Síndrome metabólico en pacientes diabéticos tipo 2

Abstract

Introduction: metabolic syndrome comprises a set of metabolic alterations. Objective: to assess possible modifications of the metabolic syndrome in type 2 diabetic patients aged 30 years and older after a lifestyle modification program. Method: an intervention study was carried out on a sample of 142 type 2 diabetics with metabolic syndrome in Belize between July and December 2016. The variables collected were age, sex, previous use of hypotensive or antilipemic treatment, blood pressure measurements, abdominal circumference, triglyceride determinations and cholesterol linked to high-density lipoproteins. The results obtained were described by means of descriptive statistics, absolute and relative frequencies, ratio, mean and standard deviation. Results: metabolic syndrome appeared in 51.07% of patients, females predominated (59.85%) and ages between 60 and 69 years (31.69%), its most frequent components were blood pressure ≥130/85mmHg or previous hypotensive treatment (71.12%), abdominal circumference in women was ≥88cm (52.81%) and triglycerides >150mg/dl without treatment (39.43%). The combination with three other components predominated (44.37%): blood pressure ≥130/85mmHg or previous hypotensive treatment, abdominal obesity and triglycerides >150mg/dl with or without treatment. The most relevant modifications obtained at six months were the reduction of triglycerides (48.21%) and blood pressure figures (38.61%). Conclusions: from the proposed lifestyle modification program, modifications in the components of the metabolic syndrome were possible.

Keywords

• síndrome metabólico
• diabetes tipo 2
• factores de riesgo