Open AccessStratification of the risk and severity of metabolic syndrome
in patients in need of therapeutic treatment
Author(s) -
Б. Б. Пинхасов,
Yu. V. Lutov,
Д. Деев,
V. G. Selyatitskaya
Publication year - 2017
Publication title -
kliničeskaâ medicina
Language(s) - English
Resource type - Journals
eISSN - 2412-1339
pISSN - 0023-2149
DOI - 10.18821/0023-2149-2017-95-5-412-418
Subject(s) - medicine , metabolic syndrome , abdominal obesity , waist , risk stratification , insulin resistance , obesity , pediatrics
The purpose of the present study was to estimate the risk and severity of metabolic syndrome (MS) in 108 therapeutic profile patients of different age and gender. The method based on the numerical score of deviation of the main and additional components of MS from the standard values was used. It included the detection of insulin resistance and the waist to the hip circumference ratio as a criterion of abdominal obesity. The metabolic syndrome was diagnosed in 57.4% of patients, with its mild, moderately severe and very severe forms being documented in 35.5%, 29.0% and 35.5% of the cases respectively. Mild MS was occurred much more often in women than in men in whom moderately severe and very severe forms predominated. MS manifestations were totally absent only in 3 women. In the remaining patients, the low, moderate and high risk of development of MS was estimated at 25.6%, 32.5% and 41.9% respectively. In groups with different risk and severity of MS, the average age of men was lower than in women, the difference amounting to 10 years and more in the groups including patients with mild and moderately severe MS. The proposed method of the stratification allows the personalized approach to diagnosis and correction of metabolic disorders, determination of the necessary volume of medical aid, and taking decisions about the treatment of individual patients.