Physical activity and metabolic syndrome in primary care patients in Spain

Purpose To determine the relationship between self-reported physical activity and the components of premorbid metabolic syndrome in patients treated in primary care according to sex. Methods Cross-sectional descriptive study conducted on a sample of 2,359 patients without cardiovascular disease or d...

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Veröffentlicht in:PLoS ONE 2025, Vol.20 (1), p.e0317593
Hauptverfasser: Micó-Pérez, Rafael Manuel, Hernández Segura, Natalia, Martín-Sánchez, Vicente, Barquilla-García, Alfonso, Velilla-Zancada, Sonsoles M, Polo-García, José, Prieto-Díaz, Miguel Ángel, Pallares-Carratala, Vicente, Segura-Fragoso, Antonio, Ginel-Mendoza, Leovigildo, Cinza-Sanjurjo, Sergio
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container_start_page e0317593
container_title PLoS ONE
container_volume 20
creator Micó-Pérez, Rafael Manuel
Hernández Segura, Natalia
Martín-Sánchez, Vicente
Barquilla-García, Alfonso
Velilla-Zancada, Sonsoles M
Polo-García, José
Prieto-Díaz, Miguel Ángel
Pallares-Carratala, Vicente
Segura-Fragoso, Antonio
Ginel-Mendoza, Leovigildo
Cinza-Sanjurjo, Sergio
description Purpose To determine the relationship between self-reported physical activity and the components of premorbid metabolic syndrome in patients treated in primary care according to sex. Methods Cross-sectional descriptive study conducted on a sample of 2,359 patients without cardiovascular disease or diabetes, included in the cohort of the IBERICAN study. Using ANOVA models and adjusting for age, economic status, employment situation, level of education, adherence to a Mediterranean diet, tobacco use and alcohol consumption, we estimated the association of the variables blood pressure, triglycerides, HDL cholesterol, blood glucose and waist circumference with the self-reported level of physical activity (sedentary, moderate, high, very high). The analyses were performed stratifying by sex. Results A total of 854 men and 1,505 women with no identified diseases were included. Women were more sedentary than men (p
doi_str_mv 10.1371/journal.pone.0317593
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Methods Cross-sectional descriptive study conducted on a sample of 2,359 patients without cardiovascular disease or diabetes, included in the cohort of the IBERICAN study. Using ANOVA models and adjusting for age, economic status, employment situation, level of education, adherence to a Mediterranean diet, tobacco use and alcohol consumption, we estimated the association of the variables blood pressure, triglycerides, HDL cholesterol, blood glucose and waist circumference with the self-reported level of physical activity (sedentary, moderate, high, very high). The analyses were performed stratifying by sex. Results A total of 854 men and 1,505 women with no identified diseases were included. Women were more sedentary than men (p&lt;0.004; OR = 1,35; IC95% = 1,10-1,65) and presented lower values in all the components of the metabolic syndrome, except for HDL-cholesterol, which was higher (p&lt;0.001). The adjusted ANOVA model shows that diastolic blood pressure, triglycerides, fasting blood glucose, and waist circumference were significantly lower the higher the level of physical activity in both men and women (p&lt;0.05). Conclusions Patients served in primary care clinics without diabetes or cardiovascular disease and with high levels of physical activity showed better metabolic syndrome profiles. Given that women are more sedentary, gender approaches are needed in the promotion of physical activity to prevent metabolic syndrome and cardiovascular disease.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0317593</identifier><language>eng</language><publisher>Public Library of Science</publisher><subject>Exercise ; Health aspects ; Metabolic diseases ; Primary health care</subject><ispartof>PLoS ONE, 2025, Vol.20 (1), p.e0317593</ispartof><rights>COPYRIGHT 2025 Public Library of Science</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>776,780,860,4476,27902</link.rule.ids></links><search><creatorcontrib>Micó-Pérez, Rafael Manuel</creatorcontrib><creatorcontrib>Hernández Segura, Natalia</creatorcontrib><creatorcontrib>Martín-Sánchez, Vicente</creatorcontrib><creatorcontrib>Barquilla-García, Alfonso</creatorcontrib><creatorcontrib>Velilla-Zancada, Sonsoles M</creatorcontrib><creatorcontrib>Polo-García, José</creatorcontrib><creatorcontrib>Prieto-Díaz, Miguel Ángel</creatorcontrib><creatorcontrib>Pallares-Carratala, Vicente</creatorcontrib><creatorcontrib>Segura-Fragoso, Antonio</creatorcontrib><creatorcontrib>Ginel-Mendoza, Leovigildo</creatorcontrib><creatorcontrib>Cinza-Sanjurjo, Sergio</creatorcontrib><title>Physical activity and metabolic syndrome in primary care patients in Spain</title><title>PLoS ONE</title><description>Purpose To determine the relationship between self-reported physical activity and the components of premorbid metabolic syndrome in patients treated in primary care according to sex. Methods Cross-sectional descriptive study conducted on a sample of 2,359 patients without cardiovascular disease or diabetes, included in the cohort of the IBERICAN study. Using ANOVA models and adjusting for age, economic status, employment situation, level of education, adherence to a Mediterranean diet, tobacco use and alcohol consumption, we estimated the association of the variables blood pressure, triglycerides, HDL cholesterol, blood glucose and waist circumference with the self-reported level of physical activity (sedentary, moderate, high, very high). The analyses were performed stratifying by sex. Results A total of 854 men and 1,505 women with no identified diseases were included. Women were more sedentary than men (p&lt;0.004; OR = 1,35; IC95% = 1,10-1,65) and presented lower values in all the components of the metabolic syndrome, except for HDL-cholesterol, which was higher (p&lt;0.001). The adjusted ANOVA model shows that diastolic blood pressure, triglycerides, fasting blood glucose, and waist circumference were significantly lower the higher the level of physical activity in both men and women (p&lt;0.05). Conclusions Patients served in primary care clinics without diabetes or cardiovascular disease and with high levels of physical activity showed better metabolic syndrome profiles. 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Methods Cross-sectional descriptive study conducted on a sample of 2,359 patients without cardiovascular disease or diabetes, included in the cohort of the IBERICAN study. Using ANOVA models and adjusting for age, economic status, employment situation, level of education, adherence to a Mediterranean diet, tobacco use and alcohol consumption, we estimated the association of the variables blood pressure, triglycerides, HDL cholesterol, blood glucose and waist circumference with the self-reported level of physical activity (sedentary, moderate, high, very high). The analyses were performed stratifying by sex. Results A total of 854 men and 1,505 women with no identified diseases were included. Women were more sedentary than men (p&lt;0.004; OR = 1,35; IC95% = 1,10-1,65) and presented lower values in all the components of the metabolic syndrome, except for HDL-cholesterol, which was higher (p&lt;0.001). The adjusted ANOVA model shows that diastolic blood pressure, triglycerides, fasting blood glucose, and waist circumference were significantly lower the higher the level of physical activity in both men and women (p&lt;0.05). Conclusions Patients served in primary care clinics without diabetes or cardiovascular disease and with high levels of physical activity showed better metabolic syndrome profiles. Given that women are more sedentary, gender approaches are needed in the promotion of physical activity to prevent metabolic syndrome and cardiovascular disease.</abstract><pub>Public Library of Science</pub><doi>10.1371/journal.pone.0317593</doi></addata></record>
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subjects Exercise
Health aspects
Metabolic diseases
Primary health care
title Physical activity and metabolic syndrome in primary care patients in Spain
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