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Author Spotlight: Assessing the Cardiovascular Profile of Patients with Metabolic Syndrome
Published on: September 27, 2024
Cardiovascular risk factors in diabetic patients with and without metabolic syndrome: a study based on the Rafsanjan
Gholamreza Bazmandegan1,2, Mitra Abbasifard3,4, Ali Esmaeili Nadimi3,4
1Clinical Research Development Unit, Ali-Ibn Abi-Talib Hospital, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Insights
Cardiovascular disease (CVD) risk factors are highly prevalent in people with diabetes mellitus (DM). Metabolic syndrome (MtS) affects 80% of diabetic patients, with smoking and alcohol consumption linked to its development.
Area of Science:
- Endocrinology
- Cardiology
- Public Health
Background:
- Cardiovascular disease (CVD) is a major cause of death in diabetes mellitus (DM).
- Identifying CVD risk factors in diabetic patients is crucial for prevention.
- Metabolic syndrome (MtS) is common in DM and linked to increased CVD risk.
Purpose of the Study:
- To determine the prevalence of cardiovascular risk factors in diabetic individuals with and without metabolic syndrome (MtS).
- To identify factors associated with metabolic syndrome in a diabetic population.
Main Methods:
- Cross-sectional study within the Rafsanjan Cohort Study (Persian Cohort).
- Inclusion of 35-70-year-old adults with and without DM and MtS.
- Data collection on CVD risk factors via questionnaire; analysis using SPSS v.22.
Main Results:
- Prevalence of metabolic syndrome (MtS) was 80% (95% CI: 78.1-81.8%) in the studied diabetic population.
- Logistic regression identified smoking, alcohol consumption, and triglycerides as factors associated with MtS.
- High prevalence of cardiovascular risk factors was observed in individuals with DM.
Conclusions:
- Metabolic syndrome is highly prevalent in people with diabetes mellitus.
- Smoking, alcohol consumption, and elevated triglycerides are associated with metabolic syndrome in this population.
- Interventions targeting smoking cessation, reduced alcohol intake, and management of hypertension, hyperlipidemia, and obesity are recommended.
Abstract:
Cardiovascular disease (CVD) is the leading cause of death and disability in people with diabetes mellitus (DM), since finding the correlation between DM and CVD risk factors can be effective in preventing the incidence of morbidity and mortality in patients. This study aimed to determine the prevalence of cardiovascular risk factors in people with and without metabolic syndrome (MtS) in DM. This cross-sectional study was part of the Rafsanjan Cohort Study as part of the comprehensive Persian (Prospective Epidemiological Research Studies in IRAN) on 35-70-year old adults with and without MtS in DM. Indicators of CVD risk factors, including gender, age, blood pressure, dyslipidemia, smoking, alcohol consumption, fasting blood sugar, creatinine, blood urea, waist circumference, body mass index, family history, physical inactivity, and fruit and vegetable consumption, were collected in the Persian Cohort Questionnaire. The data was analyzed by SPSS software version 22. The prevalence of MtS in 1933 participants was estimated to be 80% (95% confidence interval 78.1-81.8%). In the logistic regression model, smoking, alcohol consumption, and triglycerides were identified as the factors associated with MtS. Our results show that, based on our study, the prevalence of cardiovascular risk factors in DM was high. The suggested solutions in this field are to reduce smoking and alcohol consumption, as well as to control hypertension, hyperlipidemia, and being overweight.
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