Prevalência de síndrome metabólica em hipertensos atendidos numa Unidade Básica de Saúde da Família do Nordeste Brasileiro.

Abstract

Th metabolic syndrome (MS) is characterized by a group of metabolic changes that act as risk factors for cardiovascular disease. This work aims to estimate the prevalence of MS and its components in hypertensive patients registered and attended in a Basic Family Health Unit (BFHU) in Campina Grande – PB. The study is cross-sectional, conducted by the application of semi-structured questionnaires and analysis of anthropometric and laboratory data. For diagnosing SM we used the criteria of the International Diabetes Federation (IDF) and the National Cholesterol Education Program - Adult Treatment Panel III (NCEP-III). The sample consisted of 104 people, 25 men and 79 women. The overall prevalence of MS was 52.8% (NCEP-ATPIII) and 58.6% (IDF). Except for high blood pressure, the prevalence of other components in descending order were: abdominal obesity (70.19% by the NCEP criteria and 77.21% by the IDF), glucose abnormalities (47.11%), hypertriglyceridemia (37, 5%) and low levels of HDL-cholesterol (10.57%). There was a higher prevalence of MS and obesity (by NCEP criteria) in females. The kappa index was 0.809, demonstrating almost perfect agreement between the two diagnostic criteria