1. Metabolic Syndrome in Polish Ischemic Stroke Patients.
- Author
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Brola W, Sobolewski P, Fudala M, Goral A, Kasprzyk M, Szczuchniak W, Pejas-Dulewicz R, and Przybylski W
- Subjects
- Adult, Aged, Aged, 80 and over, Blood Pressure, Body Mass Index, Cholesterol, HDL, Cross-Sectional Studies, Female, Humans, Logistic Models, Male, Middle Aged, Poland epidemiology, Prevalence, Triglycerides, Brain Ischemia complications, Metabolic Diseases epidemiology, Metabolic Diseases etiology, Stroke complications, Stroke epidemiology, Stroke etiology
- Abstract
Background: Metabolic syndrome (MetS) predisposes individuals to cardiovascular disease or stroke development. We aimed at evaluating the prevalence of MetS in a population of acute ischemic stroke (IS) patients from central Poland and at estimating the relationship between MetS and stroke risk., Methods: We analyzed 672 IS patients who were consecutively admitted to stroke units. The control group was composed of 612 patients with other neurologic disorders. MetS was diagnosed if 3 of 5 factors were present (obesity, increased blood pressure, increased triglycerides, low high-density lipoprotein [HDL] cholesterol, and fasting hyperglycemia) according to the Unified Criteria for Clinical Diagnosis of the Metabolic Syndrome (2009)., Results: MetS was diagnosed in 61.2% of stroke patients versus 18.1% of the control group (P < .001). Multiple logistic regression showed that MetS was 1.8 times more common in women than in men (odds ratio [OR], 1.8; 95% confidence interval [CI], 1.4-2.5). The adjusted OR (95% CI) associated with MetS was 2.44 (1.48-3.64; P < .001) for IS. Hypertension and hypertriglyceridemia were the most frequent disturbances of IS patients (87.2% and 68.2%, respectively). The analysis of the interaction between MetS and its components showed significant associations with hypertension (OR, 2.15; 95% CI, .98-4.24; P < .01), high triglyceride levels (OR, 4.35; 95% CI, 2.87-9.43; P < .0001), and low HDL cholesterol levels (OR, 5.12; 95% CI, 3.15-8.20; P < .001)., Conclusions: Over 60% of Polish IS patients have MetS. The prevalence of MetS was significantly higher in women than in men. Thus, MetS may be a risk factor for IS., (Copyright © 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved.)
- Published
- 2015
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