Revista Española de Cardiología (English Edition) Revista Española de Cardiología (English Edition)
Rev Esp Cardiol. 2008;61:1150-8 - Vol. 61 Num.11 DOI: 10.1016/S1885-5857(09)60029-3

Prevalence of Obesity, Diabetes, Hypertension, Hypercholesterolemia and Metabolic Syndrome in Over 50-Year-Olds in Sanlúcar de Barrameda, Spain

Alejandro López Suárez a, Javier Elvira González a, Manuel Beltrán Robles a, Michael Alwakil b, Juan Manuel Saucedo b, Antonio Bascuñana Quirell a, Miguel A Barón Ramos a, Fernando Fernández Palacín c

a Servicio de Medicina Interna, Hospital Virgen del Camino, Sanlúcar de Barrameda, Cádiz, Spain
b Servicio de Urgencias, Hospital Virgen del Camino, Sanlúcar de Barrameda, Cádiz, Spain
c Estadística e I.O. Facultad de Ciencias del Mar y Ambientales, Universidad de Cádiz, Cádiz, Spain

Keywords

Obesity. Diabetes. Hypertension. Hypercholesterolemia. Metabolic syndrome.

Abstract

Introduction and objectives. The Spanish province of Cadiz has some of the poorest socioeconomic conditions and the highest cardiovascular morbidity and mortality rates in the country. The aim of this study was to investigate the prevalence of cardiovascular risk factors in the adult population of the city of Sanlucar de Barrameda in Cadiz. Methods. This cross-sectional population-based study involved 858 randomly selected individuals aged 50-75 years. Age- and sex-adjusted prevalences of the main cardiovascular risk factors were obtained. Results. The mean age of the study population was 61.5 years and 53.6% were women. Overall, 46% of men and 61.7% of women were illiterate; 23.7% and 7.9%, respectively, were current smokers; 30.9% and 44.8% had a sedentary lifestyle; 54% and 55.9% were obese; 29.4% and 26.1% had diabetes; 45% and 52.4% had hypertension; 40.9% and 45.1% had hypercholesterolemia; and 58.8% and 57% had metabolic syndrome as defined by NCEP/ATP-III criteria. The prevalence of all cardiovascular risk factors, except smoking, increased with age. Significant inverse associations were observed between educational level and obesity in men and between educational level and diabetes and metabolic syndrome in women. Conclusions. The prevalence of cardiovascular risk factors in individuals aged 50-75 years in Sanlucar de Barrameda was extremely high. The prevalences of obesity, diabetes, and metabolic syndrome were among the highest ever reported in Spain. A very low educational level may underlie these adverse findings.

1885-5857/© 2008 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved

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