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ISRN Cardiology
Volume 2012 (2012), Article ID 736314, 7 pages
http://dx.doi.org/10.5402/2012/736314
Clinical Study

Predictors of Metabolic Syndrome in Participants of a Cardiac Rehabilitation Program

1Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC, Canada V5A 156
2Healthy Heart Program, St. Paul’s Hospital, Providence Health Care, Vancouver, BC, Canada V6Z 1Y6
3Faculty of Health Sciences, Simon Fraser University, Harbour Centre Campus, Vancouver, BC, Canada V6B 5K3

Received 12 December 2011; Accepted 19 January 2012

Academic Editor: A. Bobik

Copyright Β© 2012 Alejandra Farias Godoy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Metabolic syndrome increases the risk of all-cause mortality, cardiovascular mortality and cardiovascular events in patients with cardiovascular disease (CVD). This study assessed the predictors of metabolic syndrome, both its incidence and resolution in a cohort of cardiac rehabilitation program graduates. Methods. A total of 154 and 80 participants without and with metabolic syndrome respectively were followed for 48 months. Anthropometric measurements, metabolic risk factors, and quality of life were assessed at baseline and at 48 months. Logistic regression models were used to assess the predictors of metabolic syndrome onset and resolution. Results. Increasing waist circumference (OR 1.175, 𝑃 ≀ 0 . 0 0 1 ) was an independent predictor for incident metabolic syndrome ( 𝑅 2 for model = 0.46). Increasing waist circumference (OR 1.234, 𝑃 ≀ 0 . 0 0 1 ), decreasing HDL-C (OR 0.027, 𝑃 = 0 . 0 0 5 ), and increasing triglycerides (OR 3.005, 𝑃 = 0 . 0 0 3 ) were predictors of metabolic syndrome resolution. Conclusion. Patients with CVD that further develop metabolic syndrome are particularly susceptible for the cascade of cardiovascular events and mortality. Increasing waist circumference confers a higher risk for future onset of metabolic syndrome in this group of patients. They will require closer follow-up and should be targeted for further prevention strategies after cardiac rehabilitation program completion.