Screening for metabolic syndrome in hypertensive and/or obese subjects registered in primary health care in Hungary

Tibor Hidvégi, Katalin Hetyési, Lajos Bíró, György Jermendy

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: The screening of subjects at risk for metabolic syndrome is of considerable importance in order to prevent atherosclerosis. Material/Methods: In order to assess the clinical-laboratory characteristics of metabolic syndrome, a screening procedure was performed in subjects (age 20-65) who exhibited hypertension and/or abnormal body mass index (BMI) and/or elevated waist-hip ratio, excluding patients with known diabetes. An oral glucose tolerance test with 75 g glucose was performed. Plasma glucose and insulin values were measured, as well as plasma lipids. Results: In subjects available for complete statistical analysis (n=944; women/men ratio 1.37:1), hyperinsulinemia was detected in 52.9%. Hyperinsulinemia with normal glucose tolerance was more often detected (33.2%), hyperinsulinemia with impaired glucose tolerance [IGT] or diabetes less frequently (13.0% and 6.7%, respectively). When abnormal clinical signs were separately analysed, hyperinsulinemia was found in 56.8% of subjects with abnormal BMI, in 43.8% of subjects with abnormal waist-hip ratio, and in 27.1% of subjects with hypertension. Metabolic syndrome (WHO criteria, modified) was diagnosed in 35. 2% of subjects, with mate predominance (men: 40.6%; women: 31.2%; p

Original languageEnglish
JournalMedical Science Monitor
Volume9
Issue number7
Publication statusPublished - Jul 1 2003

Fingerprint

Hungary
Hyperinsulinism
Primary Health Care
Waist-Hip Ratio
Glucose
Body Mass Index
Hypertension
Glucose Intolerance
Glucose Tolerance Test
Atherosclerosis
Insulin
Lipids

Keywords

  • Hyperinsulinemia
  • Insulin resistance
  • Metabolic syndrome
  • Oral glucose tolerance test
  • Type 2 diabetes

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Screening for metabolic syndrome in hypertensive and/or obese subjects registered in primary health care in Hungary. / Hidvégi, Tibor; Hetyési, Katalin; Bíró, Lajos; Jermendy, György.

In: Medical Science Monitor, Vol. 9, No. 7, 01.07.2003.

Research output: Contribution to journalArticle

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