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Potential impact of metabolic syndrome control on cardiovascular risk in elderly patients with diabetes: a cross-sectional study

2024-08-01Journal article Open access
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dc.contributor.authorNascimento, Tânia
dc.contributor.authorEstêvão, Maria Dulce da Mota Antunes de Oliveira
dc.contributor.authorGonçalves, Adriana
dc.contributor.authorPinto, Ezequiel
dc.contributor.authorDe Sousa-Coelho, Ana Luísa
dc.contributor.authorNeto Espírito-Santo, Margarida de Fátima
dc.date.accessioned2025-06-03T12:58:03Z
dc.date.available2025-06-03T12:58:03Z
dc.date.issued2024-08-01en_US
dc.date.updated2025-06-03T08:01:57Z
dc.description.abstractMetabolic syndrome (MS), a complex pathology with features like abnormal body fat distribution, insulin resistance, and dyslipidaemia, contributes to higher cardiovascular (CV) risk. A cross-sectional study including 87 individuals assessed CV risk score in elderly patients with type 2 diabetes and MS in Algarve, Portugal. The 10-year CV risk score was estimated using the ADVANCE risk score calculator. The reductions in CV risk score were estimated by adjusting the data inputted on the online tool to achieve systolic blood pressure (SBP) <130 or <120 mmHg, and LDL cholesterol <70 mg/dL Beyond waist circumference, the mean number of clinical features of MS was 3.14 ± 0.84, without significant sex differences. The mean CV risk score was 22.5% (CI: 20.3–24.7). Sex-specific analysis showed higher risk score in males (24.2%, CI: 21.3–27.0) vs. females (19.7%, CI: 16.2–23.3; p = 0.028). Hypothetical risk score reductions show that lowering SBP to <130 mmHg could significantly lower the risk score by an average of 9.2% (CI: 7.7–10.7), whereas 34.5% of the participants would be out of the diagnostic criteria for MS. When comparing each potential intervention with current risk score, all interventions significantly reduce the 10-year CV risk score. The study highlights the potential of blood pressure control in reducing CV risk score and the importance of multifaceted risk score reduction strategies.eng
dc.description.versioninfo:eu-repo/semantics/publishedVersion
dc.identifier.doi10.3390/diabetology5030024en_US
dc.identifier.issn2673-4540en_US
dc.identifier.slugcv-prod-4096673
dc.identifier.urihttp://hdl.handle.net/10400.1/27205
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectCardiovascular risk
dc.subjectADVANCE risk score calculator
dc.subjectMetabolic syndrome
dc.subjectType 2 diabetes mellitus
dc.subjectElderly
dc.titlePotential impact of metabolic syndrome control on cardiovascular risk in elderly patients with diabetes: a cross-sectional studyeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage332
oaire.citation.issue3en_US
oaire.citation.startPage321
oaire.citation.titleDiabetologyen_US
oaire.citation.volume5en_US
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameNascimento
person.familyNameEstêvão
person.familyNamePinto
person.familyNameDe Sousa-Coelho
person.familyNameNeto Espírito-Santo
person.givenNameTânia
person.givenNameMaria Dulce da Mota Antunes de Oliveira
person.givenNameEzequiel
person.givenNameAna Luísa
person.givenNameMargarida de Fátima
person.identifier2191220
person.identifierI-4695-2014
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person.identifier.ciencia-id881B-53E8-0DB1
person.identifier.ciencia-id691B-A574-28ED
person.identifier.ciencia-id6215-22B3-56BF
person.identifier.orcid0000-0003-2429-7374
person.identifier.orcid0000-0002-7151-8363
person.identifier.orcid0000-0001-9322-2937
person.identifier.orcid0000-0002-8451-4302
person.identifier.orcid0000-0002-2200-0015
person.identifier.scopus-author-id57150665300
person.identifier.scopus-author-id8381590400
rcaap.cv.cienciaid881B-53E8-0DB1 | Maria Dulce da Mota Antunes de Oliveira Estêvão
rcaap.rightsopenAccessen_US
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