Computer-based screening of veterans for metabolic syndrome

Jessica Keane, Joy L. Meier, Robert H. Noth, Arthur L Swislocki

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: The worldwide obesity epidemic has focused attention on the prevalence of the metabolic syndrome, which is greater than previously believed. However, estimates of its overall prevalence vary widely. We wished to ascertain the prevalence of metabolic syndrome in the Veteran Affairs Northern California Health Care System (VANCHCS). Methods: We used the VA computerized clinical database and modified Adult Treatment Panel III (ATP III) criteria of fasting blood glucose (FBG) ≥110 mg/dL, blood pressure ≥130/≥85, triglyceride ≥150 mg/dL, high-density lipoprotein cholesterol (HDL-C) <40 mg/dL (men) or <50 mg/dL (women), but body mass index (BMI) ≥30 in lieu of waist circumference >102 cm (40 inches) for men and 88 cm (35 inches) for women. We also accepted current pharmacotherapy for diabetes as qualifying for elevated fasting blood sugar (FBS); current therapy with niacin, gemfibrozil, or fenofibrate for elevated triglyceride concentrations; and recent use of multiple International Classification of Diseases, 9th Revision (ICD-9) codes for hypertension for elevated blood pressure. Results: We examined all clinical records for veterans registered in VANCHCS who filled any prescription between July 1, 2004, and June 30, 2005 (n = 51,026). Their average age was 63 years; 93 were male. In all 25 (n = 13,010) were diagnosed as having metabolic syndrome by meeting at least 3 of the above 5 criteria. Because only 60 (n = 30,727) of the population had data for 3 or more criteria, the actual percent with metabolic syndrome is probably substantially higher. Conclusions: Over one quarter of veterans in the VANCHCS may have metabolic syndrome based on our modified ATP III criteria. We urge screening more veterans with fasting laboratory testing. Computerized screening of a large clinical database can provide an effective strategy to aid clinicians in identifying more patients at risk for cardiovascular disease.

Original languageEnglish (US)
Pages (from-to)557-561
Number of pages5
JournalMetabolic Syndrome and Related Disorders
Volume7
Issue number6
DOIs
StatePublished - Dec 1 2009

Fingerprint

Veterans
Fasting
Delivery of Health Care
Blood Glucose
Triglycerides
Databases
Gemfibrozil
Blood Pressure
Fenofibrate
Niacin
International Classification of Diseases
HDL Cholesterol
Prescriptions
Cardiovascular Diseases
Therapeutics
Obesity
Hypertension
Drug Therapy
Population

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Internal Medicine

Cite this

Computer-based screening of veterans for metabolic syndrome. / Keane, Jessica; Meier, Joy L.; Noth, Robert H.; Swislocki, Arthur L.

In: Metabolic Syndrome and Related Disorders, Vol. 7, No. 6, 01.12.2009, p. 557-561.

Research output: Contribution to journalArticle

Keane, Jessica ; Meier, Joy L. ; Noth, Robert H. ; Swislocki, Arthur L. / Computer-based screening of veterans for metabolic syndrome. In: Metabolic Syndrome and Related Disorders. 2009 ; Vol. 7, No. 6. pp. 557-561.
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