The prevalence of metabolic syndrome according to various definitions and hypertriglyceridemic-waist in Malaysian adults
Objectives: Metabolic syndrome can be diagnosed according to several different criteria such as the latest International Diabetes Federation (IDF), National Cholesterol Education Program Adult Treatment Program III (NCEP ATPIII), and World Health Organization (WHO). The objectives of this study...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Isfahan University of Medical Sciences(IUMS)
2011
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/60437/ http://irep.iium.edu.my/60437/ http://irep.iium.edu.my/60437/7/60437_The%20Prevalence%20of%20Metabolic%20Syndrome_article.pdf |
| Summary: | Objectives: Metabolic syndrome can be diagnosed according to
several different criteria such as the latest International Diabetes
Federation (IDF), National Cholesterol Education Program Adult
Treatment Program III (NCEP ATPIII), and World Health Organization
(WHO). The objectives of this study were to determine
the prevalence of metabolic syndrome and the concordance between
the above mentioned definition, and hypertriglyceridemicwaist
criteria.
Methods: This cross sectional study was done in Bachok, Malaysia
and involved 298 respondents aged between 18 to 70 years. Multistage
random sampling method was used to identify study locations
while convenient random sampling method was applied to
select individuals. Hypertriglyceridemic waist was defined from an
internationally acceptable cut-off criterion. Kappa statistic (κ test)
was used to determine the concordance between various definitions
and hypertriglyceridemic-waist.
Results: The prevalence of metabolic syndrome based on different
definitions was 32.2% (IDF), 28.5% (NCEP ATP III) and 12.4%
(modified WHO). The prevalence of hypertriglyceridemic-waist
was 19.7% and based on the IDF criteria a total of 97.5% participants
with hypertriglyceridemic-waist had metabolic syndrome.
The IDF criteria showed the highest concordance with NCEP
ATPIII criteria (κ = 0.63), followed by hypertriglyceridemic-waist
criteria (κ = 0.62) and WHO criteria (κ = 0.26).
Conclusions: The prevalence of metabolic syndrome was highest
using the IDF criteria compared to NCEP ATPIII, modified
WHO and hypertriglyceridemic-waist. There was a good concordance
of IDF criteria with NCEP ATP III and hypertriglyceridemic-waist
criteria. |
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