Health Center Ciudad Jardin

Málaga, Spain

Health Center Ciudad Jardin

Málaga, Spain
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Gomez-Huelgas R.,Hospital Regional Of Malaga | Gomez-Huelgas R.,Biomedical Institute of Malaga IBIMA | Gomez-Huelgas R.,CIBER ISCIII | Jansen-Chaparro S.,Hospital Regional Of Malaga | And 9 more authors.
European Journal of Internal Medicine | Year: 2015

Background: The impact of a lifestyle intervention (LSI) program for the long-term management of subjects with metabolic syndrome in a primary care setting is not known. Methods: This 3-year prospective controlled trial randomized adult subjects with metabolic syndrome to receive intensive LSI or to usual care in a community health centre in Malaga, Spain. LSI subjects received instruction on Mediterranean diet and a regular aerobic exercise program by their primary care professionals. Primary outcome included changes from baseline on different components of metabolic syndrome (abdominal circumference, blood pressure, HDL-cholesterol, fasting plasma glucose and triglycerides). Results: Among the 2,492 subjects screened, 601 subjects with metabolic syndrome (24.1%) were randomized to LSI (n = 298) or to usual care (n = 303); of them, a 77% and a 58%, respectively, completed the study. At the end of the study period, LSI resulted in significant differences vs. usual care in abdominal circumference (- 0.4 ± 6 cm vs. + 2.1 ± 6.7 cm, p < 0.001), systolic blood pressure (- 5.5 ± 15 mmHg vs. -0.6 ± 19 mmHg, p = 0.004), diastolic blood pressure (- 4.6 ± 10 mmHg vs. -0.2 ± 13 mmHg, p < 0.001) and HDL-cholesterol (+ 4 ± 12 mg/dL vs. + 2 ± 12 mg/dL, p = 0.05); however, there were no differences in fasting plasma glucose and triglyceride concentration (- 4 ± 35 mg/dl vs. -1 ± 32 mg/dl, p = 0.43 and - 0.4 ± 83 mg/dl vs. + 6 ± 113 mg/dl, p = 0.28). Conclusion: Intensive LSI counseling provided by primary care professionals resulted in significant improvements in abdominal circumference, blood pressure and HDL-cholesterol but had limited effects on glucose and triglyceride levels in patients with metabolic syndrome. © 2015 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.


PubMed | Health Center Ciudad Jardin, Hospital Regional Of Malaga and CIBER ISCIII
Type: Journal Article | Journal: European journal of internal medicine | Year: 2015

The impact of a lifestyle intervention (LSI) program for the long-term management of subjects with metabolic syndrome in a primary care setting is not known.This 3-year prospective controlled trial randomized adult subjects with metabolic syndrome to receive intensive LSI or to usual care in a community health centre in Malaga, Spain. LSI subjects received instruction on Mediterranean diet and a regular aerobic exercise program by their primary care professionals. Primary outcome included changes from baseline on different components of metabolic syndrome (abdominal circumference, blood pressure, HDL-cholesterol, fasting plasma glucose and triglycerides).Among the 2,492 subjects screened, 601 subjects with metabolic syndrome (24.1%) were randomized to LSI (n = 298) or to usual care (n = 303); of them, a 77% and a 58%, respectively, completed the study. At the end of the study period, LSI resulted in significant differences vs. usual care in abdominal circumference (-0.4 6 cm vs. + 2.1 6.7 cm, p < 0.001), systolic blood pressure (-5.5 15 mmHg vs. -0.6 19 mmHg, p = 0.004), diastolic blood pressure (-4.6 10 mmHg vs. -0.2 13 mmHg, p < 0.001) and HDL-cholesterol (+4 12 mg/dL vs. + 2 12 mg/dL, p = 0.05); however, there were no differences in fasting plasma glucose and triglyceride concentration (-4 35 mg/dl vs. -1 32 mg/dl, p = 0.43 and -0.4 83 mg/dl vs. +6 113 mg/dl, p = 0.28).Intensive LSI counseling provided by primary care professionals resulted in significant improvements in abdominal circumference, blood pressure and HDL-cholesterol but had limited effects on glucose and triglyceride levels in patients with metabolic syndrome.


Gomez-Huelgas R.,Carlos Haya Hospital | Gomez-Huelgas R.,CIBER ISCIII | Mancera-Romero J.,Health Center Ciudad Jardin | Bernal-Lopez M.R.,CIBER ISCIII | And 9 more authors.
International Journal of Clinical Practice | Year: 2011

Aims: To study the prevalence of cardiovascular risk factors in an urban population of Malaga, Spain and its relationship with educational level. Methods: A cross-sectional study was performed with a random representative sample of 2270 individuals from the adult population (18-80 years) from a specific Health-Care Centre in Malaga City. All participants underwent a clinical interview, including social-demographical information and a physical examination. A blood sample was also drawn. Results: The mean age of the participants was 43.6 ± 15.6 years and 57.6% had a low educational level. The prevalence of cardiovascular risk factors was: smoking 27.7%, hypertension 33.1%, diabetes 7.1% and dyslipidaemia 65.4%. Over 60% were either overweight or obese, and 76.7% had a sedentary lifestyle. Except for smoking and a low-HDL cholesterol, the prevalence of the other cardiovascular risk factors increased with age. A low educational level was associated with a high prevalence of cardiovascular risk factors, and this association was significant with regard to smoking, obesity, abdominal obesity and hypertriglyceridaemia. Conclusions: The population studied presents a high prevalence of cardiovascular risk factors, especially dyslipidaemia and obesity. The low academic level was associated with an increased prevalence of smoking, obesity and dyslipidaemia. People with a low socio-cultural level are a priority target for introducing policies to prevent and control cardiovascular disease. © 2010 Blackwell Publishing Ltd.


Gomez-Huelgas R.,Carlos Haya Hospital | Gomez-Huelgas R.,CIBER ISCIII | Narankiewicz D.,Carlos Haya Hospital | Villalobos A.,Carlos Haya Hospital | And 7 more authors.
Endocrine Practice | Year: 2013

Objective: To study the prevalence and correlates of body size phenotypes in an adult Spanish population.Methods: We undertook a cross-sectional analysis in a random sample of 2,270 individuals. We defined six body size phenotypes based on body mass index category (normal-weight, 18.5 to 24.9 kg/m2; overweight, 25 to 29.9 kg/m2; obese, ≥30.0 kg/m2) and the presence of â‰1 (metabolically healthy) or ≥2 (metabolically abnormal) cardiometabolic abnormalities: metabolically healthy normal-weight (MHNW), metabolically abnormal normal-weight (MANW), metabolically healthy overweight (MHOW), metabolically abnormal overweight (MAOW), metabolically healthy obese (MHO), and metabolically abnormal obese (MAO). We considered four cardiometabolic abnormalities: systolic and/or diastolic blood pressure ≥130/85 mm Hg, triglycerides ≥150 mg/dL, high-density-lipoprotein cholesterol levels <40/<50 mg/dL in men/women, and elevated glucose (fasting plasma glucose ≥100 mg/dL or previous diabetes).Results: The prevalence of the MHO, MHOW, and MANW phenotypes was 2.2, 13.9, and 7.9%, respectively. Whereas 9.6% of obese and 32.6% of overweight individuals were metabolically healthy, 21.3% of the normal-weight subjects were metabolically abnormal. A multivariate regression model (adjusted for age, sex, and waist circumference) showed that age >40 years, male sex, and higher waist circumference were independently associated with the metabolically abnormal phenotype MANW, whereas younger age, female sex, and lower waist circumference were independently associated with the metabolically healthy phenotypes.Conclusion: The prevalence of MHO in our population is low and is more common in women and younger people. In contrast, a high proportion of normal-weight individuals (mainly over 40 years of age) in our population show cardiometabolic abnormalities. © 2013 AACE.


Gomez-Huelgas R.,Carlos Haya Hospital | Bernal-Lopez M.R.,Virgen Of La Victoria Hospital | Villalobos A.,Carlos Haya Hospital | Mancera-Romero J.,Health Center Ciudad Jardin | And 6 more authors.
International Journal of Obesity | Year: 2011

Aim:To study the prevalence of hypertriglyceridemic waist (HTGW) in an urban adult Spanish population and its association with type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD).Methods:We undertook a cross-sectional analysis in a random sample of 2270 individuals (18-80 years of age). All participants provided a clinical history and underwent a physical examination. Blood and urine analyses were conducted. HTGW was diagnosed using anthropometric criteria for the European population (waist circumference: for men, ≥94 cm; for women, ≥80 cm) and fasting plasma triglycerides (TGs) ≥1.71 mmol l-1 (≥150 mg per 100 ml).Results:The prevalence of HTGW was 14.5% (men: 18.2%, women: 10.8%) and was significantly greater in men 59 years (P<0.001). HTGW was associated with older individuals, a low educational level and, in men, with a sedentary lifestyle (P<0.001). Subjects with HTGW had higher levels of total cholesterol, low-density lipoprotein-cholesterol (LDL-c) and uric acid, lower levels of high-density lipoprotein-cholesterol, a higher blood pressure, a greater degree of obesity and a higher prevalence of T2DM (20.00 vs 6.4%, P<0.001) (odds ratio (OR) 3.61; 95% confidence interval (95% CI), 2.60-5.01) and CVD (8.5 vs 3.4%, P<0.001) (OR 2.63; 95% CI, 1.66-4.16). The association of HTGW with T2DM and CVD disappeared after adjusting for age. The degree of concordance between HTGW and the metabolic syndrome (MS) was moderate, with both the Adult Treatment Panel III Report (ATP-III) and the International Diabetes Federation criteria (k=0.51 and k=0.58, respectively). Subjects with isolated HTGW as compared with those with isolated MS (ATP-III) were younger, had greater levels of total cholesterol, LDL-c and TGs and a lower prevalence of obesity, high blood pressure and dysglycemia.Conclusion:HTGW is a phenotype of cardiometabolic risk prevalent in the adult population in our environment. HTGW may be an alternative to MS to detect the population at risk for T2DM and CVD, especially in young individuals who do not fulfill the criteria for MS. © 2011 Macmillan Publishers Limited. All rights reserved.

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