域概率样本,产生16,319名成年人(52%女性),他们自认为是古巴人,多米尼加人,墨西哥人,波多黎各人,中美洲人或南美洲人。根据美国心脏协会/国家心肺血液研究所2009年联合科学声明定义代谢综合征。主要结果指标为根据美国心脏协会/国家心肺血液研究所统一定义的代谢综合征年龄标准化患病率及其组分异常。36%的女性和34%的男性患有代谢综合征。年龄、性别和西班牙裔/拉丁裔背景的年龄标准化患病率存在差异。在18-44岁、45-64岁和65-74岁的人群中,女性代谢综合征的患病率分别为23%、50%和62%;男性分别为25%、43%和55%。在女性中,代谢综合征的患病率从南美的27%到波多黎各的41%不等。在男性中,患病率从南美的27%到古巴的35%不等。在代谢综合征患者中,96%的女性存在腹部肥胖,而男性为73%;男性(73%)比女性(62%)更多地患有高血糖症。西班牙裔/拉丁裔的心脏代谢异常负担较高,但因年龄、性别和西班牙裔/拉丁裔背景而异。因此,西班牙裔/拉美裔人的糖尿病及其心血管后遗症的预测终生风险增加,但可以改变。
Approximately one-third of the adult U.S. population has the metabolic syndrome. Its prevalence is the highest among Hispanic adults, but variation by Hispanic/Latino background is unknown. Our objective was to quantify the prevalence of the metabolic syndrome among men and women 18–74 years of age of diverse Hispanic/Latino background. Two-stage area probability sample of households in four U.S. locales, yielding 16,319 adults (52% women) who self-identified as Cuban, Dominican, Mexican, Puerto Rican, Central American, or South American. The metabolic syndrome was defined according to the American Heart Association/National Heart, Lung, and Blood Institute 2009 Joint Scientific Statement. The main outcome measures were age-standardized prevalence of the metabolic syndrome per the harmonized American Heart Association/National Heart, Lung, and Blood Institute definition and its component abnormalities. The metabolic syndrome was present in 36% of women and 34% of men. Differences in the age-standardized prevalence were seen by age, sex, and Hispanic/Latino background. The prevalence of the metabolic syndrome among those 18–44, 45–64, and 65–74 years of age was 23%, 50%, and 62%, respectively, among women; and 25%, 43%, and 55%, respectively, among men. Among women, the metabolic syndrome prevalence ranged from 27% in South Americans to 41% in Puerto Ricans. Among men, prevalences ranged from 27% in South Americans to 35% in Cubans. In those with the metabolic syndrome, abdominal obesity was present in 96% of the women compared with 73% of the men; more men (73%) than women (62%) had hyperglycemia. The burden of cardiometabolic abnormalities is high in Hispanic/Latinos but varies by age, sex, and Hispanic/Latino background. Hispanics/Latinos are thus at increased, but modifiable, predicted lifetime risk of diabetes and its cardiovascular sequelae.
DOI: 10.1161/circgenetics.111.961482
发表时间: 2012-04-01
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发表时间: 2000-07-11
期刊: CIRCULATION
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发表时间: 2008-04-01
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发表时间: 2008-04-15
影响因子: 5
作者:
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通讯作者: Criqui, Michael H.