Paper
Thursday, July 10, 2008
Predictors for Risk of Cardiovascular Disease in Type 2 Diabetes with Metabolic Syndrome
Chun-Ja Kim, RN, PhD, Department of Nursing, Ajou University College of Nursing, Suwon, South Korea and Dae-Jung Kim, MD, PhD, Department of Endocrinology and Metabolism, Ajou University School of Medicine, Suwon, South Korea.
| Learning Objective #1: identify the prevalence of components of metabolic syndrome and risk of cardiovascular disease (CVD) in type 2 diabetes.
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| Learning Objective #2: figure out the predictors for risk of cardiovascular disease (CVD) in type 2 diabetes with metabolic syndrome. |
Purpose: This study was to investigate the predictors for risk of cardiovascular disease (CVD) in type 2 diabetes with metabolic syndrome. Methods: The descriptive survey design was conducted using a convenient sample. One hundred and eighteen diabetic participants with metabolic syndrome were recruited in an university hospital. The blood analyses for metabolic syndrome risk factors and Toobert, Hampson & Glasgow's Revised Summary of Diabetes Self-care Activities Measure Scale were used. The data were analyzed using descriptive statistics, Pearson correlation coefficient and stepwise multiple regression with SPSS/WIN 12.0. Results: The main significant predictors influencing CVD risk of diabetes with metabolic syndrome were age (t=-4.926, p<.001), waist circumference [Waist_C] (t=3.119, p=.002), Systolic Blood Pressure [SBP] (t=3.167, p=.002) and triglyceride [TG] (t=2.088, p=.039) which explained about 32.6%. The risk of CVD in diabetic patients with metabolic syndrome indicated a significantly negative correlation to self-care activities and age, and positive correlation to Waist_C, SBP, DBP and TG. Conclusion: These results indicate that diabetes with metabolic syndrome with high degree of Waist_C, SBP and TG is likely to be high in risk of CVD.