A comparison of the prevalence of the metabolic syndrome using two proposed definitions
A comparison of the prevalence of the metabolic syndrome using two proposed definitions
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DOI：
10.2337/diacare.26.3.575
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发表时间：
2003-03-01
期刊：
影响因子：
16.2
通讯作者：
Giles, WH
中科院分区：
文献类型：
--
作者：
Ford, ES;Giles, WH
目的-比较使用两种定义的代谢综合征的患病率：一个是由国家胆固醇教育计划专家小组关于检测，评估，成人高胆固醇血症的治疗（成人治疗组III [ATP III]）和世界卫生组织（WHO）的一项研究。我们使用了来自第三次全国健康和营养检查调查（一项横断面健康检查调查）的美国非机构化平民人口的全国代表性样本的数据结果-在8，608名年龄大于或等于20岁的参与者中，使用ATP III定义的年龄校正患病率为23.9%，使用WHO定义的年龄校正患病率为25.1%。在所有参与者中，86.2%的人被归类为患有或未患有代谢综合征。然而，一些分组的估计数差异很大。例如，在非裔美国男性中，WHO的估计值为24.9%，而ATP III的估计值为16.5%.CONCLUSIONS -需要一个普遍接受的代谢综合征定义。
OBJECTIVE - To compare the prevalence of the metabolic syndrome using two definitions: one proposed by the Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III [ATP III]) and one by the World Health Organization (WHO).RESEARCH DESIGN AND METHODS - We used data from a nationally representative sample of the noninstitutionalized civilian population of the U.S. from the Third National Health and Nutrition Examination Survey, a cross-sectional health examination survey (19881994).RESULTS - Among 8,608 participants aged greater than or equal to20 years, the age-adjusted prevalence was 23.9% using the ATP III definition and 25.1% using the WHO definition. Among all participants, 86.2% were classified as either having or not having the metabolic syndrome under both definitions. Estimates differed substantially for some subgroups, however. For example, in African-American men, the WHO estimate was 24.9%, compared with the ATP III estimate of 16.5%.CONCLUSIONS - A universally accepted definition of the metabolic syndrome is needed.