RISS 검색 - 국내학술지논문 상세보기

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Background: The metabolic syndrome (MetS) is a cluster of cardiovascular risk factors: diabetes, hyperlipidemia and high blood pressure. People with MetS are twice as likely to die from and three times as likely to have a heart attack or stroke compared with people without. Our objective was to observe the frequency of MetS in patients with type 2 diabetes mellitus (DM) and with hypertension. Methods: A cross-sectional study conducted at lbnseena Hospital, Mukalla, Hadhramout, Republic of Yemen from 04/2012 to 02/2013. Two hundreds of type 2 DM and 200 hypertensive cases were included; MetS was estimated according to International Diabetes Federation (IDF) criteria. Results: diabetic patients, 92 were males and 108 females, hypertensive patients 109 were males and 91 females. In diabetics, 130 (65%) had MetS (58.2±10.4years), 57 were males and 73 females. In hypertensive cases, 109 (54.5%) had MetS (57.9±9.2 years), 56 were males and 57 females. Waist circumference was 98.7±6.7 cm in diabetics and 98.7±6.7 cm in hypertensive. In MetS Triglycerides was 152±13.4mg/ dl in diabetics and 154±13.2mg/dl in hypertensive and both were significantly higher in MetS patients. Serum HDL-C was significantly lower in MetS cases, 40.3±8.5mg/ dl in diabetics and 40.9±8.4mg/dl in hypertensive. Increased waist circumference was present in all MetS cases, hypertension in 81.5% in diabetics and DM in 92.7% of hypertensive. Low HDL-C in 62.3% of diabetics and 66.1% of hypertensive, high triglycerides in 57.7% of diabetics and 54.1% of hypertensive. 24.6% of diabetics and 11% of hypertensive were having three criteria, 48.5% of diabetics and 58.7 of hypertensive with four, and 26.9% of diabetics and 30.3% of hypertensive with all criteria.. Conclusions: Metabolic syndrome is common among type 2 diabetic and hypertensive patients in our province; Hadhramout. Most patients were having more than three IDF criteria.