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Ongoing study: metabolic syndrome stroke risk greatest in Hispanics.(Clinical Rounds)

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| June 01, 2004 | Brunk, Dave | COPYRIGHT 2004 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

SAN DIEGO -- Metabolic syndrome may be a stronger stroke risk factor for Hispanics than for blacks or whites, Bernadette Boden-Albala, Dr.P.H., reported at the 29th International Stroke Conference.

In the ongoing Northern Manhattan Study, metabolic syndrome was the culprit in 35% of strokes in Hispanics, 8% of strokes in blacks, and 4% of strokes in whites. The study was funded by the National Institute of Neurological Disorders and Stroke.

"A better understanding of race/ethnic differences in the impact of metabolic syndrome will help effectively target populations at increased risk of stroke," said Dr. Boden-Albala of the Neurological Institute at Columbia University, New York.

For the study, which began in 1990, Dr. Boden-Albala and her associates obtained a medical history, blood pressure, anthropometric measures, and fasting plasma glucose levels from 3,298 stroke-free residents of Northern Manhattan.

The study participants were followed annually by telephone to track outcomes, including stroke, myocardial infarction, or death. Those participants who reported having had a stroke or MI were evaluated in person by investigators.

At baseline, the mean age of the participants was 69 years. More than half (63%) were women, 21% were white, 25% were black, and 54% were Hispanic, said Dr. Boden-Albala, the study's research director.

More than 42% of the men and women met criteria for metabolic syndrome, which was defined as having three or more of these components: large waist circumference, high plasma glucose, high ...

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