Inverse association between metabolic syndrome and altitude: a cross-sectional study in an adult population of Ecuador

Background: Metabolic syndrome (MetS) is characterized by the clustering of hyperglycemia, hypertension, hypertriglyceridemia, low high-density lipoprotein cholesterol levels and central adiposity. Altitude has been proposed as a protective factor to prevent the development of MetS and its component...

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Detalles Bibliográficos
Autores: Lopez-Pascual, A. (Amaya)|||/items/c767de94-7963-492d-a04f-0149fcec8f47, Arévalo, J. (Jéssica)|||/items/d6075192-643f-4b4f-b41b-b511f71ba73d, Martinez, J.A. (José Alfredo)|||/items/6a3581ea-897b-4439-a95c-19301775e131, Gonzalez-Muniesa, P. (Pedro)|||/items/3c8817f9-abc8-4a50-8bbd-68c967b4df48
Tipo de recurso: artículo
Fecha de publicación:2018
País:España
Institución:Universidad de Navarra
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/65619
Acceso en línea:https://hdl.handle.net/10171/65619
Access Level:acceso abierto
Palabra clave:Obesity
Insulin resistance
Hyperlipidemia
Cardiovascular disease
Type 2 diabetes mellitus
Metabolic syndrome
High altitude
Descripción
Sumario:Background: Metabolic syndrome (MetS) is characterized by the clustering of hyperglycemia, hypertension, hypertriglyceridemia, low high-density lipoprotein cholesterol levels and central adiposity. Altitude has been proposed as a protective factor to prevent the development of MetS and its components. Aim: To determine whether living at geographical elevation is associated with MetS and its individual components after adjustment for potential confounders in an Ecuadoran population. Methods: The study included 260 Ecuadoran university graduates over 20 years of age, from the coastal or the Andean Altiplano region. The altitude of residence was imputed with the postal code of each participant residence according to the data of the Ecuadoran Geophysical Institute of the National Polytechnic School. MetS was defined according to the harmonizing definition. Logistic regression models were fitted to assess the relationship between altitude level and the prevalence of MetS and its individual components. To test the internal validity, re-sampling techniques were used (1,000 bootstrap samples).