The prevalence of metabolic syndrome in non diabetic patients with a previous history of Bell’s palsy

Abstract

Objectives: To compare the prevalence and each parameter of metabolic syndrome between non diabetic patients with previous Bell’s palsy and non diabetic healthy subjects. Material and method: A number of 454 Bell’s palsy patients (aged 15 years old and over) were initially recruited as the study group. 874 non diabetic healthy participants of a metabolic syndrome surveillance study were randomized by R program as the control group to make up a 1:3 ratio of case to control. Metabolic syndrome was defined by International Diabetes Foundation criteria. The descriptive statistics analysis, t-test and Chi-Square test were applied for statistical analysis. Results: Seventy two non diabetic, previous Bell’s palsy cases (30 males and 42 females) were eligible as the study group. Their mean age was 51 (39.8 - 63.2) years old. The prevalence of metabolic syndrome in the study and the control groups were 22.2% and 21.8% respectively (p = 0.93). Nevertheless, the prevalence of hypertension was significantly higher in the study group (62.5% vs. 47.7%) (p = 0.04). Conclusions: No difference in the prevalence of metabolic syndrome was found. However, hypertension was significantly prevalent in the study group.

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Mueanchoo, P. , Tepparak, N. , Kongkamol, C. , Soonthornpun, S. and Sathirapanya, P. (2012) The prevalence of metabolic syndrome in non diabetic patients with a previous history of Bell’s palsy. Health, 4, 203-206. doi: 10.4236/health.2012.44030.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Shaw, M., Nazir, F. and Bone, I. (2005) Bell’s palsy: A study of the treatment advice given by neurologists. Journal of Neurology, Neurosurgery & Psychiatry, 76, 293-294. doi:10.1136/jnnp.2004.048439
[2] Holland, N.J. and Weiner, G.M. (2004) Recent developments in Bell’s palsy. British Medical Journal, 329, 553-557. doi:10.1136/bmj.329.7465.553
[3] Finsterer, J. (2008) Management of peripheral facial nerve palsy. European Archives of Oto-Rhino-Laryngology, 265, 743-752. doi:10.1007/s00405-008-0646-4
[4] Furuta, Y., Takasu, T., Sato, K.C., Fukuda, S., Inuyama, Y. and Nagashima, K. (1992) Latent herpes simplex virus type 1 in human geniculate ganglia. Acta Neuropathologica, 84, 39-44. doi:10.1007/BF00427213
[5] Lakka, H.M., Laaksonen, D.E., Lakka, T.A., Niskanen, L.K., Kumpusalo, E., Tuomilehto, J., et al. (2002) The metabolic syndrome and total and cardiovascular disease mortality in middleaged men. JAMA, 288, 2709-2716. doi:10.1001/jama.288.21.2709
[6] Limpawattana, P., Sawanyawisuth, K., Busaracome, P., Foocharoen, C., Phitsanuwong, C., Chumjan, S., et al. (2008) The best criteria to diagnose metabolic syndrome in hypertensive Thai patients. Journal of The Medical Association of Thailand, 91, 485-490.
[7] Grundy, S.M., Cleeman, J.I., Daniels, S.R., Donato, K.A., Eckel, R.H., Franklin, B.A., et al. (2005) Diagnosis and management of the metabolic syndrome: An american heart association/national heart, lung, and blood institute scientific statement. Circulation, 112, 2735-2752. doi:10.1161/CIRCULATIONAHA.105.169404
[8] R Foundation for Statistical Computing (2008) The R Project for Statistical Computing. R: A language and environment for statistical computing. http://www.r-project.org
[9] Kongkamol, C. (2010) Commed: For medical student. http://medinfo@psu.ac.th/commed/R
[10] Epidemiology Unit, Faculty of Medicine, Prince of Song-kla University (2010) Epid: Functions for epidemiology. http://www.r-ice-project.net
[11] Chongsuvivatwong, V. (2011) Epicalc: Epidemiological calculator. http://CRAN.R-project.org/package=epicalc
[12] May, M. (1986) Differential diagnosis by history, physical findings and laboratory results. In: May, M., Ed., The facial nerve, Thieme, New York, 181-216.
[13] Sathirapanya, P. (1995) Bell’s palsy: A survery study of five year hospital service. Chula Medical Journal, 39, 563-570.
[14] Sathirapanya, P., Limapichat, K., Setthawatcharawanich, S. and Prabpal, K. (2003) Clinical characteristics of Bell’s palsy: A retrospective study of 978 cases in Songklana-garind Hospital. Srinagarind Medical Journal, 21, 121-128.
[15] Yanagihara, N. and Hyodo, M. (1988) Association of diabetes mellitus and hypertension with Bell’s palsy and Ramsay Hunt Syndrome. Annals of Otology, Rhinology, and Laryngology, 97, 5-8.
[16] Hauser, W.A., Karnes, W.E., Annis, J. and Kurland, L.T. (1971) Incidence and prognosis of Bell’s palsy in population of Rochester, Minesota. Mayo Clinic Proceedings, 46, 258-264.
[17] Valenca, M.M., Valenca, L.P. and Lima, M.C. (2001) Idiopathic facial paralysis (Bell’s palsy): A study of 180 patients. Arquivos de Neuro-Psiquiatria, 59, 733-739.
[18] Urban, P.P., Forst, T., Lenfers, M., Koehler, J., Connemann, B.J. and Beyer, J. (1999) Incidence of subclinical trigeminal and facial nerve involvement in diabetes mel-litus. Electromyography and Clinical Neurophysiology, 39, 267-272.
[19] Stamboulis, E., Vassilopoulos, D. and Kalfakis, N. (2005) Symptomatic focal mononeuropathies in diabetic patients: Increased or not? Journal of Neurology, 252, 448-452. doi:10.1007/s00415-005-0672-8
[20] Chen, K., Lindsey, J.B., Khera, A., Lemos, J.D., Ayers, C.R., Goyal, A., et al. (2008) Independent associations between metabolic syndrome, diabetes mellitus and atherosclerosis: Observations from the Dallas Heart Study. Diabetes and Vascular Disease Research, 5, 96-101. doi:10.3132/dvdr.2008.016
[21] Devriese, P.P., Schumacher, T., Scheide, A., Jongh, R.H.D. and Houtkooper, J.M. (1990) Incidence, prognosis and recovery of Bell’s palsy: A survery of about 1000 patients. Clinical Otolaryngology, 15, 15-27. doi:10.1111/j.1365-2273.1990.tb00427.x
[22] Pecket, P. and Schattner, A. (1982) Concurrent Bell’s palsy and diabetes mellitus: A diabetic monomeuropathy. Journal of Neurology, Neurosurgery, and Psychiatry, 45, 652-655. doi:10.1136/jnnp.45.7.652
[23] Adour, K., Wingerd, J. and Doty, H.E. (1975) Prevalence of concurrent diabetes mellitus and idiopathic facial paralysis (Bell’s palsy). Diabetes, 24, 449-451. doi:10.2337/diabetes.24.5.449

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