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1. Prevalence of hypertriglyceridemia in adults and related cardiometabolic factors. SIMETAP-HTG study

Author

M.J. Frías Vargas, N. Zarzuelo Martín, Diana Fernández-Pacheco Vila, J.L. Velazco Zumarrán, M. Sánchez Herráiz, E. Revilla Pascual, M.C. Sánchez Ramos, A.P. Javierre Miranda, M. Inmaculada Hernández-Beltrán, A. Alcaraz Bethencourt, A.O. Rodríguez, Manuel J. Frías-Vargas, J.L. Quintana Gómez, C. Sanz Velasco, L. Ruiz Díaz, M.J. del Villar Redondo, R.A. Escrivá Ferrairó, R. Pleite Raposo, A.I. Macho del Barrio, Gema M. Dávila-Blázquez, M. del Carmen Antón-Sanz, P. Cabello Igual, R. Hueso Quesada, S. Redondo de Pedro, C. Zafra Urango, R.M. Hernández López, Antonio Sánchez-Calso, J.R. Iglesias Quintana, M. Redondo Sánchez, B. López Uriarte, A. Migueláñez Valero, R. Pérez Muñoz, A. Montero Costa, N. Escamilla Guijarro, Montserrat Pérez Fernández, T.F. Casaseca Calvo, D. Fernández-Pacheco Vila, Santiago Delgado Rodríguez, A.I. Martín Fernández, M.C. Vieira Pascual, M.S. Moreno Muñoz, P.L. Sanchidrián Fernández, M.R. Durán Tejada, E. Arranz Martínez, S. Delgado Rodríguez, M.T. Sarriá Sánchez, A. Rodríguez de Cossío, M.D. García Granado, M.P. Hombrados Gonzalo, S. Luna Ramírez, R. Alonso Roca, I. Tello Meco, M. Pérez Fernández, L.E. Morales Cobos, T. Pascual Val, N. de la Peña Antón, M. Rubio Villar, P. Aguilera Reija, C. Vargas-Machuca Cabañero, R. Rodríguez Cabanillas, A.M. Ibarra Sánchez, M. Rosario Morales-Chico, M.C. Hernández de Luna, E. Rodríguez de Mingo, C. Ribot Catalá, M.P. García Alcañiz, N. Caballero Ramírez, P. Simonaggio Stancampiano, M. Rivera Teijido, Rafael Alonso-Roca, M.S. Holgado Catalán, E. Gómez Díaz, Montserrat Rivera-Teijido, Raquel Pleite Raposo, Isabel Tello-Meco, E. Barrios Rueda, Beatriz López-Uriarte, José Antonio González-Posada Delgado, J.A. González-Posada Delgado, C. Abad Schilling, N. Marañón Henrich, Ana Olga Rodríguez Rodríguez, R. Álvarez Benedicto, N. Iturmendi Martínez, J. Reguillo Díaz, M.M. Zamora Gómez, M.P. Calderín Morales, R. Cabrera Vélez, Ana Pilar Javierre-Miranda, Joaquina Reguillo-Díaz, Beatriz Remón-Pérez, José Luis Quintana-Gómez, B. Sanz Pozo, M.R. Morales Chico, E. Martínez Cid de Rivera, M.P. García Villasur, J.M. Blanco Canseco, Y. Hidalgo Calleja, A. Rosillo González, M. Isabel Gutiérrez Sánchez, C. Mora Casado, M. Capitán Caldas, M.C. Martín Calle, E. Sandín de Vega, Paloma Aguilera Reija, P. González Escobar, Ignacio Íscar-Valenzuela, M.I. Hernández Beltrán, M.T. Plata Barajas, Juan Ramón Iglesias Quintana, M.E. García Fernández, J.C. Moreno Fernández, C. Ciria de Pablo, P. Arribas Álvaro, Enrique Revilla-Pascual, M.R. García Redondo, Antonio Rosillo-González, P. Magán Tapia, Antonio Ruiz-García, Rosa Ana Escrivá-Ferrairó, I. Gutiérrez Sánchez, M.C. Díez Pérez, Raúl Pérez Muñoz, I. Íscar Valenzuela, Ofelia Gómez-Fernández, B. Remón Pérez, J.E. Mariño Suárez, T. Fernández Vicente, M. Prieto Marcos, A. Ruiz García, M.S. Lorenzo Borda, M.C. Baltuille Aller, David Palacios-Martínez, Ana María Ibarra-Sánchez, R.A. García Pliego, M. Adrián Sanz, José Enrique Mariño-Suárez, O. Gómez Fernández, M. Jesús del Villar Redondo, J.A. Cique Herráinz, Norma Alejandra Doria-Carlin, M.R. Rico Pérez, P. Chao Escuer, A.M. Rey López, Ezequiel Arranz-Martínez, A. Sánchez Calso, J. Martínez Irazusta, D. Palacios Martínez, E. Benito Alonso, M.E. Minguela Puras, Rafael Rodríguez-Cabanillas, Elena Barrios-Rueda, J.C. García Álvarez, Miguel Prieto Marcos, G. Dávila Blázquez, L. de Prado Prieto, and M.L. Berbil Bautista

Subjects
medicine.medical_specialty, Multivariate analysis, Triglyceride, business.industry, Hypertriglyceridemia, General Engineering, Prevalence, medicine.disease, Obesity, chemistry.chemical_compound, chemistry, Diabetes mellitus, Internal medicine, medicine, General Earth and Planetary Sciences, Steatosis, business, General Environmental Science, Kidney disease
Abstract

Aim To determine in the adult population the crude and the sex- and age-adjusted prevalence rates of hypertriglyceridaemia (HTG) and to assess its association with cardiovascular risk factors, chronic kidney disease, cardiovascular and cardiometabolic diseases. Methods Cross-sectional observational study conducted in Primary Care, with 6,588 adult study subjects, randomly selected on base-population. Patients had HTG if the triglyceride level was ≥150 mg/dL (≥1.7 mmol/L), or were on lipid-lowering therapy to lower triglyceride. Associations were assessed by univariate and multivariate analysis, and crude and sex- and age-adjusted prevalence rates were determined. Results The arithmetic and geometric means of triglyceride levels were respectively 120.5 and 104.2 mg/dL in global population, 135.7 and 116.0 mg/dL in men, and 108.6 and 95.7 mg/dL in women. The crude HTG prevalence rates were 29.6% in global population, 36.9% in men and 23.8% in women. The sex- and age-adjusted HTG prevalence rates were 27.0% in global population, 34.6% in men and 21.4% in women. The independent variables that were most associated with HTG were hypercholesterolemia (OR: 4.6), low HDL-C (OR: 4.1), hepatic steatosis (OR: 2.8), diabetes (OR: 2.0), and obesity. (OR: 1.9). Conclusions The means of triglyceride levels and HTG prevalence rates are intermediate between those of other national and international studies. A fifth of the female adult population and more than a third of the male population had HTG. The independent factors associated with HTG were hypercholesterolemia and low HDL-C, and the cardiometabolic variables diabetes, hepatic steatosis and obesity.

Published
2020

2. Prevalencia de diabetes mellitus en el ámbito de la atención primaria española y su asociación con factores de riesgo cardiovascular y enfermedades cardiovasculares. Estudio SIMETAP-DM

Author

D. Fernández-Pacheco-Vila, N. Caballero-Ramírez, Beatriz López-Uriarte, A. Rodríguez-de-Cossío, I. Tello-Meco, M.C. Martín-Calle, M.R. Rico-Pérez, R.A. Escrivá-Ferrairó, E. Arranz-Martínez, E. Sandín-de-Vega, A.I. Macho-del-Barrio, Sonia Redondo-de-Pedro, P. Aguilera-Reija, M.R. Morales-Chico, A.O. Rodríguez-Rodríguez, B. López-Uriarte, B. Sanz-Pozo, P. Simonaggio-Stancampiano, M. Adrián-Sanz, P. González-Escobar, J.L. Velazco-Zumarrán, E. Revilla-Pascual, M.P. García-García-Alcañiz, M.P. Calderín-Morales, Miriam Sánchez-Herráiz, Rosa Ana García-Pliego, M.M. Zamora-Gómez, A.M. Ibarra-Sánchez, M.C. Vieira-Pascual, S. Redondo-de-Pedro, A. Rosillo-González, Yolanda Hidalgo-Calleja, E. Gómez-Díaz, R. Rodríguez-Cabanillas, M. Redondo-Sánchez, Alejandra Montero-Costa, Juncal Martínez-Irazusta, Amelia Alcaraz-Bethencourt, Rosa Hueso-Quesada, A. Alcaraz-Bethencourt, M.C. Hernández-de-Luna, E. Rodríguez-de-Mingo, Clara Abad-Schilling, D. Palacios-Martínez, N. Escamilla-Guijarro, M.P. García-Villasur, C. Zafra-Urango, J.L. Quintana-Gómez, Nuria Escamilla-Guijarro, Y. Hidalgo-Calleja, María Eugenia García-Fernández, T. Fernández-Vicente, M.E. García-Fernández, M.T. Plata-Barajas, C. Vargas-Machuca-Cabañero, T. Pascual-Val, R.A. García-Pliego, Cristina Ciria-de-Pablo, M. Sánchez-Herráiz, M.E. Minguela-Puras, L. de-Prado-Prieto, Concepción Zafra-Urango, J.C. García-Álvarez, N. Marañón-Henrich, M. Pérez-Fernández, R. Álvarez-Benedicto, M.L. Berbil-Bautista, E. Martínez-Cid-de-Rivera, J.M. Blanco-Canseco, L.E. Morales-Cobos, María Prado García-García-Alcañiz, J.A. Cique-Herráinz, R. Hueso-Quesada, R. Alonso-Roca, N. Iturmendi-Martínez, E. Benito-Alonso, Mercedes Rubio-Villar, M.S. Moreno-Muñoz, Ángela Rodríguez-de-Cossío, A. Sánchez-Calso, A.P. Javierre-Miranda, J.E. Mariño-Suárez, J.C. Moreno-Fernández, M.R. Durán-Tejada, R. Pérez-Muñoz, C. Ribot-Catalá, P. Arribas-Álvaro, A.M. Rey-López, C. Mora-Casado, M. Capitán-Caldas, M.R. García-Redondo, P. Cabello-Igual, A.I. Martín-Fernández, E. Barrios-Rueda, G. Dávila-Blázquez, R. Pleite-Raposo, A. Migueláñez-Valero, M.S. Lorenzo-Borda, J.R. Iglesias-Quintana, C. Sanz-Velasco, I. Íscar-Valenzuela, María Esther Minguela-Puras, S. Luna-Ramírez, J. Martínez-Irazusta, Lidia de-Prado-Prieto, Teresa Pascual-Val, M.P. Hombrados-Gonzalo, María Teresa Plata-Barajas, Ana María Rey-López, Paula Chao-Escuer, M.D. García-Granado, M.I. Hernández-Beltrán, I. Gutiérrez-Sánchez, Juan Carlos García-Álvarez, M.J. Frías-Vargas, María Rosario Durán-Tejada, P.L. Sanchidrián-Fernández, J. Reguillo-Díaz, M. Rubio-Villar, María Carmen Vieira-Pascual, M.C. Baltuille-Aller, Ezequiel Arranz-Martínez, M. Rivera-Teijido, M.T. Sarriá-Sánchez, N. Zarzuelo-Martín, P. Chao-Escuer, Mercedes Adrián-Sanz, L. Ruiz-Díaz, N. de-la-Peña-Antón, C. Ciria-de-Pablo, Montserrat Rivera-Teijido, José Manuel Blanco-Canseco, J.A. González-Posada-Delgado, T.F. Casaseca-Calvo, Antonio Ruiz-García, M.C. Sánchez-Ramos, A. Ruiz-García, M.J. del-Villar-Redondo, Mercedes Redondo-Sánchez, R.M. Hernández-López, María Luisa Berbil-Bautista, O. Gómez-Fernández, S. Delgado-Rodríguez, R. Cabrera-Vélez, M.S. Holgado-Catalán, Eva Martínez-Cid-de-Rivera, M. Prieto-Marcos, B. Remón-Pérez, M.C. Díez-Pérez, María Rosa García-Redondo, A. Montero-Costa, and C. Abad-Schilling

Subjects
03 medical and health sciences, 0302 clinical medicine, Pharmacology (medical), 030212 general & internal medicine, 030204 cardiovascular system & hematology, Cardiology and Cardiovascular Medicine
Abstract

Resumen Introduccion Los objetivos del estudio fueron determinar las tasas de prevalencia brutas y ajustadas por edad y sexo de diabetes mellitus (DM), DM tipo 1 (DM1) y DM tipo 2 (DM2), y comparar la asociacion de factores de riesgo cardiovascular, enfermedades cardiovasculares, enfermedad renal cronica y enfermedades metabolicas entre las poblaciones con y sin DM. Metodos SIMETAP-DM es un estudio observacional transversal realizado en atencion primaria, con una muestra aleatoria de base poblacional de 10.579 adultos. Tasa de respuesta: 66%. Los diagnosticos de DM, DM1 y DM2 se basaron en criterios clinicos y bioquimicos y/o en la comprobacion de estos diagnosticos en las historias clinicas. Se determinaron las prevalencias brutas y ajustadas por edad y sexo (estandarizadas con la poblacion espanola). Resultados Las prevalencias brutas de DM1, DM2 y DM fueron del 0,87% (intervalo de confianza al 95% [IC 95%]: 0,67-1,13), el 14,7% (IC 95%: 13,9-15,6) y el 15,6% (IC 95%: 14,7-16,5), respectivamente. Las prevalencias ajustadas por edad y sexo de DM1, DM2 y DM fueron del 1,0% (1,3% para hombres y 0,7% para mujeres), el 11,5% (13,6% para hombres y 9,7% para mujeres) y el 12,5% (14,9% para hombres y 10,5% para mujeres), respectivamente. La prevalencia de DM en la poblacion ≥ 70 anos era el doble (30,3% [IC 95%: 28,0-32,7]) que en la poblacion entre 40 y 69 anos (15,3% [IC 95%: 14,1-16,5%]). La hipertension arterial, la enfermedad arterial periferica, el indice cintura-talla aumentado, la albuminuria, la enfermedad coronaria, la dislipidemia aterogenica y la hipercolesterolemia se asociaban con la DM. Conclusiones En el ambito de la atencion primaria espanola, las prevalencias ajustadas por edad de DM1, DM2 y DM en la poblacion adulta fueron del 1,0, el 11,5 y el 12,5%, respectivamente. Un tercio de la poblacion mayor de 70 anos padecia DM.

Published
2020

3. Prevalence of erectile dysfunction in Spanish primary care setting and its association with cardiovascular risk factors and cardiovascular diseases. SIMETAP-ED study

Author

Antonio Ruiz-García, Ezequiel Arranz-Martínez, Roberto Cabrera-Vélez, David Palacios-Martínez, Montserrat Rivera-Teijido, Juan Carlos García-Álvarez, Luis Enrique Morales-Cobos, Juan Carlos Moreno-Fernández, María Eugenia García-Fernández, Nuria Peña-Antón, Maria Cruz Díez-Pérez, Alejandra Montero-Costa, María Soledad Lorenzo-Borda, María Dolores García-Granado, Teresa Fátima Casaseca-Calvo, Juan A. Cique-Herráinz, María Paloma García-Villasur, Nuria Marañón-Henrich, Nieves Zarzuelo-Martín, María Camino Baltuille-Aller, Pilar Arribas-Álvaro, Ana Isabel Macho-Barrio, Carlos Ribot-Catalá, Mercedes Capitán-Caldas, Cristina Ciria-de-Pablo, Carmelina Sanz-Velasco, Concepción Vargas-Machuca-Cabañero, Paula Simonaggio-Stancampiano, María Pilar Cabello-Igual, María Teresa Sarria-Sánchez, C. Abad-Schilling, M. Adrián-Sanz, P. Aguilera-Reija, A. Alcaraz-Bethencourt, R. Alonso-Roca, R. Álvarez-Benedicto, E. Arranz-Martínez, P. Arribas-Álvaro, M.C. Baltuille-Aller, E. Barrios-Rueda, E. Benito-Alonso, M.L. Berbil-Bautista, J.M. Blanco-Canseco, N. Caballero-Ramírez, P. Cabello-Igual, R. Cabrera-Vélez, M.P. Calderín-Morales, M. Capitán-Caldas, T.F. Casaseca-Calvo, J.A. Cique-Herráinz, C. Ciria-de-Pablo, P. Chao-Escuer, G. Dávila-Blázquez, N. de-la-Peña-Antón, L. de-Prado-Prieto, M.J. del-Villar-Redondo, S. Delgado-Rodríguez, M.C. Díez-Pérez, M.R. Durán-Tejada, N. Escamilla-Guijarro, R.A. Escrivá-Ferrairó, T. Fernández-Vicente, D. Fernández-Pacheco-Vila, M.J. Frías-Vargas, J.C. García-Álvarez, M.E. García-Fernández, M.P. García-García-Alcañiz, M.D. García-Granado, R.A. García-Pliego, M.R. García-Redondo, M.P. García-Villasur, E. Gómez-Díaz, O. Gómez-Fernández, P. González-Escobar, J.A. González-Posada-Delgado, I. Gutiérrez-Sánchez, M.I. Hernández-Beltrán, M.C. Hernández-de-Luna, R.M. Hernández-López, Y. Hidalgo-Calleja, M.S. Holgado-Catalán, M.P. Hombrados-Gonzalo, R. Hueso-Quesada, A.M. Ibarra-Sánchez, J.R. Iglesias-Quintana, I. Íscar-Valenzuela, N. Iturmendi-Martínez, A.P. Javierre-Miranda, B. López-Uriarte, M.S. Lorenzo-Borda, S. Luna-Ramírez, A.I. Macho-del-Barrio, N. Marañón-Henrich, J.E. Mariño-Suárez, M.C. Martín-Calle, A.I. Martín-Fernández, E. Martínez-Cid-de-Rivera, J. Martínez-Irazusta, A. Migueláñez-Valero, M.E. Minguela-Puras, A. Montero-Costa, C. Mora-Casado, L.E. Morales-Cobos, M.R. Morales-Chico, J.C. Moreno-Fernández, M.S. Moreno-Muñoz, D. Palacios-Martínez, T. Pascual-Val, M. Pérez-Fernández, R. Pérez-Muñoz, M.T. Plata-Barajas, R. Pleite-Raposo, M. Prieto-Marcos, J.L. Quintana-Gómez, S. Redondo-de-Pedro, M. Redondo-Sánchez, J. Reguillo-Díaz, B. Remón-Pérez, E. Revilla-Pascual, A.M. Rey-López, C. Ribot-Catalá, M.R. Rico-Pérez, M. Rivera-Teijido, R. Rodríguez-Cabanillas, A. Rodríguez-de-Cossío, E. Rodríguez-de-Mingo, A.O. Rodríguez-Rodríguez, A. Rosillo-González, M. Rubio-Villar, L. Ruiz-Díaz, A. Ruiz-García, A. Sánchez-Calso, M. Sánchez-Herráiz, M.C. Sánchez-Ramos, P.L. Sanchidrián-Fernández, E. Sandín-de-Vega, B. Sanz-Pozo, C. Sanz-Velasco, M.T. Sarriá-Sánchez, P. Simonaggio-Stancampiano, I. Tello-Meco, C. Vargas-Machuca-Cabañero, J.L. Velazco-Zumarrán, M.C. Vieira-Pascual, C. Zafra-Urango, M.M. Zamora-Gómez, and N. Zarzuelo-Martín

Subjects
Adult, Male, medicine.medical_specialty, Adolescent, Population, 030232 urology & nephrology, Prevalence, 030204 cardiovascular system & hematology, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Erectile Dysfunction, Metabolic Diseases, Risk Factors, Internal medicine, medicine, Humans, Pharmacology (medical), Renal Insufficiency, Chronic, education, Aged, General Environmental Science, Aged, 80 and over, Response rate (survey), education.field_of_study, Primary Health Care, business.industry, Medical record, General Engineering, Middle Aged, medicine.disease, Confidence interval, Cross-Sectional Studies, Erectile dysfunction, Cardiovascular Diseases, Spain, General Earth and Planetary Sciences, Observational study, Cardiology and Cardiovascular Medicine, business, Kidney disease
Abstract

Introduction Few studies conducted in primary care setting report about age-adjusted prevalence rates of erectile dysfunction (ED). Aims of SIMETAP-ED study were to determine crude and age-adjusted prevalence rates of ED diagnosis, to compare these rates with other similar studies, and to compare prevalence rates of cardiovascular risk factors (CVRF), cardiovascular diseases (CVD), metabolic diseases and chronic kidney disease (CKD) between populations with and without ED. Methods Cross-sectional observational study conducted in primary care setting. Population-based random sample: 2934 adult men. Response rate: 66%. A clinical interview was conducted to diagnose ED using a question derived from ED definition. The medical records of patients were reviewed to identify their CVRF and diseases associated with ED. The age-adjustments were standardized to Spanish population. Results The prevalence rates of metabolic diseases, CVD, CVRF, and CKD in population with ED were higher than population without ED, highlighting the CVD. The crude prevalence of ED was 17.2% (95% confidence interval: 15.8•18.6). The age-adjusted prevalence rates of ED were 0.71% in men under 40 years, 12.4% in men over 18 years, 10.8% in men aged 40•69 years, 18.9% in men over 40 years, and 48.6% in men over 70 years. Conclusions SIMETAP-ED study showed association of ED with metabolic diseases, CKD, CVRF, and highlighting CVD. The age-adjusted prevalence of ED was 12.4% in adult men, 19% in men over 40 years, and almost 50% in men over 70 years.

Published
2019

4. [Transient work disability throughout a year in the IV Area of Asturias]

Author

D, Núñez Batalla, C, Otero Rodríguez, C, Sanz Velasco, J, Amador Mellado, C, Fernández Gutiérrez, and J, Paz Jiménez

Subjects
Adult, Male, Epidemiology, Spain, Absenteeism, Humans, Female, Middle Aged
Abstract

We try to determinate the epidemiological distribution of the different pathologies which produce laboral absenteeism.Descriptive study.IV Health Area, Asturias.Parts of discharge laboral transitory incapacity P9. INTERVENTION AND MAIN RESULTS: The gross rate of laboral transitory incapacity is 16.8%. Sex: 67.3% male, 32.7% female. The mean days for episode is 37.42 (DE = 60.47). Female average duration is 10 days more than male. For each year the mean duration increased 1.3 days (r = 0.25; p0.05). The 50% episodes has a duration less than two weeks. The three main illness groups are the breathing diseases (VIII), locomotor diseases (XIII) and accidents and traumatism (XVII). Many pathologies are associated with sex and age. Many pathologies have a stational distribution: VIII (p0.001), digestive diseases (p0.001), mental diseases (p0.05) and XVII (p0.05).1) Is interesting the exploration of the information contents in P9 parts. 2) The aged is relationed with during of absenteeism. 3) Many pathologies were associated with the sex and aged of patients. 4) Many pathologies have a stational distribution.

Published
1995

5. A primary healthcare information intervention for communicating cardiovascular risk to patients with poorly controlled hypertension: The Education and Coronary Risk Evaluation (Educore) study-A pragmatic, cluster-randomized trial.

Author

Escortell-Mayor E, Del Cura-González I, Ojeda-Ruiz E, Sanz-Cuesta T, Rodríguez-Salceda I, García-Soltero J, Rojas-Giraldo MJ, Herrera-Municio P, Jorge-Formariz A, Lorenzo-Lobato Á, Cabello-Ballesteros L, Riesgo-Fuertes R, Garrido-Elustondo S, Morey-Montalvo M, Rico-Blázquez M, Rodríguez-Barrientos R, Fuente-Arriaran MD, Sierra-Ocaña G, Serrano-Serrano E, Sanz-Velasco C, Carrascoso-Calvo R, Recio-Velasco JC, Sanz-Sanz M, Rumayor-Zarzuelo M, Bermejo-Mayoral OI, Galán-Esteban J, and Sarría-Santamera A

Subjects
Adult, Aged, Blood Pressure, Cardiovascular Diseases prevention & control, Female, Humans, Hypertension drug therapy, Male, Middle Aged, Antihypertensive Agents therapeutic use, Cardiovascular Diseases etiology, Early Intervention, Educational, Hypertension complications, Medication Adherence statistics & numerical data, Patient Education as Topic, Primary Health Care standards
Abstract

Purpose: Uncertainty exists regarding the best way to communicate cardiovascular risk (CVR) to patients, and it is unclear whether the comprehension and perception of CVR varies according to the format used. The aim of the present work was to determine whether a strategy designed for communicating CVR information to patients with poorly controlled high blood pressure (HBP), but with no background of cardiovascular disease, was more effective than usual care in the control of blood pressure (BP) over the course of a year., Methods: A pragmatic, two-arm, cluster-randomized controlled trial was performed. Consecutive patients aged 40-65 years, all diagnosed with HBP in the last 12 months, and all of whom showed poor control of their condition (systolic BP ≥140 mmHg and/or diastolic BP ≥90 mmHg), were recruited at 22 primary healthcare centres. Eleven centres were randomly assigned to the usual care arm, and 11 to the informative intervention arm (Educore arm). At the start of the study, the Educore arm subjects were shown the "low risk SCORE table", along with impacting images and information pamphlets encouraging the maintenance of good cardiovascular health. The main outcome variable measured was the control of HBP; the secondary outcome variables were SCORE table score, total plasma cholesterol concentration, use of tobacco, adherence to prescribed treatment, and quality of life., Results: The study participants were 411 patients (185 in the Educore arm and 226 in the usual care arm). Multilevel logistic regression showed that, at 12 months, the Educore intervention achieved better control of HBP (OR = 1.57; 1.02 to 2.41). No statistically significant differences were seen between the two arms at 12 months with respect to the secondary outcomes., Conclusions: Compared to usual care, the Educore intervention was associated with better control of HBP after adjusting for age, baseline SBP and plasma cholesterol, at 12 months., Competing Interests: The authors have declared that no competing interests exist.

Published
2020
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6. Prevalence of erectile dysfunction in Spanish primary care setting and its association with cardiovascular risk factors and cardiovascular diseases. SIMETAP-ED study.

Author

Ruiz-García A, Arranz-Martínez E, Cabrera-Vélez R, Palacios-Martínez D, Rivera-Teijido M, García-Álvarez JC, Morales-Cobos LE, Moreno-Fernández JC, García-Fernández ME, Peña-Antón N, Díez-Pérez MC, Montero-Costa A, Lorenzo-Borda MS, García-Granado MD, Casaseca-Calvo TF, Cique-Herráinz JA, García-Villasur MP, Marañón-Henrich N, Zarzuelo-Martín N, Baltuille-Aller MC, Arribas-Álvaro P, Macho-Barrio AI, Ribot-Catalá C, Capitán-Caldas M, Ciria-de-Pablo C, Sanz-Velasco C, Vargas-Machuca-Cabañero C, Simonaggio-Stancampiano P, Cabello-Igual MP, and Sarria-Sánchez MT

Subjects
Adolescent, Adult, Aged, Aged, 80 and over, Cardiovascular Diseases etiology, Cross-Sectional Studies, Humans, Male, Middle Aged, Prevalence, Primary Health Care, Risk Factors, Spain, Young Adult, Cardiovascular Diseases epidemiology, Erectile Dysfunction epidemiology, Metabolic Diseases epidemiology, Renal Insufficiency, Chronic epidemiology
Abstract

Introduction: Few studies conducted in primary care setting report about age-adjusted prevalence rates of erectile dysfunction (ED). Aims of SIMETAP-ED study were to determine crude and age-adjusted prevalence rates of ED diagnosis, to compare these rates with other similar studies, and to compare prevalence rates of cardiovascular risk factors (CVRF), cardiovascular diseases (CVD), metabolic diseases and chronic kidney disease (CKD) between populations with and without ED., Methods: Cross-sectional observational study conducted in primary care setting. Population-based random sample: 2934 adult men. Response rate: 66%. A clinical interview was conducted to diagnose ED using a question derived from ED definition. The medical records of patients were reviewed to identify their CVRF and diseases associated with ED. The age-adjustments were standardized to Spanish population., Results: The prevalence rates of metabolic diseases, CVD, CVRF, and CKD in population with ED were higher than population without ED, highlighting the CVD. The crude prevalence of ED was 17.2% (95% confidence interval: 15.8-18.6). The age-adjusted prevalence rates of ED were 0.71% in men under 40 years, 12.4% in men over 18 years, 10.8% in men aged 40-69 years, 18.9% in men over 40 years, and 48.6% in men over 70 years., Conclusions: SIMETAP-ED study showed association of ED with metabolic diseases, CKD, CVRF, and highlighting CVD. The age-adjusted prevalence of ED was 12.4% in adult men, 19% in men over 40 years, and almost 50% in men over 70 years., (Copyright © 2019. Publicado por Elsevier España, S.L.U.)

Published
2019
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7. Population and methodology of the SIMETAP study: Prevalence of cardiovascular risk factors, cardiovascular diseases, and related metabolic diseases.

Author

Ruiz-García A, Arranz-Martínez E, García-Álvarez JC, Morales-Cobos LE, García-Fernández ME, de la Peña-Antón N, Martín Calle MC, Díez Pérez MC, Montero Costa A, Palacios Martínez D, García Villasur MP, García Granado MAD, Lorenzo Borda MS, Cique Herráinz JA, Marañón Henrich N, Zarzuelo Martín N, Baltuille Aller MDC, Casaseca Calvo TF, Arribas Álvaro P, Macho Del Barrio AI, Moreno Fernández JC, Ribot Catalá C, Capitán Caldas M, Ciria de Pablo C, Sanz Velasco C, Simonaggio Stancampiano P, Vargas-Machuca Cabañero C, Sarriá Sánchez MT, Gómez Díaz E, Sanz Pozo B, Rodríguez de Mingo E, Cabello Igual MP, Rico Pérez MR, Migueláñez Valero A, Alcaraz Bethencourt A, Zafra Urango C, Chao Escuer P, Redondo de Pedro S, Escamilla Guijarro N, López Uriarte B, and Rivera Teijido M

Subjects
Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Cardiovascular Diseases etiology, Cross-Sectional Studies, Dyslipidemias epidemiology, Female, Humans, Hypertension epidemiology, Life Style, Male, Middle Aged, Prevalence, Primary Health Care, Risk Factors, Sex Factors, Smoking epidemiology, Spain epidemiology, Young Adult, Cardiovascular Diseases epidemiology, Diabetes Mellitus epidemiology, Metabolic Diseases epidemiology, Obesity epidemiology
Abstract

The prevention of cardiovascular disease is based on the detection and control of cardiovascular risk factors (CVRF). In Spain there are important geographical differences both in the prevalence and in the level of control of the CVRF. In the last decade there has been an improvement in the control of hypertension and dyslipidaemia, but a worsening of cardio-metabolic risk factors related to obesity and diabetes. The SIMETAP study is a cross-sectional descriptive, observational study being conducted in 64 Primary Care Centres located at the Community of Madrid. The main objective is to determine the prevalence rates of CVRF, cardiovascular diseases, and metabolic diseases related to cardiovascular risk. A report is presented on the baseline characteristics of the population, the study methodology, and the definitions of the parameters and diseases under study. A total of 6,631 study subjects were selected using a population-based random sample. The anthropometric variables, lifestyles, blood pressure, biochemical parameters, and pharmacological treatments were determined. The highest crude prevalences were detected in smoking, physical inactivity, obesity, prediabetes, diabetes, hypertension, dyslipidaemias, and metabolic syndrome. A detailed analysis needs to be performed on the prevalence rates, stratified by age groups, and prevalence rates adjusted for age and sex to assess the true epidemiological dimension of these CVRF and diseases., (Copyright © 2018 Sociedad Española de Arteriosclerosis. Publicado por Elsevier España, S.L.U. All rights reserved.)

Published
2018
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8. [Transient work disability throughout a year in the IV Area of Asturias].

Author

Núñez Batalla D, Otero Rodríguez C, Sanz Velasco C, Amador Mellado J, Fernández Gutiérrez C, and Paz Jiménez J

Subjects
Adult, Epidemiology, Female, Humans, Male, Middle Aged, Spain, Absenteeism
Abstract

Objective: We try to determinate the epidemiological distribution of the different pathologies which produce laboral absenteeism., Design: Descriptive study., Setting: IV Health Area, Asturias., Participants: Parts of discharge laboral transitory incapacity P9. INTERVENTION AND MAIN RESULTS: The gross rate of laboral transitory incapacity is 16.8%. Sex: 67.3% male, 32.7% female. The mean days for episode is 37.42 (DE = 60.47). Female average duration is 10 days more than male. For each year the mean duration increased 1.3 days (r = 0.25; p < 0.05). The 50% episodes has a duration less than two weeks. The three main illness groups are the breathing diseases (VIII), locomotor diseases (XIII) and accidents and traumatism (XVII). Many pathologies are associated with sex and age. Many pathologies have a stational distribution: VIII (p < 0.001), digestive diseases (p < 0.001), mental diseases (p < 0.05) and XVII (p < 0.05)., Conclusions: 1) Is interesting the exploration of the information contents in P9 parts. 2) The aged is relationed with during of absenteeism. 3) Many pathologies were associated with the sex and aged of patients. 4) Many pathologies have a stational distribution.

Published
1995

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