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Abstract #162268

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Cynthia M. Pérez, PhD, MS¹, Ana Patricia Ortiz, PhD¹, Mayra L. Estrella, MPH¹, Naydi Pérez, MS¹, Yari D. Valle, MPH¹, Manuel Guzmán, MD², and Erick Suárez, PhD, MS¹. (1) Department of Biostatistics and Epidemiology, University of Puerto Rico, Graduate School of Public Health, P.O. Box 365067, San Juan, PR 00936-5067, 787-758-2525 ext. 1470, cperez@rcm.upr.edu, (2) Department of Medicine, University of Puerto Rico, Medical Sciences Campus, P.O. Box 365067, San Juan, PR 00936-5067

The metabolic syndrome has been associated with an excess risk of diabetes and cardiovascular disease. The extent to which the metabolic syndrome distributes in the adult population of Puerto Rico is unknown. A household probability sample of 866 adults (21-79 years) living in the San Juan Metropolitan Area was designed to assess the prevalence of the metabolic syndrome and its components. All subjects completed a face-to-face interview followed by an evaluation that consisted of blood pressure and waist circumference measurements and blood sampling. The modified NCEP-ATP III criteria was used to define the metabolic syndrome as three or more of the following components: elevated waist circumference (≥40 inches in men and ≥35 in women), elevated triglycerides (≥150 mg/dL), reduced HDL cholesterol (<40 mg/dL in men and <50 mg/dL in women), elevated blood pressure (≥130/≥85 mm Hg), and elevated fasting glucose (≥100 mg/dL). A weighted logistic regression model was used to estimate the prevalence of the metabolic syndrome and its individual components. Weighted prevalence of the metabolic syndrome was 38.2% (95% CI: 34.5%-42.0%); the weighted prevalence of the individual components was as follows: elevated waist circumference (49.0%), elevated glucose (48.7%), elevated triglycerides (31.2%), low HDL-C (45.6%), and hypertension (30.8%). The prevalence of the metabolic syndrome increased with age and was similar among men and women. The present study provides evidence of the burden of the metabolic syndrome in a homogeneous Hispanic population. Early identification in this population might prevent further increase in the morbidity and mortality associated with the metabolic syndrome.

Learning Objectives:

• Recognize the revised definition of the metabolic syndrome according to the NCEP-ATP III.
• Identify the prevalence of the metabolic syndrome and its individual components in the San Juan Metropolitan Area of Puerto Rico.
• Contrast the burden of metabolic syndrome in Puerto Rico with that of other population in the United States.

Keywords: Hispanic, Public Health

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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