Assessment of cardiovascular risk in patients with metabolic syndrome working in the agricultural sector

Abstract

Introduction: Cardiovascular diseases are the main death cause in Poland. Several clinical studies showed association between metabolic syndrome and higher prevalence of diabetes mellitus, cardiac events and mortality. The aim of the study was to estimate cardiovascular complications and death risk in subjects with metabolic syndrome (MS) working in agriculture.

Material and methods: The study included 332 people working in agriculture in Lodz voivodeship, 231 with MS and 101 healthy ones. Increased risk of cardiovascular complications was determined for pulse pressure (pp) >63 mmHg. Based on the SCORE index, 10-year death risk due to cardiovascular complications was estimated taking into account sex, age, smoking, systolic blood pressure and total cholesterol concentration. A value ≥5% was accepted as high risk of death within 10 years.

Results: Increased risk of cardiovascular complications (pulse pressure >63 mmHg) was found in 31.60% subjects with MS and 6.93% healthy ones.

Conclusions: High risk of cardiovascular complications and death occurs statistically more frequently in subjects with MS than in the rest of the population.

Keywords: SCORE; agriculture; cardiovascular diseases; cardiovascular risk; metabolic syndrome; puls pressure.