2017, Number 2
Metabolic syndrome, a challenge for Cuban public health
Language: Spanish
References: 24
Page: 86-95
PDF size: 128.94 Kb.
ABSTRACT
Introduction: the correct diagnosis of patients with metabolic syndrome allows the evaluation of their risks of cardiovascular disease and type 2 diabetes mellitus. The increase in the number of publications on this syndrome demonstrates the importance that is given in medical practice to its diagnosis and theoretical knowledge.Objectives: to present some aspects of the metabolic syndrome (its history, definition, diagnosis, pathophysiology and epidemiology).
Method: the national and international bibliography available on the Internet was reviewed, fundamentally of the last five years and, because of its importance, some works of previous years were included published in Latin America, the United States, Spain and Portugal. A structured article was produced from the information compiled.
Development: the metabolic syndrome is characterized by the simultaneous or staggered presence of several alterations, such as insulin resistance, compensatory hyperinsulinemia, glucose intolerance or type 2 diabetes mellitus, arterial hypertension, abdominal obesity, hyperuricemia and atherogenic dyslipidemia.
Conclusions: the lack of studies on this syndrome in the country, and consequently, the lack of protocols and guidelines of action are indications of a deficient attention to the subject by specialists and researchers. It should be taken into account the importance that abdominal obesity and insulin resistance have in the development of this syndrome –which in turn is a risk factor for other serious diseases– and therefore, the need for a comprehensive and multidisciplinary strategy for its treatment.
REFERENCES
Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, et al. Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of obesity. Circulation [Internet]. 2009 [citado 12 Jul 2016];120(16):1640-5. Disponible en: http://circ.ahajournals.org/content/120/16/1640.full.pdf?download=true
Enzi G, Busetto L, Inelmen EM, Coin A, Sergi G. Historical perspective: visceral obesity and related comorbidity in Joannes Baptista Morgagni’s ‘De sedibus et causis morborum per anatomen indagata’. Int J Obes Relat Metab Disord [Internet]. 2003 [citado 12 Jul 2016];27:534-535. Disponible en: http://www.nature.com/ijo/journal/v27/n4/pdf/0802268a.pdf
Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults. Executive summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation and Treatment of High Cholesterol. JAMA [Internet]. May 2001 [citado 12 Jul 2016];285(19):2486-97. Disponible en: http://jamanetwork.com/journals/jama/fullarticle/193847
Balkau B, Charles MA, Drivsholm T, Borch-Johnsen K, Wareham N, Yudkin JS, et al; European Group For The Study Of Insulin Resistance (EGIR). Frequency of the WHO metabolic syndrome in European cohorts, and an alternative definition of an insulin resistance syndrome. Diabetes Metab. 2002;28(5):364-76.
Sociedade Brasileira de Hipertensão; Sociedade Brasileira de Cardiologia; Sociedade Brasileira de Endocrinologia e Metabologia; Sociedade Brasileira de Diabetes; Associação Brasileira para Estudos da Obesidade I Diretriz Brasileira de Diagnóstico e Tratamento da Síndrome Metabólica. Arq. Bras. Cardiol. [Internet]. Abr 2005 [citado 12 Jul 2016];84(Supl 1):3-28. Disponible en: http://www.scielo.br/pdf/abc/v84s1/a01v84s1.pdf
Consenso Latinoamericano de la Asociación Latinoamericana de Diabetes (ALAD). Epidemiología, diagnóstico, control, prevención y tratamiento del síndrome metabólico en adultos [Internet]. Buenos Aires: ALAD; 2010 [citado 7 May 2016]. Disponible en: http://alad-americalatina.org/wp-content/uploads/2016/10/SX.-METABOLICO-EN-AULTOS.pdf
Moreira Bezerra AP, Magalhães de Oliveira D. Síndrome metabólica: bases moleculares e fundamentos da interação com obesidade. Demetra: alimentação, nutrição & saúde [Internet]. 2013 [citado 12 Jul 2016];8(1):63-76. Disponible en: http://www.epublicacoes. uerj.br/index.php/demetra/article/viewFile/7989/5778
Won KB, Chang HJ, Kim HC, Jeon K, Lee H, Shin S. Differential impact of metabolic syndrome on subclinical atherosclerosis according to the presence of diabetes. Cardiovasc Diabetol [Internet]. Mar 2013 [citado 12 Jul 2016];12(1):41. Disponible en: http://cardiab.biomedcentral.com/track/pdf/10.1186/1475-2840-12- 41?site=cardiab.biomedcentral.com
Guerrero N, Pernia Y, Rojas M, Añez RJ, Rojas J, Bermúdez V. Prevalencia del síndrome metabólico en el municipio San Cristóbal del estado Táchira, Venezuela. Síndrome Cardiometabólico [Internet]. Mar 2015 [citado 15 May 2016];V(1):[aprox. 11 p.]. Disponible en: https://www.researchgate.net/profile/Roberto_Anez3/publication/301543876_Prevalencia_del _sindrome_metabolico_en_el_municipio_San_Cristobal_del_estado_Tachira_Venezuela/links/ 57183e5c08aed8a339e5b52e.pdf
Sociedad Cubana de Endocrinología. Primer consenso nacional de dislipoproteinemias: Guía para la prevención, detección, diagnóstico y tratamiento. Rev Cubana Endocrinol [Internet]. 2006 [citado 27 May 2016]:17 Supl. Esp:[aprox. 7 p.]. Disponible en: http://www.bvs.sld.cu/revistas/end/vol17_4_06/end01406.htm
Orlandi González O, Álvarez Seijas E, Castelo Elías-Calles L, Hernández Rodríguez J, Rodríguez Anzardo BR, González Calero TM, et al. Guías cubanas de práctica clínica basadas en la evidencia sobre el pesquisaje, diagnóstico y tratamiento de la diabetes mellitus tipo 2 [Internet]. La Habana: Instituto Nacional de Endocrinología; 2010 [citado 30 May 2016]. Disponible en: http://files.sld.cu/pdvedado/files/2010/05/gpc-dm2-final.pdf
Bustillo Solano E, Pérez Francisco Y, Brito García A, González Iglesia A, Castañeda Montano D, Santos González M, et al. Síndrome metabólico, un problema de salud no diagnosticado. Rev Cubana Endocrinol [Internet]. Dic 2011 [citado 10 May 2016];22(3):167-81. Disponible en: http://scielo.sld.cu/pdf/end/v22n3/end01311.pdf
Rivas Vázquez D, Miguel Soca PE, Llorente Columbié Y, Marrero Ramírez GM. Comportamiento clínico epidemiológico del síndrome metabólico en pacientes adultos. Rev Cubana Med Gen Int [Internet]. Sep 2015 [citado 19 May 2016];31(3):[aprox. 9 p.]. Disponible en: http://scielo.sld.cu/pdf/mgi/v31n3/mgi01315.pdf
Batista Valdés JL, Pérez Fuentes Y. Caracterización de enfermos con cardiopatía isquémica y síndrome metabólico en una consulta de cardiología en Ciego de Ávila, Cuba. Rev Med Elect Portales Médicos [Internet]. 2015 [citado 12 Jul 2016];10(6):[aprox. 6 p.]. Disponible en: http://www.revista-portalesmedicos.com/revista-medica/cardiopatia-isquemica-y-sindromemetabolico/