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METABOLIC SYNDROME IN POST-MENOPAUSAL WOMEN FROM AN OTOMI ETHNIC GROUP: PREVALENCE OBTAINED THROUGH THREE CRITERIA

R. Cruz-Lumbreras, F. Luna-Vazquez, J. Rodríguez-Antolín, P. Pacheco, F. Castelán, M. Martínez-Gómez, E. Cuevas

J Aging Res Clin Practice 2012;1(2):167-172

Objective: To determine the prevalence of metabolic syndrome (MS) in post-menopausal Otomi women from Tlaxcala, México. Design: Cross sectional study. Setting: Non-institutionalized active women living in Ixtenco, Tlaxcala. Participants: 139 women aged 43-93. Measurements: MS was determined according to the National Cholesterol Education Program Adult Treatment Panel III (ATP III), the American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement (AHA/NHLBI), and the International Diabetes Foundation (IDF) criteria. Fisher's exact tests and logistic regression analyses were done to examine associations of MS and other metabolic illness with the variables of interest. Results: According to ATP III, AHA/NHLBI, and IDF criteria, 58.3%, 73.4%, and 70.5% of participants were identified with MS, respectively. Means of weight, body mass index (IBM), waist circumference (WC), fasting glucose, serum insulin, systolic pressure, and serum triglycerides were significantly high in women with MS, independently of the diagnostic criterion. Logistic regression analyses showed that the risk to have type 2 diabetes (DM) of participants with MS was big using the AHA/NHLBI criterion. Younger had a bigger risk to present DM, insulin resistance, overweight-obesity, and MS using the IDF criterion than older women. Neither the presence of MS nor other metabolic variables were affected by stature of participants. Conclusion: Prevalence of MS in Otomi post-menopausal women was high independently of the diagnostic criterion, although it was low in the oldest women at same time that obesity decreased. Efforts are needed to ensure if genetic and environmental conditions are implicated in this high prevalence.

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