ABSTRACT
Morbidity and mortality due to ischemic heart disease (IHD) is subject to wide geographic variation both between and within countries. The aim of this study was to determine whether geographic variations exist in the prevalence of metabolic syndrome in the Spanish working population or in its relationship with IHD mortality. We analyzed clinical and laboratory data obtained during health check-ups carried out in Spanish workers (n=17,837) during 2003. The prevalence of metabolic syndrome was 17% in men and 6.5% in women. However, there was a heterogeneous distribution across the different regions studied. The prevalence in southern and western regions (e.g., in men: 22.15% in Extremadura and 20.6% in Galicia) was double that observed in central and northern zones (e.g., in the Basque Country and Castile and León). This research indicates that there is a significant association between IHD mortality and the prevalence of metabolic syndrome in workers from different Spanish regions.
Subject(s)
Metabolic Syndrome/complications , Myocardial Ischemia/complications , Myocardial Ischemia/mortality , Adult , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Spain/epidemiologyABSTRACT
La mortalidad y morbilidad de la cardiopatía isquémica siguen una distribución geográfica heterogénea entre diferentes países e incluso dentro de cada país. El objetivo del presente estudio es analizar si hay diferencias en la distribución geográfica del síndrome metabólico en la población laboral española y su relación con la mortalidad por cardiopatía isquémica. Analizamos datos clínicos y analíticos (n = 17.837) procedentes de los exámenes de salud realizados a trabajadores durante el año 2003. La prevalencia del síndrome metabólico es del 17% en varones y el 6,5% en mujeres. Sin embargo, su distribución es heterogénea en las diferentes comunidades estudiadas. Las regiones del sur y el oeste muestran prevalencias (Extremadura, 22,15%; Galicia, 20,6% en varones) que duplican las de las zonas del centro y el norte: País Vasco y Castilla y León. Nuestro trabajo señala una asociación significativa entre la mortalidad por cardiopatía isquémica y la frecuencia de síndrome metabólico en trabajadores de las diferentes provincias españolas (AU)
Morbidity and mortality due to ischemic heart disease (IHD) is subject to wide geographic variation both between and within countries. The aim of this study was to determine whether geographic variations exist in the prevalence of metabolic syndrome in the Spanish working population or in its relationship with IHD mortality. We analyzed clinical and laboratory data obtained during health check-ups carried out in Spanish workers (n=17,837) during 2003. The prevalence of metabolic syndrome was 17% in men and 6.5% in women. However, there was a heterogeneous distribution across the different regions studied. The prevalence in southern and western regions (e.g., in men: 22.15% in Extremadura and 20.6% in Galicia) was double that observed in central and northern zones (e.g., in the Basque Country and Castile and León). This research indicates that there is a significant association between IHD mortality and the prevalence of metabolic syndrome in workers from different Spanish regions (AU)
