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Robles Pérez-Monteoliva, J. Blanco Aparicio, A. Arias Senso, F. Parralejo Cano, M. Díez García, F. Galindo Tobal, N. Sánchez Santos, M.L. Martínez Llarena, J.A. de la Peña Ruiz, J.F. Pérez Gastán, M. Amaro Lijarcio, J. Félix Redondo, E. Angulo Yuste" "autores" => array:14 [ 0 => array:1 [ "colaborador" => "Grupo extremeño de medición de la tensión arterial:" ] 1 => array:2 [ "nombre" => "N.R." "apellidos" => "Robles Pérez-Monteoliva" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Blanco Aparicio" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Arias Senso" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Parralejo Cano" ] 5 => array:2 [ "nombre" => "M." "apellidos" => "Díez García" ] 6 => array:2 [ "nombre" => "F." "apellidos" => "Galindo Tobal" ] 7 => array:2 [ "nombre" => "N." "apellidos" => "Sánchez Santos" ] 8 => array:2 [ "nombre" => "M.L." "apellidos" => "Martínez Llarena" ] 9 => array:2 [ "nombre" => "J.A." "apellidos" => "de la Peña Ruiz" ] 10 => array:2 [ "nombre" => "J.F." "apellidos" => "Pérez Gastán" ] 11 => array:2 [ "nombre" => "M." "apellidos" => "Amaro Lijarcio" ] 12 => array:2 [ "nombre" => "J." "apellidos" => "Félix Redondo" ] 13 => array:2 [ "nombre" => "E." "apellidos" => "Angulo Yuste" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1889183704718255?idApp=UINPBA00004N" "url" => "/18891837/0000002100000007/v1_201307261603/S1889183704718255/v1_201307261603/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Síndrome metabólico y enfermedad cardiovascular en población diabética asistida en Atención Primaria" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "339" "paginaFinal" => "346" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "F. Martín Luján, B. Costa Pinel, J.J. Cabré Vila, J. Basora Gallisà, J.L. Piñol Moreso, R. Solà Alberich" "autores" => array:7 [ 0 => array:4 [ "nombre" => "F." "apellidos" => "Martín Luján" "email" => array:1 [ 0 => "fmartin.tarte.ics@gencat.net" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "B." "apellidos" => "Costa Pinel" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 2 => array:3 [ "nombre" => "J.J." "apellidos" => "Cabré Vila" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "J." "apellidos" => "Basora Gallisà" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "J.L." "apellidos" => "Piñol Moreso" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "R." "apellidos" => "Solà Alberich" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 6 => array:1 [ "colaborador" => "Grupo de Investigación sm/itg (Reus-Tarragona)" ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Servicio de Atención Primaria Reus-Altebrat. Reus. España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Universidad Rovira i Virgili. Reus. España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Unidad de Diabetes. Centre de Diabetis Salou. Tarragona. España" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Hospital Universitario Sant Joan. Reus. España" "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio de Atención Primaria Reus-Altebrat. Institut Català de la Salut. Camí de Riudoms, 53-55. 43202 Reus. Tarragona. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Metabolic syndrome and cardiovascular disease in the Primary Care treated diabetic population" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-12-09" "fechaAceptado" => "2004-05-03" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec218830" "palabras" => array:4 [ 0 => "diabetes" 1 => "síndrome metabólico" 2 => "resistencia a la insulina" 3 => "enfermedad cardiovascular" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec218829" "palabras" => array:4 [ 0 => "diabetes" 1 => "metabolic syndrome" 2 => "insulin resistance" 3 => "cardiovascular disease" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Estimar la prevalencia del síndrome metabólico (SM) y de enfermedad cardiovascular asociada en población diabética asistida en Atención Primaria en comparación con la población libre de diabetes.</p> <span class="elsevierStyleSectionTitle">Diseño y ámbito</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Diseño y ámbito: estudio observacional, transversal y multicéntrico (10 centros) en Atención Primaria. Mediciones e intervenciones: muestreo sistemático entre los sujetos de 15 a 74 años atendidos durante el año 2001 (error ?: 0,05; precisión: 1%; prevalencia de diabetes: 6%-7%). Se registraron datos demográficos y antropométricos (edad, sexo e índice de masa corporal), factores de riesgo y episodios confirmados de enfermedad cardiovascular en cualquiera de sus formas. Se determinó presión arterial, glucemia basal, glucohemoglobina A1c, perfil lipídico (colesterol total, c-HDL, c-LDL y triglicéridos) y microalbuminuria, calculando el riesgo cardiovascular teórico mediante la ecuación de Framingham.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se revisaron datos de 2.222 sujetos (1.181 mujeres; 53,2 %) con 49,8±18,4 años de edad media, 702 (31,6%) con hipertensión, 499 (22,4 %) con dislipidemia, 453 (20,4%) fumadores activos y 235 (10,6 %) con diabetes mellitus. Entre estos últimos, 154 (65,5 %) presentaron criterios de SM (criterios OMS), con un riesgo cardiovascular promedio de 20,2± 7,8 frente a 7,0 ± 7,0 de la población sin diabetes ni SM (p<0,001). La prevalencia de enfermedad cardiovascular fue del 5,2 % en los sujetos sin diabetes frente al 21,0 % de los diabéticos y al 29,9 % del SM (p < 0,001). La odds ratio para la presencia de enfermedad cardiovascular asociada al SM fue 5,0 (3,29-7,61).</p> <span class="elsevierStyleSectionTitle">Discusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En población asistida en Atención Primaria la prevalencia del SM asociado a la diabetes es muy elevada, comportando un incremento significativo tanto del riesgo como de la enfermedad cardiovascular.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To estimate the prevalence of metabolic syndrome (MS) and associated cardiovascular disease in a primary care treated diabetic population, in comparison to that in a non-diabetic population.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Design and site: multi-center observational and cross-sectional study (10 centers) within Primary Care. Measurements and interventions: systematic sampling among subjects from 15 to 74 years of age, attended to during the year 2001 (error ?: 0.05; precision: 1 %; prevalence of diabetes: 6-7 %). Information regarding demographics, anthropometrics (age, sex and body mass index), risk factors and confirmed episodes of any form of cardiovascular disease was gathered. All of the following were determined: blood pressure, basal glycemia values, glycohemoglobin A1c levels, lipid profile (total cholesterol, c-HDL, c-LDL and triglycerides) and presence of microalbuminuria. Theoretical cardiovascularrisk was calculated by means of Framingham’s equation.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">There was checked information pertaining to 2,222 subjects (1,181 women; 53.2 %), of median age 49.8 ± 18.4 years old, 702 (31.6%) with hypertension, 499 (22.4%) with dyslipemia, 453 (20.4 %) active smokers and 235 (10.6 %) with diabetes mellitus. Among the latter, 154 (65.5 %) presented criteria for MS (WHO criteria) and had an average cardiovascular risk of 20.2 ±7.8, as opposed to 7.0 ± 7.0 in the population with neither diabetes nor MS (p < 0.001). The prevalence of cardiovascular disease was 5.2 % in non-diabetic subjects, as opposed to 21.0 % of diabetics and 29.9 % of those with MS (p < 0.001). The odds ratio for presence of cardiovascular disease associated with MS was 5.0 (3.29-7.61).</p> <span class="elsevierStyleSectionTitle">Discussion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">In the Primary Care treated population, the prevalence of MS associated with diabetes is quite high and implies a significant increase in both risk and occurrence of cardiovascular disease.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:35 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Guide to primary prevention of cardiovascular diseases. A statement for healthcare professionals from the task force on risk reduction. 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Journal Information
Síndrome metabólico y enfermedad cardiovascular en población diabética asistida en Atención Primaria
Metabolic syndrome and cardiovascular disease in the Primary Care treated diabetic population
F. Martín Lujána,b,
, B. Costa Pinela,c, J.J. Cabré Vilaa, J. Basora Gallisàa, J.L. Piñol Moresoa, R. Solà Alberichb,d, Grupo de Investigación sm/itg (Reus-Tarragona)
Corresponding author
fmartin.tarte.ics@gencat.net
Correspondencia: Servicio de Atención Primaria Reus-Altebrat. Institut Català de la Salut. Camí de Riudoms, 53-55. 43202 Reus. Tarragona. España.
Correspondencia: Servicio de Atención Primaria Reus-Altebrat. Institut Català de la Salut. Camí de Riudoms, 53-55. 43202 Reus. Tarragona. España.