Prevalencia de obesidad y comorbilidad cardiovascular asociada en los pacientes incluidos en el estudio IBERICAN (Identificación de la población Española de Riesgo Cardiovascular y renal)

  1. S. Cinza Sanjurjo 9
  2. M.Á. Prieto Díaz 1
  3. J.L. Llisterri Caro 2
  4. A. Barquilla García 3
  5. L. Rodríguez Padial 4
  6. R. Vidal Pérez 5
  7. G.C. Rodríguez Roca 6
  8. J.J. Badimón Maestro 7
  9. V. Pallarés Carratalá 8
  1. 1 Centro de Salud Vallobín-La Florida, Oviedo, España
  2. 2 Centro de Salud Ingeniero Joaquín Benlloch, Valencia, España
  3. 3 Centro de Salud de Trujillo, Cáceres, España
  4. 4 Servicio de Cardiología, Complejo Hospitalario de ToledoToledo, España
  5. 5 Servicio de Cardiología, Hospital Universitario Lucus AugustiLugo, España
  6. 6 Centro de Salud de Puebla de Montalbán, Toledo, España
  7. 7 Atherothrombosis Research Unit, Cardiovascular Institute, Mount Sinai School of Medicine. Nueva York, Estados Unidos
  8. 8 Departamento de Medicina, Universitat Jaume I, Castellón, España
  9. 9 Centro de Salud de Porto do Son, EOXI Santiago de Compostela
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Journal:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Year of publication: 2019

Issue: 5

Pages: 311-322

Type: Article

DOI: 10.1016/J.SEMERG.2018.11.003 DIALNET GOOGLE SCHOLAR

More publications in: Semergen: revista española de medicina de familia

Abstract

Objectives To analyse the prevalence of obesity and its association with other cardiovascular risk factors and cardiovascular disease in a sample of patients from the (Identification of the Spanish population at cardiovascular and renal risk) IBERICAN study. Material and methods Analysis of the inclusion visit of the first 5,013 patients of the IBERICAN longitudinal, observational, and multicentre study in which individuals aged 18 to 85 years were included in Primary Care Clinics in the different regions of Spain. In this work obesity was defined as a body mass index ≥ 30 kg/m2. Results The prevalence of obesity was 35.7% (95% CI: 35.0-36.4%), of which 36.6% were men and 34.9% were women (P = 0.214), and significantly increasing with age (0.001). The obesity had the associated higher prevalence of hypertension (62.8% vs. 39.4%, P< 001), dyslipidaemia (56.9% vs. 47.1%, P< 0.001), sedentary lifestyle (40.6% vs. 24.6%, P< .001), diabetes (27.5% vs. 14.8%, P< .001), hyperuricaemia (23.6% vs. 12.7%, P< .001), subclinical organ injury (33.7% vs. 26.5%, P< .001) and cardiovascular disease (21.2% vs. 15.3%, P< .001). The multivariate analysis showed that the variables associated with obesity were: arterial hypertension (P< .001), hyperuricemia (P< .001), sedentary lifestyle (P< .001), diabetes mellitus (P< 0.001), age (P< 0.001), low educational level (P< 0.001) and lower consumption of tobacco (P< 0.001). Conclusions The analysis of the IBERICAN study shows that approximately one third of the analysed population meets criteria of obesity and cardiovascular risk factors. Target organ damage and cardiovascular disease were more frequent in obese patients.

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