Metabolic syndrome in patients with arterial hypertension living in the Far North (on the example of the Khanty-Mansi Autonomous Okrug — Yugra)

• Published in: Obesity and metabolism
• Main Authors: E. G. Ivanova, T. E. Potemina
• Format: Article in Journal/Newspaper
• Language: English; Russian
• Published: Endocrinology Research Centre 2023
• Subjects: metabolic syndrome; arterial hypertension; men; women; Physiology; QP1-981; Biochemistry; QD415-436; khanty; khanty-mansi; Mansi
• Online Access: https://doi.org/10.14341/omet12777; https://doaj.org/article/b90dd7e2e84446358634caf4d81b73e3

BACKGROUND: Metabolic syndrome currently continues to occupy a leading position in medicine and remains one of the main reasons for discussions among scientists around the world. WHO experts defined the problem of metabolic syndrome as an «epidemic of the 21st century», since its prevalence is currently, according to some estimates, from 10% to 40% among the adult population of the planet.AIM: To study the metabolic syndrome in patients with arterial hypertension living in the Far North; to determine the main variants of the metabolic syndrome that are characteristic of people with arterial hypertension in harsh climatic and geographical conditions and to analyze the frequency of occurrence of the identified variants of the metabolic syndrome depending on the degree of arterial hypertension and gender differences.MATERIALS AND METHODS. This study is presented in the form of 4 main stages: determination of metabolic syndrome variants characteristic of patients with AH living in the North, analysis of the frequency of occurrence of the identified main variants of the metabolic syndrome depending on gender, degree of AH and time spent in the Far North. Study period: March 2018–February 2019.The main inclusion criteria for this study were: the presence of metabolic syndrome, a confirmed diagnosis of arterial hypertension (AH) of 1–3 degrees based on generally accepted criteria (ESH / ESC, 2018), residence in the Far North for at least 1 year. For the diagnosis of MS, the IDF criteria, 2005, were adopted. By design, the work is in the nature of an observational one-sample study, which was conducted in the Khanty-Mansiysk Autonomous Okrug — Yugra, Nizhnevartovsk (KhMAO-Yugra).RESULTS. The study involved 235 people, of which: men — 109 people (46.4±4,77%), women — 126 people (53.6±4,44%). The age of the study participants was 38±7.1 years. According to the degree of AH (according to the criteria, ESH / ESC from 2018), patients are presented as follows: 1st degree AH — 59 people (25.1± 2,83%); 2nd degree AH — 73 people ...