Metabolic syndrome in Iranian patients with systemic lupus erythematosus and its determinants

The aim of this study was to determine the prevalence of metabolic syndrome (MetS) in Iranian patients with systemic lupus erythematosus (SLE) and its determinants. In a cross-sectional study, 98 patients with SLE and 95 controls were enrolled. Prevalence of MetS was determined based on American Hea...

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Veröffentlicht in:Clinical rheumatology 2018-06, Vol.37 (6), p.1521-1528
Hauptverfasser: Fatemi, Alimohammad, Ghanbarian, Azadeh, Sayedbonakdar, Zahra, Kazemi, Mehdi, Smiley, Abbas
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container_end_page 1528
container_issue 6
container_start_page 1521
container_title Clinical rheumatology
container_volume 37
creator Fatemi, Alimohammad
Ghanbarian, Azadeh
Sayedbonakdar, Zahra
Kazemi, Mehdi
Smiley, Abbas
description The aim of this study was to determine the prevalence of metabolic syndrome (MetS) in Iranian patients with systemic lupus erythematosus (SLE) and its determinants. In a cross-sectional study, 98 patients with SLE and 95 controls were enrolled. Prevalence of MetS was determined based on American Heart Association and National Heart, Lung, and Blood Institute (AHA/NHLBI) and 2009 harmonizing criteria. In addition, demographic features and lupus characteristics such as disease duration, pharmacological treatment, laboratory data, SLE disease activity index (SLEDAI), and Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage index (SDI) were recorded. The predictors of MetS were obtained by backward stepwise regression analysis. Using AHA/NHLBI, MetS was observed in 35 (35.7%) patients and 28 (29.8%) controls ( P  = 0.4). Using harmonizing criteria, MetS was observed in 37 (37.7%) patients and 33 (35.1%) controls ( P  = 0.7). There was no difference in frequency distribution of MetS components between the patients and the controls. In multivariate regression analysis, low C3, blood urea nitrogen (BUN), and body mass index were independent determinants of MetS in lupus patients. BUN, low C3, and body mass index were the major determinants of MetS in lupus patients.
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In a cross-sectional study, 98 patients with SLE and 95 controls were enrolled. Prevalence of MetS was determined based on American Heart Association and National Heart, Lung, and Blood Institute (AHA/NHLBI) and 2009 harmonizing criteria. In addition, demographic features and lupus characteristics such as disease duration, pharmacological treatment, laboratory data, SLE disease activity index (SLEDAI), and Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage index (SDI) were recorded. The predictors of MetS were obtained by backward stepwise regression analysis. Using AHA/NHLBI, MetS was observed in 35 (35.7%) patients and 28 (29.8%) controls ( P  = 0.4). Using harmonizing criteria, MetS was observed in 37 (37.7%) patients and 33 (35.1%) controls ( P  = 0.7). There was no difference in frequency distribution of MetS components between the patients and the controls. In multivariate regression analysis, low C3, blood urea nitrogen (BUN), and body mass index were independent determinants of MetS in lupus patients. 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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Adult
Body mass index
Case-Control Studies
Cross-Sectional Studies
Drug therapy
Female
Health risk assessment
Humans
Iran - epidemiology
Lupus
Lupus Erythematosus, Systemic - epidemiology
Male
Medicine
Medicine & Public Health
Metabolic syndrome
Metabolic Syndrome - epidemiology
Middle Aged
Original Article
Prevalence
Regression analysis
Rheumatology
Systemic lupus erythematosus
Urea
Young Adult
title Metabolic syndrome in Iranian patients with systemic lupus erythematosus and its determinants
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