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August 1, 2008Journal of Hypertension

Long-term risk of diabetes, hypertension and left ventricular hypertrophy associated with the metabolic syndrome in a general population

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Key result

Metabolic syndrome was associated with a 5- to 6-fold increased risk of new-onset diabetes (P<0.001), as well as significantly increased risks of new-onset hypertension and left ventricular hypertrophy.

Why the study?

Does metabolic syndrome increase the long-term risk of developing diabetes, hypertension, and left ventricular hypertrophy in a general population?

Population

1412 individuals representative of the general population of Monza

Comparison

Presence of metabolic syndrome at baseline vs Absence of metabolic syndrome at baseline

Design

Cohort

Follow-up

10 years

Authors

GMGiuseppe ManciaMBMichele BombelliRFRita Facchetti

Discussion

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Member takes

Overview

Metabolic syndrome may aid risk stratification in primary care; leaves open whether reversal alters incident diabetes, hypertension, or LVH.

Study Design

Type

Cohort (n=1,412)

Multicenter

No

Structured PICO

Does metabolic syndrome increase the long-term risk of developing diabetes, hypertension, and left ventricular hypertrophy in a general population?

P
Population
1,412 individuals representative of the general population of Monza, followed for 10 years to assess new onset cardiometabolic conditions.
E
Exposure
Presence of metabolic syndrome (Adult Treatment Panel criteria) at baseline
C
Comparator
Absence of metabolic syndrome at baseline
O
Outcome
New onset diabetes mellitus, new onset office, home and ambulatory hypertension, and new onset left ventricular hypertrophysurrogate

Main Result

Effect estimate: Adjusted risk 5 to 6 times greater

p-value: p=< 0.001

Metabolic syndrome is associated with a markedly increased 10-year risk of developing diabetes, hypertension, and left ventricular hypertrophy in the general population.

Cite This Study

Mancia et al. (2008) conducted a cohort in Metabolic syndrome (n=1,412). Metabolic syndrome vs. Individuals without metabolic syndrome was evaluated on New onset diabetes mellitus (Adjusted risk 5 to 6 times greater, p=< 0.001). Metabolic syndrome was associated with a 5- to 6-fold increased risk of new-onset diabetes (P<0.001), as well as significantly increased risks of new-onset hypertension and left ventricular hypertrophy.

synapsesocial.com/papers/6a8db3bca16e62c6927aa69fhttps://doi.org/10.1097/hjh.0b013e328302f10d
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Metabolic Syndrome and Morphofunctional Characteristics of the Left Ventricle in Clinically Hypertensive Nondiabetic Subjects2006 · 47 citations
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  3. 3Impact of different definitions of the metabolic syndrome on the prevalence of organ damage, cardiometabolic risk and cardiovascular events2010 · 74 citations
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