What is it about?

Metabolic syndrome (MS) represents a worldwide epidemic, is associated with high rates of morbidity and mortality and some research has shown an association with work activity. There is a diversity of diagnostic criteria, but studies on MS in Nursing professionals in Bahia and Brazil are scarce. The present article aimed to determine the accuracy of six MS diagnostic criteria through a validation study with data from a previous study carried out in 2017 and 2018 in the state of Bahia/Brazil with a sample composed of 1111 nursing professionals. MetS was diagnosed according to the criteria of EGIR, NCEP-ATPIII, AACE, IDF, Barbosa et al. and IDF/AHA/NHLBI, the latter being adopted as the gold standard. Sensitivity, specificity, predictive values and likelihood ratio were estimated for each criterion. The prevalence of MS varied depending on the criteria adopted. The IDF and Barbosa et al. proved to be more assertive in identifying and confirming the syndrome in the study. The use of a definition with greater diagnostic accuracy for MS will contribute to the tracking and early identification of nursing professionals with risk factors for cardiovascular diseases, providing opportunities for prevention and appropriate treatment.

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Why is it important?

There are several definitions and criteria for diagnosing MS, which contributes to limited and incomplete information on the prevalence of MS worldwide, making comparisons between studies carried out difficult. To date, no study on the diagnostic accuracy of MS involving six different criteria has been identified in the literature, including in the category of nursing professionals. Further investigations are needed to focus on identifying a more appropriate criteria for carrying out screening or diagnostic confirmation of MS, in this occupational group with possibilities of extrapolation to the general population.

Perspectives

I hope that the results obtained can be useful in choosing diagnostic parameters and criteria for carrying out new population-based investigations related to metabolic syndrome, in particular, investigations that focus on identifying a more appropriate criteria for carrying out screening or diagnostic confirmation of MS in nursing professionals. It is known that with early diagnosis and access to adequate care, diseases can be managed and complications and death from these causes can be avoided.

Erica Gomes
University of Bahia State

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This page is a summary of: Diagnosis of metabolic syndrome in nursing professionals: An accuracy study, PLoS ONE, June 2024, PLOS,
DOI: 10.1371/journal.pone.0295985.
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