The association between metabolic syndrome and coronary artery disease in Jordan
Yousef S Khader1, Basheer Khasawneh, Ammar K Daoud
1Department of Community Medicine, Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science & Technology, Irbid 22110, Jordan. yousef.k@excite.com
Insights
Metabolic syndrome (MeS) significantly increases the likelihood of coronary artery disease (CAD) in Jordan. Identifying MeS is crucial for targeted cardiovascular risk reduction strategies in the Jordanian population.
Area of Science:
- Cardiology
- Metabolic Disorders
- Public Health
Background:
- High prevalence of metabolic syndrome (MeS) and its components noted in Jordan.
- Limited data existed on the association between MeS and coronary artery disease (CAD) in the Jordanian population.
- This study addresses the gap in understanding the MeS-CAD relationship in Jordan.
Purpose of the Study:
- To investigate the association between metabolic syndrome (MeS) and coronary artery disease (CAD) among Jordanians.
- To quantify the risk of CAD in individuals with MeS in Jordan.
Main Methods:
- A case-control study design was employed.
- Included 269 CAD patients (cases) and 1026 subjects without CAD (controls).
- MeS diagnosis followed National Cholesterol Education Program (NCEP) Adult Treatment Panel (ATP) III criteria.
Main Results:
- Metabolic syndrome (MeS) was present in 65.1% of CAD patients versus 44.0% of controls (p<0.0005).
- Individuals with MeS had nearly double the odds of having CAD (OR = 1.94, 95% CI: 1.29-2.93, p=0.002) after multivariate adjustment.
- A dose-response relationship was observed, with more metabolic abnormalities correlating with higher CAD risk.
Conclusions:
- Metabolic syndrome (MeS) is significantly associated with coronary artery disease (CAD) in the Jordanian population.
- High prevalence of MeS underscores its clinical importance in identifying individuals at elevated cardiovascular risk.
- Early identification of MeS can guide interventions to reduce cardiovascular risk in Jordan.
Background:
Previous studies in Jordan showed a considerably high prevalence of metabolic syndrome (MeS) and its individual components. However, data about the association between MeS and coronary artery disease (CAD) in Jordan are lacking. Therefore, this study aimed to determine the association between MeS and CAD among Jordanians.
Methods:
This case-control study included 269 patients diagnosed with CAD and 1026 subjects without CAD. Data collected from cases and controls included socio-demographic and clinical characteristics and anthropometric measurements. Patients were diagnosed with MeS based on the criteria of the National Cholesterol Education Program (NCEP) adult treatment panel (ATP) III.
Results:
MeS was present in 65.1% of patients with CAD and in 44.0% of those with no CAD (p<0.0005). After adjusting for the important variables in the multivariate analysis, those with MeS were twice more likely to have CAD (OR = 1.94, 95% CI: 1.29, 2.93, p = 0.002) compared to those without MeS. The number of metabolic abnormalities was significantly associated with CAD, when it substituted MeS in the regression model, with a higher number of MeS components led to greater odds for CAD.
Conclusions:
The MeS, which occurs very frequently in the general population, is associated with CAD in Jordan. The identification of subjects with the MeS is conceivably useful from a clinical standpoint, as it can be anticipated that these individuals should benefit from interventions aimed at reducing cardiovascular risk.
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