[Metabolic syndrome. Some specifics of diagnosis for cardiovascular prevention]. / Sindromul metabolic. Particularitati de diagnostic în preventia cardio-vasculara la obezi.

AIM OF THE STUDY: To analyse obesity and metabolical complications (cardiovascular disease) in an obese population, Iasi county compared to the nonobese population of the same locality. MATERIAL AND METHOD: Cross-sectional study on two groups: group 1--the witness group--48 cases normal weight and group 2--the study group--50 obese patients. RESULTS AND CONCLUSIONS: High values of abdominal perimeter (AP) associate with high glycemia, high triglycerides and low HDL-col in obese patients; higher evidence of X syndrome elements association in the obese population; higher global risk for the obesity in modern life conditions; teenagers obesity trigger are small birthweight and perinatal malnutrition in 30% of cases.

[Dietary survey in an obese population]. / Ancheta alimentara într-o populatie obeza.

The body mass index (BMI) shows a rate of 17.4% patients suffering from first degree fatness and 56.5% from second degree fatness. The frequency of the illness increases with age, the differences established being statistically important for a p of 0.001. 45.6% persons were diagnosed with HTA, with differences statistically important at a p of 0.01, so the number of cases increases with age. The same situation is to be found in cardiovascular illnesses (angina pectoris, ischaemic cardiopathy). The high level of cholesterol is more frequent at older people, and still the differences established are statistically not significant. In these conditions, the diet must be adapted to the patient's condition. A comparative study was made on groups of age, using the following groups of food: cereal derivatives, vegetables, fruits, dairy product, meat, fish. In most of the cases, the differences established are statistically not significant. So, even if the diagnosis is known, the patient doesn't give up his eating habits.

[Prevalence of type 2 diabetes mellitus in an internal medicine ambulatory care department]. / Prevalenta diabetului zaharat tip 2 în ambulatorul de medicina interna.

The aim of the study was to evaluate Glico regulation disturbances prevalence (glycemia over 126 mg/dl). We analyzed, in a retrospective study, 3051 patients hospitalized in Internal Medicine Ambulatory Care Department, "St. Spiridon" Hospital, during a period of two years, 2000-2001. Our department was design for one-week spitalization for diagnostic, so the patients are not on emergency condition. The medium age was 53 +/- 3 years, 24% males, and 76% females. We were looking for clinical and biological criteria of diabetes and co-morbidities (hypertension, dyslipidemias, ischaemic heart diseases). We also studied symptoms of admission and complications as infections. We found a jeune glycemia l126 mg/dl on 151 cases, 4.8% of total cases, predominantly women, 88 cases (58.3%), 63 males (41.7%). 44 cases were less than 50 years old and the rest over, 107 cases (70%). We excluded type 1 diabetes mellitus already known. The evaluation of BMI shows us the predominance of overweight and obesity (83.44%), 126 cases. 125 cases had cholesterol level over 200 mg/dl, 82.78%, and only 26 cases had lower. From these, 32% had triglycerides > 150 mg/dl. Study of co-morbidities revealed 42 cases with normal arterial tension, the rest had arterial hypertension, ischaemic heart diseases, 109 cases, 72.18%. More than a half had infections, especially urinary and pulmonary. Admission had relevant accuses: 34.27% came for diabetes suspicions, 28.31% had cardiovascular diseases, 12.36% had symptoms which were relevant for diabetes. We concluded that from the group of patients that are searching for diagnostic, on an internal medicine department, 4.8% had type 2 diabetes. We underline strong association with dyslipidemia and obesity.

[Obesity prevalence in Iasi county]. / Prevalenta obezitatii în judetul Iasi.

UNLABELLED: Our study is a part of a national study initiated by ARSO (Romanian Association for Study of Obesity). We selected a statistically representative sample (1500 cases). Study was built upon a questionnaire, made by primary care physicians. Anthropometrical data evaluated the obesity (weight, waist circumference and body mass index, BMI) and we considered associated risk factors (cholesterol levels, diabetes, and hypertension). BMI, more than 25 and 30, defines overweight and obesity. Waist more than 80 cm, for women and 94 cm for men, was considered abdominal obesity. Prevalence of obesity was globally 28.69%, by BMI and abdominal obesity, 57.87%. Non-obese cases are mostly on 20-29 years (2:1), both sex and 30-39 years, mostly on women. After these decades, percents for overweight and obesity are, constantly, more on women (48%) than men (31.03%). Abdominal obesity rises constantly with age, between 42.8% and 73.04%. A lot of patient didn't know theirs cholesterol values, over 25%. The highest percent of high cholesterol is located on 50-59 years (42%) and 35.63% on previous decade. High number of menopausal women can explain this. CONCLUSIONS: 1. We consider a high prevalence of obesity, 28.69%, predominant on women and aged persons. 2. Abdominal obesity has higher prevalence, 57.87%. 3. There are multiple risk factors, especially on 50-59 years decades but are not searched sufficiently.

[Importance of mild dyslipidemias determining the cardio-vascular risk factors]. / Rolul dislipidemiilor medii ca factor de risc cardio-vascular.

The aim of our study was to correlate "medium" dyslipidemias with cardio-vascular diseases, especially essential hypertension (EHT). We selected 488 cases using randomization, from a population of hypertensive people. About 210 cases benefited by lipidograms and risk assessment, using special diagrams. When cholesterol was 200-250 mg/dl, 72% of cases had EHT and over 300 mg/dl, 57% had EHT. Comparing LDL chol with EHT, we obtained that arterial tension over 160 mmHg is correlated with LDL over 190 mg/dl on 12%, when LDL was less than 190 mg/dl but more than 150 mg/dl, we found EHT on 16% cases. EHT was very strong correlated with HDL < 40 mg/dl, 88%. On 5% of cases the only one dyslipidemia was marked by low HDL chol and all this cases had EHT. A particular risk was represented by the dyslipidemia with low HDL chol and high triglycerides (28% of cases). We concluded that the highest prevalence was for medium hypercholesterolemia with/or low HDL chol and, the same time, extreme values had comparable prevalences with medium values.