Prevalencia de dislipidemias en una población de sujetos en apariencia sanos y su relación con la resistencia a la insulina / Dyslipidemia prevalence and its relationship with insulin resistance on a population of apparently healthy subjects
Salud pública Méx
;
50(5): 375-382, sept.-oct. 2008. tab
Article
in Spanish
| LILACS
| ID: lil-494722
RESUMEN
OBJETIVO: Conocer la prevalencia de las dislipidemias en una población de sujetos en apariencia sanos y su relación con la resistencia a la insulina (RI). MATERIAL Y MÉTODOS: Este es un estudio transversal que incluyó a 1 179 individuos, donadores voluntarios de 35 a 65 años. Se obtuvo el historial clínico y se realizaron examen físico, determinación del perfil de lípidos, glucemia y niveles de insulina en ayuno. RESULTADOS: La edad promedio fue de 44 ± 7 años; 836 (71 por ciento) correspondían al género masculino. La prevalencia de hipertrigliceridemia fue de 57.3 por ciento, hipoalfalipoproteinemia de 52.4 por ciento e hipercolesterolemia de 48.7 por ciento. De los sujetos con obesidad (perímetro de cintura aumentado), 36.8 por ciento tenía hipertrigliceridemia/hipoalfalipoproteinemia, 35.2 por ciento dislipidemia mixta y 33.4 por ciento hipertrigliceridemia. La prevalencia de los patrones de dislipidemias fue mayor en sujetos con RI. CONCLUSIONES: La hipertrigliceridemia e hipoalfalipoproteinemia, vinculadas con RI, son comunes en la población mexicana; empero, una considerable proporción de casos carece de diagnóstico.
ABSTRACT
OBJECTIVE: Evaluate dyslipidemia prevalence and its association with insulin resistance in a cohort of apparently healthy subjects. MATERIAL AND METHODS: A cross-sectional study was conducted with 1 179 donors ages 35 to 65 years. The sample population was comprised of 71 percent men, with an average age of 44 ± 7. Clinical records, anthropometric data, lipid profile, fasting glycaemia, and insulin levels were obtained. RESULTS: Prevalence of hypertriglyceridemia was 57.3 percent, C-HDL under normal limits was 52.4 percent, and hypercholesterolemia was 48.7 percent. In addition, 36.8 percent of the obese individuals (as measured by waist perimeter) had hypertriglyceridemia/hypoalphalipoproteinemia, 35.2 percent had mixed dyslipidemia, and 33.4 percent had hypertriglyceridemia. Patterns of dyslipidemia were higher in subjects diagnosed with insulin resistance. CONCLUSIONS: Insulin resistance associated with hypertriglyceridemia and hypoalphalipoproteinemia was common among our studied population. However, a significant proportion of cases of apparent healthy individuals continue to go undiagnosed.
Full text:
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Index:
LILACS (Americas)
Main subject:
Insulin Resistance
/
Dyslipidemias
Type of study:
Diagnostic study
/
Etiology study
/
Incidence study
/
Observational study
/
Prevalence study
/
Risk factors
/
Screening study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Country/Region as subject:
Mexico
Language:
Spanish
Journal:
Salud pública Méx
Journal subject:
Public Health
Year:
2008
Type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
Centro Médico Nacional Siglo XXI/MX
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