Metabolic syndrome in Tunisian psoriatic patients: prevalence and determinants.
J Eur Acad Dermatol Venereol
; 25(6): 705-9, 2011 Jun.
Article
in En
| MEDLINE
| ID: mdl-21029207
ABSTRACT
BACKGROUND:
A significant association between psoriasis and the metabolic syndrome (MetS) has been frequently reported.OBJECTIVE:
The aim of this study was to specify the main factors that determine the MetS in psoriatic Tunisian patients.METHODS:
A case-control study has included 164 psoriatic patients and 216 controls.RESULTS:
The prevalence of MetS was higher in cases than in controls but without statistical differences [35.5% vs. 30.8%, odds ratio (OR) 1.39 CI 0.88-2.18; P=0.095]. According to gender, the prevalence of MetS was significantly increased only in psoriatic women (47.4% vs. 30%, OR 1.89, CI 1.11-3.21; P=0.01). A multiple logistic regression, considering the effect of age, and gender, showed that the prevalence of MetS was significantly higher in cases than in controls (OR 1.73, CI 1.06-2.82; P=0.03). MetS components analysed seperately showed a significantly higher prevalence of decreased high-density lipoprotein cholesterol (HDLc) (60.9% vs. 35.9%, OR 2.77, CI 1.8-4.27, P<0.001) and for increased hypertension (50% vs. 40%, OR 1.48, CI 0.97-2.257, P=0.04) in psoriatic patients. According to gender, HDLc was significantly decreased in both genders (male OR 2.075, CI 1.24-3.47, P=0.004; female OR 3.58, CI 2.07-6.19, P<0.0001), while hypertension was increased only in psoriatic men (OR 2.09, CI 1.24-3.51, P=0.004) and abdominal obesity only in psoriatic women (OR 2.31, CI 1.30-4.11, P=0.002).CONCLUSION:
Decreased HDLc is the main biological abnormality that characterized MetS in Tunisian psoriatic patients. Moreover, contrary to men, psoriatic women have shown a significantly higher prevalence of MetS, which is, in addition to decreased HDLc, mainly attributed to abdominal obesity.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Psoriasis
/
Metabolic Syndrome
/
Cholesterol, HDL
Type of study:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Africa
Language:
En
Journal:
J Eur Acad Dermatol Venereol
Journal subject:
DERMATOLOGIA
/
DOENCAS SEXUALMENTE TRANSMISSIVEIS
Year:
2011
Document type:
Article
Affiliation country:
Túnez