<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1699-695X</journal-id>
<journal-title><![CDATA[Revista Clínica de Medicina de Familia]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Clin Med Fam]]></abbrev-journal-title>
<issn>1699-695X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Medicina de Familia y Comunitaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1699-695X2020000300180</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome metabólico y otros modificadores de riesgo cardiovascular en adultos hipertensos de 65 o menos años de edad]]></article-title>
<article-title xml:lang="en"><![CDATA[Metabolic syndrome and other cardiovascular risk modifiers in hypertensive adults aged 65 or younger]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campo Giménez]]></surname>
<given-names><![CDATA[María del]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Bosch]]></surname>
<given-names><![CDATA[Alba]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Azorín Ras]]></surname>
<given-names><![CDATA[Milagros]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez de la Torre]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Córcoles García]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Párraga Martínez]]></surname>
<given-names><![CDATA[Ignacio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Servicio de Salud de Castilla-La Mancha Gerencia de Atención Integrada de Albacete ]]></institution>
<addr-line><![CDATA[Albacete ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Servicio de Salud de Castilla-La Mancha Gerencia de Atención Integrada de Albacete ]]></institution>
<addr-line><![CDATA[Albacete ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Servicio de Salud de Castilla-La Mancha Gerencia de Atención Integrada de Hellín (Albacete) ]]></institution>
<addr-line><![CDATA[Hellín ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>13</volume>
<numero>3</numero>
<fpage>180</fpage>
<lpage>189</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1699-695X2020000300180&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1699-695X2020000300180&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1699-695X2020000300180&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivos: Describir la prevalencia de síndrome metabólico, de cada uno de sus componentes y de otros modificadores del riesgo cardiovascular (RCV) en hipertensos &#8804; 65 años, así como analizar su relación con el grado de control de la presión arterial (PA).  Material y métodos: Estudio descriptivo observacional transversal realizado en 267 adultos de &#8804; 65 años, diagnosticados de hipertensión arterial (criterios Guías Europeas hipertensión y riesgo cardiovascular), atendidos en consultas de medicina de familia de cuatro Zonas Básicas de Salud. La variable principal fue la presencia de síndrome metabólico (ATPIII/AHA-2004). Se recogieron variables sociodemográficas, problemas de salud, consumo de fármacos, cumplimiento terapéutico, actividad física (IPAQ-breve y BPAAT), consumo de tabaco, determinaciones analíticas, riesgo cardiovascular, cifras de presión arterial y su grado de control.  Resultados: Edad media 56,7 años (DE: 6,6). La prevalencia de síndrome metabólico fue del 40,4% (IC95%: 34,4%-46,5%). Un 76,8% mostró obesidad abdominal, 36,7% hipertrigliceridemia, 25,8% c-HDL disminuido y 26,2% hiperglucemia. El 55,8% presentaba dislipemia, 54,3% obesidad, 24,7% diabetes y 21,3% fumaba. Un 40,2% (IC95%: 33,9%-45,8%) no mostró adecuado control de PA. Mediante regresión logística, fueron variables asociadas a inadecuado control de presión arterial: menor puntuación cuestionario-BPAAT (OR:1,19; p=0,027), menor número de problemas de salud (OR:1,20; p=0,009), incumplimiento terapéutico (OR:1,93; p=0,043) y síndrome metabólico (OR:2,85; p&lt;0,001).  Conclusiones: Más de un tercio de hipertensos adultos presentan síndrome metabólico y tres cuartos obesidad abdominal. El síndrome metabólico no sólo es un factor modificador de RCV, sino que también se debe considerar en el control de la PA en adultos hipertensos junto con el cumplimiento terapéutico, la comorbilidad y la actividad física.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objectives: To describe the prevalence of metabolic syndrome, of each of its components, and of other cardiovascular risk (CVR) modifiers in hypertensive patients &#8804; 65 years of age, as well as to analyze its relationship with the degree of control of blood pressure (BP).  Material y métodos: Descriptive cross-sectional observational study carried out in 267 adults aged &#8804; 65 years, diagnosed with arterial hypertension (European Guidelines criteria for hypertension and cardiovascular risk), seen in family medicine consultations in four Basic Health Zones. The main variable was the presence of metabolic syndrome (ATPIII / AHA-2004). Sociodemographic variables, health problems, drug consumption, therapeutic compliance, physical activity (IPAQ-brief and BPAAT), tobacco consumption, analytical determinations, cardiovascular risk, blood pressure readings and their degree of control were collected.  Resultados: Average age 56.7 years (SD: 6.6). The prevalence of metabolic syndrome was 40.4% (95% CI: 34.4%-46.5%). 76.8% showed abdominal obesity, 36.7% hypertriglyceridemia, 25.8% decreased HDL-c, and 26.2% hyperglycemia. 55.8% had dyslipidemia, 54.3% obesity, 24.7% diabetes, and 21.3% smoked. 40.2% (95% CI: 33.9%-45.8%) did not show adequate BP control. Using logistic regression, variables associated with inadequate blood pressure control were: lower BPAAT-questionnaire score (OR: 1.19; p = 0.027), fewer health problems (OR: 1.20; p = 0.009), therapy non-compliance (OR: 1.93; p = 0.043) and metabolic syndrome (OR: 2.85; p&lt;0.001).  Conclusions: More than one third of hypertensive adults have metabolic syndrome and three quarters have abdominal obesity. Metabolic syndrome is not only a modifying factor of CVR, but it should also be considered in the control of BP in hypertensive adults along with therapeutic compliance, comorbidity and physical activity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndrome Metabólico]]></kwd>
<kwd lng="es"><![CDATA[Hipertensión]]></kwd>
<kwd lng="es"><![CDATA[Atención Primaria de Salud]]></kwd>
<kwd lng="en"><![CDATA[Metabolic Syndrome]]></kwd>
<kwd lng="en"><![CDATA[Hypertension]]></kwd>
<kwd lng="en"><![CDATA[Primary Health Care]]></kwd>
</kwd-group>
</article-meta>
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