Burden of metabolic syndrome among primary care patients in Crete, Greece: A descriptive study
Background Metabolic Syndrome (MetS) is a clustering of abdominal obesity, hypertriglyceridaemia, low HDL cholesterol, hyperglycaemia and hypertension. Early identification of MetS is important for preventing cardiovascular disease (CVD). MetS has not been systematically explored in Greek primary ca...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2020-12-01
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| Series: | European Journal of General Practice |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/13814788.2020.1851676 |
| _version_ | 1818676096240975872 |
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| author | Marilena Anastasaki Sophia Papadakis Manolis Linardakis Dimitrios Anyfantakis Emmanouil K. Symvoulakis Christos Lionis on behalf of the Cretan Primary Care Research Group |
| author_facet | Marilena Anastasaki Sophia Papadakis Manolis Linardakis Dimitrios Anyfantakis Emmanouil K. Symvoulakis Christos Lionis on behalf of the Cretan Primary Care Research Group |
| author_sort | Marilena Anastasaki |
| collection | DOAJ |
| description | Background Metabolic Syndrome (MetS) is a clustering of abdominal obesity, hypertriglyceridaemia, low HDL cholesterol, hyperglycaemia and hypertension. Early identification of MetS is important for preventing cardiovascular disease (CVD). MetS has not been systematically explored in Greek primary care. Objectives To examine MetS frequency among primary care patients 40 years of age or older in Crete. Methods A descriptive study was conducted (July–December 2015). General practitioners, randomly selected from regional physician listings, recruited consecutive patients, 40 years of age or older, visiting their practice. Chart audits were completed for eligible patients using medical records, including demographics and cardiovascular risk factors (hypertension, dyslipidaemia, diabetes mellitus). MetS was defined using the revised NCEP ATP III criteria. Frequencies with 95% confidence intervals were calculated. Gender differences were explored using Chi-square and Mann–Whitney tests. Results Our sample consisted of 815 patients (55.7% female; mean age 65.2 years; range 40–98 years) from 44 GP practices. Overall, 73.6% (95% CI 70.4, 76.6) were identified with MetS, with a higher proportion of males (75.6%; 95% CI 71.0, 79.8) than females (72.0%; 95% CI 67.8, 76.0). Among the total sample, relatively high rates of hypertension (males: 64.5%; 95% CI 59.9, 70.0 and females: 61.1%; 95% CI 56.8, 65.8), dyslipidaemia (males: 69.3%; 95% CI 64.3, 74.1 and females: 63.5%; 95% CI 59.3, 68.0), diabetes mellitus (males: 46.9%; 95% CI 42.2, 52.4 and females: 36.5%; 95% CI 32.5, 41.6) and coronary heart disease (males: 21.2%; 95% CI 17.0, 25.2 and females: 6.2%; 95% CI 4.2, 8.6) were documented. Conclusion MetS and CVD risk factors were encountered at high frequencies in the studied population of primary care patients in Crete. |
| first_indexed | 2024-12-17T08:38:02Z |
| format | Article |
| id | doaj.art-a85e702cb22447e983ae1251481ab9de |
| institution | Directory Open Access Journal |
| issn | 1381-4788 1751-1402 |
| language | English |
| last_indexed | 2024-12-17T08:38:02Z |
| publishDate | 2020-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | European Journal of General Practice |
| spelling | doaj.art-a85e702cb22447e983ae1251481ab9de2022-12-21T21:56:26ZengTaylor & Francis GroupEuropean Journal of General Practice1381-47881751-14022020-12-0126116617410.1080/13814788.2020.18516761851676Burden of metabolic syndrome among primary care patients in Crete, Greece: A descriptive studyMarilena Anastasaki0Sophia Papadakis1Manolis Linardakis2Dimitrios Anyfantakis3Emmanouil K. Symvoulakis4Christos Lionis5on behalf of the Cretan Primary Care Research Group6Faculty of Medicine, Clinic of Social and Family Medicine, University of CreteFaculty of Medicine, Clinic of Social and Family Medicine, University of CreteFaculty of Medicine, Clinic of Social and Family Medicine, University of CreteFaculty of Medicine, Clinic of Social and Family Medicine, University of CreteFaculty of Medicine, Clinic of Social and Family Medicine, University of CreteFaculty of Medicine, Clinic of Social and Family Medicine, University of CreteFaculty of Medicine, Clinic of Social and Family Medicine, University of CreteBackground Metabolic Syndrome (MetS) is a clustering of abdominal obesity, hypertriglyceridaemia, low HDL cholesterol, hyperglycaemia and hypertension. Early identification of MetS is important for preventing cardiovascular disease (CVD). MetS has not been systematically explored in Greek primary care. Objectives To examine MetS frequency among primary care patients 40 years of age or older in Crete. Methods A descriptive study was conducted (July–December 2015). General practitioners, randomly selected from regional physician listings, recruited consecutive patients, 40 years of age or older, visiting their practice. Chart audits were completed for eligible patients using medical records, including demographics and cardiovascular risk factors (hypertension, dyslipidaemia, diabetes mellitus). MetS was defined using the revised NCEP ATP III criteria. Frequencies with 95% confidence intervals were calculated. Gender differences were explored using Chi-square and Mann–Whitney tests. Results Our sample consisted of 815 patients (55.7% female; mean age 65.2 years; range 40–98 years) from 44 GP practices. Overall, 73.6% (95% CI 70.4, 76.6) were identified with MetS, with a higher proportion of males (75.6%; 95% CI 71.0, 79.8) than females (72.0%; 95% CI 67.8, 76.0). Among the total sample, relatively high rates of hypertension (males: 64.5%; 95% CI 59.9, 70.0 and females: 61.1%; 95% CI 56.8, 65.8), dyslipidaemia (males: 69.3%; 95% CI 64.3, 74.1 and females: 63.5%; 95% CI 59.3, 68.0), diabetes mellitus (males: 46.9%; 95% CI 42.2, 52.4 and females: 36.5%; 95% CI 32.5, 41.6) and coronary heart disease (males: 21.2%; 95% CI 17.0, 25.2 and females: 6.2%; 95% CI 4.2, 8.6) were documented. Conclusion MetS and CVD risk factors were encountered at high frequencies in the studied population of primary care patients in Crete.http://dx.doi.org/10.1080/13814788.2020.1851676metabolic syndromecardiovascular diseaserisk factorsprimary caregreece |
| spellingShingle | Marilena Anastasaki Sophia Papadakis Manolis Linardakis Dimitrios Anyfantakis Emmanouil K. Symvoulakis Christos Lionis on behalf of the Cretan Primary Care Research Group Burden of metabolic syndrome among primary care patients in Crete, Greece: A descriptive study European Journal of General Practice metabolic syndrome cardiovascular disease risk factors primary care greece |
| title | Burden of metabolic syndrome among primary care patients in Crete, Greece: A descriptive study |
| title_full | Burden of metabolic syndrome among primary care patients in Crete, Greece: A descriptive study |
| title_fullStr | Burden of metabolic syndrome among primary care patients in Crete, Greece: A descriptive study |
| title_full_unstemmed | Burden of metabolic syndrome among primary care patients in Crete, Greece: A descriptive study |
| title_short | Burden of metabolic syndrome among primary care patients in Crete, Greece: A descriptive study |
| title_sort | burden of metabolic syndrome among primary care patients in crete greece a descriptive study |
| topic | metabolic syndrome cardiovascular disease risk factors primary care greece |
| url | http://dx.doi.org/10.1080/13814788.2020.1851676 |
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