Prevalência de síndrome metabólica nos pacientes atendidos no ambulatório médico da UNESC

Objetivo: Estimar a prevalencia e verificar o perfil epidemiologico dos pacientes com o diagnostico daSindrome Metabolica, atendidos no Ambulatorio Clinico da Universidade do Extremo Sul Catarinense (UNESC).Metodos: Foi realizado um estudo observacional, descritivo, transversal, numa amostragem de 675 prontuarios para o diagnostico de Sindrome Metabolica pelos criterios do International Diabetes Federation(IDF) que apresentavam pelo menos um criterio para a suspeita clinica. As variaveis analisadas foram: idade,sexo, raca, pressao arterial, diabete melito tipo 2, indice de massa corporal, circunferencia abdominal, colesteroltotal, HDL-colesterol e triglicerideos. Para analise estatistica utilizou-se o teste qui-quadrado ou de Fishere analise de variância (ANOVA One-Way) e teste t-Student, com significância de 5%. Resultados: Cento e cinquenta e sete pacientes (23,2%) preencheram os criterios para o diagnostico de Sindrome Metabolica. Com idade media de 52,4 anos;115 (73,2%) eram mulheres; 85 (54,1%) da raca branca; 98 (63,2%) tinham sobrepeso e obesidade tipo I comincidencia maior nas mulheres (75,6%); circunferencia abdominal media de 98,6 cm nos homens e 103,4 cm nasmulheres; 58 (41,7%) apresentaram HDL-colesterol menor que 40 mg/dL significativamente maior nos homens - p=0,000001); 98,5% apresentaram triglicerideos e” 150 mg/dL; colesterol medio de 230,1 mg/dL nos homens e 199,4 mg/dL( significativamente maior nos homens - p=0,005); 78 (62,3%) com hipertensao arterial sistemica e 60 (38,2%) com diabete melito.(significativamente maior nos homens - p=0,010). Conclusao: Encontramos alta prevalencia de Sindrome Metabolica entre os pacientes atendidos noAmbulatorio Clinico da UNESC (157 pacientes - 23,2%), principalmente em mulheres. Os homens apresentaramsignificância estatistica em relacao ao HDL-colesterol baixo, hipercolesterolemia e diabete melito quando comparado as mulheres. Objective: Estimate the prevalence and verify the epidemiologic profile of patients with Metabolic Syndromereceived in UNESC Clinical Ambulatory (University of Extreme South of Santa Catarina). Methods: It was performed an observational, descriptive and transversal study in a sample of 675 records for diagnose of Metabolic Syndrome by the criterias fromInternational Diabetes Federation (IDF) which showed al least one criteria for the clinical suspected. It was analised age, sex, race, blood pressure, diabetes mellitus type II, body mass index, abdominal circumference, totalcholesterol, HDL-cholesterol and triglycerides levels. For the statistic analysis it was used the chi-square or Fisher test and variable analysis (ANOVA One-Way) e t-Studenttest, with significance of 5%. Results: One hundred and fifty seven patients(23.2)% had diagnose of Metabolic Syndrome. With mean age of 52.4 years old; 115 (73.2%) were women; 85(54.1%) caucasian; 98 (63.2%) had 61.9% had overweight and obesity type I with more incidence in women (75.6%); mean abdominal circumference of 98.6 cm in men and 103.4 cm in women; 58 (41.7%) hadHDL-cholesterol levels lower than 40 mg/L significantly higher in men – p=0.000001); 98.5% presentedtriglycerides e”150 mg/dL; mean cholesterol of 230.1 mg/dL in men and 199.4 mg/dL (significantly higher inmen – p=0.005); 78 (62.3%) with systemic arterial hypertension and 60 (38.2%) with diabetes mellitus(significantly higher in men – p=0.010).Conclusion: We found high prevalence of Metabolic Syndrome in UNESC Clinical Ambulatory (157 patients – 23.2%), mainly in women. Men had statisticsignificance of low HDL-cholesterol,hypercholesterolemia and DM as women.