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Diabetes Metab Syndr. 2015 Jan-Mar;9(1):38-41. doi: 10.1016/j.dsx.2014.04.025. Epub 2014 May 24.

Effectiveness of a community screening program for metabolic syndrome and cardiovascular risk factor identification in young South Asians adults.

Author information

1
Mayo Clinic Graduate School of Medicine, United States.
2
School of Nursing, University of California, San Francisco, United States.
3
South Asian Heart Center, El Camino Hospital, United States.
4
Stanford University School of Medicine, United States. Electronic address: mintu@stanford.edu.

Abstract

AIMS:

Metabolic syndrome has been associated with increased risk of cardiovascular disease. We aimed to determine the effectiveness of a community-based screening program in identifying cardiovascular risk factors in healthy young South Asian population.

MATERIALS AND METHODS:

Between 2006 and 2011, 3314 patients of all ages were recruited as a part of a prospective cohort study investigating cardiovascular risk in South Asians. We analyzed 1537 patients between the ages of 18 and 40. Demographic and baseline characteristics including baseline laboratory markers and blood pressures were obtained at initial visit.

RESULTS:

The total cohort of 1537 patients was 66.5% male, and the mean age was 35±5 years. Among participants who denied a history of hypercholesterolemia, 62% had elevated LDL-C (>100 mg/dL), and 8% had markedly elevated LDL-C (>160 mg/dL). Overall, diabetes was present in 4%, hypertension was present in 12% and hyperlipidemia was present in 46%. Low HDL-C (50% of men, 52% of women) and elevated triglycerides (44% of men, 18% of women) were the most prevalent components of metabolic syndrome. Metabolic syndrome was present in 14% of men and 8% of women and one-third (30%) of men and one-fifth (19%) of women had at least two component risk factors.

CONCLUSIONS:

This is the largest study to date assessing effectiveness of a community based screening program aiming to identify cardiovascular risk in young South Asians. We note significant modifiable risk at a young age. Such community based interventions can be effective at detecting and managing risk factors early in this vulnerable population.

KEYWORDS:

Cardiovascular risk factors; Community screening; Metabolic syndrome; South Asian; Young

PMID:
25470638
DOI:
10.1016/j.dsx.2014.04.025
[Indexed for MEDLINE]

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