Key result
Hypertension was associated with a 60% prevalence of metabolic syndrome, with male sex conferring lower odds of the syndrome compared to female sex (OR 0.28; 95% CI 0.18-0.44; P<0.0001).
Why the study?
Hypertension is one of the most common medical diseases worldwide and a component of metabolic syndrome, but the prevalence of metabolic syndrome among hypertensive patients needed to be determined.
Cross-Sectional (n=345)
No
The prevalence of metabolic syndrome among hypertensive patients in Yemen is high (60%), particularly among older females and those with comorbid diabetes and central obesity.
May support sex-specific metabolic syndrome screening in hypertensives; leaves open causal links and outcome impact.
Background and Objectives: Hypertension (HTN) is one of the most common medical diseases worldwide, and it is one component of metabolic syndrome (MetS). The aim was to determine the prevalence of MetS among hypertensive patients. Subjects and Methods: A prospective hospital-based cross-sectional study conducted at Al-Rayan Specialized Hospital, Mukalla, Hadramout, Republic of Yemen, from February 2015 to April 2016. MetS was estimated according to the National Cholesterol Education Program-Adult Treatment Panel criteria. Results: From 345 patients, 207 were diagnosed as MetS (60%), whose age was 57.9 ± 9.2 years and significantly higher than that of patients without the syndrome (44.7 ± 6.6) years (P < 0.0001). Males with the syndrome were significantly less than females (32.4% and 67.6%, respectively) compared with patients without, (odds ratio 0.28 95% confidence interval [0.18–0.44], P < 0.0001). As HTN was present in all studied patients, diabetes was more common MetS component in patients with the syndrome (79.2%), followed by the high waist circumference (76.3%), then high triglycerides (66.2%) and the least was low high-density lipoprotein (59.9%). There was 58% of patients with MetS had four MetS components, 32.8% with five and only 7.2% had only three components. Conclusion: The prevalence of MetS among hypertensive patients was high. It was more common in females and older age. Diabetes and central obesity were the most frequent syndrome components. More than half of the patients had >3 components, but a considerable number of patients were with the all 5 components.
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Bamekhlah et al. (2019) conducted a cross-sectional in Hypertension (n=345). Hypertension was evaluated on Prevalence of metabolic syndrome. Hypertension was associated with a 60% prevalence of metabolic syndrome, with male sex conferring lower odds of the syndrome compared to female sex (OR 0.28; 95% CI 0.18-0.44; P<0.0001).
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