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Metabolic syndrome is directly associated with low educational

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A study conducted in São Carlos (SP) showed that metabolic syndrome is highly prevalent in the city. In addition, the severity of the problem is directly related to the educational levels of the population.

Metabolic syndrome is a set of cardiovascular risk factors including hyperglycemia - with or without diabetes - hypertension, obesity and increased waist circumference. The city of San Carlos has 220 000 inhabitants and is 230 km from state capital.

The study, by researchers at the Federal University of São Carlos (UFSCar), aired in the online edition and will soon be published in the printed version Brazilian Journal of Medical and Biological Research. The work was supported by FAPESP through the Publication Assistance - Regular.

According to the author of the paper, the endocrinologist Angela Leal, professor in the Department of Medicine, UFSCar, the population-based study involved 1,116 individuals between 30 and 79 years old. The work included collection of blood, blood pressure evaluation and measurement of weight and waist circumference in addition to questionnaires on health and demographic indicators.

Data analysis revealed that the prevalence of metabolic syndrome was 35.7% among men and 38% among women. With the criteria that include abdominal circumference, the prevalence rises to 45.3% among men and 45.5% among women.

The results show that the prevalence of metabolic syndrome is very high. But what caught our attention most is that we observed a clear association of the problem with the condition of education. The lower the educational level, the greater the risk of metabolic syndrome, Leal said the agency FAPESP.

The results, she says, suggest that the planning of public health policies aimed at reducing the risk of metabolic syndrome in developing countries, should take into account the improvement in education.

The low educational level is a bottleneck for health in Brazil. We can not improve health if education levels remain low. This work adds to several others that have shown the correlation between health and education, said.

Besides the association of prevalence of metabolic syndrome on the condition of education, the study also detected at lower levels, the problem associated with the age, weight and skin color, according to Leal. Was not, however, association between the prevalence of metabolic syndrome and family income, or smoking.

Among women, waist circumference was increased almost two times more often than men: 66.5% versus 37.4%, according to research.

In addition to the researcher, who led the study, the study was the involvement of undergraduate and graduate Department of Medicine and the contribution of teachers and students of Physiotherapy and Statistics UFSCar.

The samples, she said, were taken between August 2007 and June 2008. For the sample was representative of the population, a sampling work directed by Professor Jorge Oishi, Department of Statistics, had been performed previously.

The population-based studies help to profile the population. The study gathered data on changes in cholesterol, triglycerides and hypertension, as well as data on the health history and sociodemographic variables. Although we collected data on physical activity, which will be evaluated in the second half of 2011, said Leal.

According to the diagnostic criteria adopted, 13.5% of those surveyed had diabetes mellitus. A study completed by the same group in 2009, also coordinated by Leal, had already concluded that the prevalence of diabetes reached 13.5% among residents of San Carlos. The numbers suggest an increase in the prevalence of disease in relation to previous studies in Brazil.

In the current study, metabolic syndrome has been addressed in the study, from two major international standards: the International Diabetes Federation - which includes the variable of waist circumference - and the NCEP-ATPIII (acronym for National Cholesterol Education Program - Adult Treatment Panel 3).

To read the article Prevalence of metabolic syndrome and its association with educational inequalities among Brazilian adults: a population-based study, Angela Leal and others, published in Brazilian Journal of Medical and Biological Research clique aqui.

Source: FAPESP
   Palavras-chave:   Metabolic syndrome    Cardiovascular risk    Education    São Carlos    UFSCar    Sao Paulo   
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