Prevalence of Metabolic Syndrome Defined by the International Diabetes Federation and National Cholesterol Education Program Criteria Among Thai Adults

Prevalence of Metabolic Syndrome Defined by the International Diabetes Federation and National Cholesterol Education Program Criteria Among Thai Adults
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DOI:
10.1177/1010539511424482
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发表时间:
2011-09-01
影响因子:
2.5
通讯作者:
Suriyawongpaisal, Paibul
Suriyawongpaisal, Paibul
中科院分区:
医学4区
文献类型:
--
作者:
Aekplakorn, Wichai;Chongsuvivatwong, Virasakdi;Suriyawongpaisal, Paibul

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本研究根据国际糖尿病联合会(IDF)和国家胆固醇教育计划III(NCEP)标准确定泰国成年人代谢综合征(MetS)的患病率。分析了来自全国代表性样本InterASIA研究的数据,其中包括总共5305名35岁及以上的泰国成年人。总体而言,根据IDF和NCEP标准,MetS的年龄标准化患病率分别为24.0%(男性16.4%,女性31.6%)和32.6%(男性28.7%,女性36.4%)。与NCEP定义相比,IDF的性别间MetS患病率差异要大得多。年龄标化患病率地理区域分布相对均匀,东北部患病率最低。在所有可能的代谢综合征组分中,最常见的组合是男性的一组低高密度脂蛋白胆固醇、高甘油三酯和高血糖(3.9%),女性的一组腹部肥胖、低高密度脂蛋白胆固醇和高甘油三酯(6.7%)。MetS在泰国成年人中很常见,与IDF定义相比,NCEP定义捕获了更多的MetS病例。实施计划,以防止肥胖和代谢因素沿着与未来的定期调查,以监测问题是至关重要的。
This study determines the prevalence of metabolic syndrome (MetS) according to the International Diabetes Federation (IDF) and National Cholesterol Education Program III (NCEP) criteria in Thai adults. Data from a national representative sample, InterASIA study, including a total of 5305 Thai adults 35 years and older were analyzed. Overall, the age-standardized prevalence of MetS by IDF and NCEP criteria were 24.0% (men 16.4%, women 31.6%) and 32.6% (men 28.7%, women 36.4%), respectively. The difference in prevalence of MetS between genders was much greater for the IDF compared with the NCEP definition. The age-standardized prevalence rates distributed by geographic region were relatively uniform with a lowest prevalence in the northeast. Among all possible sets of components for MetS, the most common combinations were a set of low high-density lipoprotein cholesterol, high triglyceride, and hyperglycemia in men (3.9%) and a set of abdominal obesity, low high-density lipoprotein cholesterol, and high triglycerides in women (6.7%). MetS is common in Thai adults and NCEP definition captures more cases of MetS compared with the IDF definition. Implementation of programs to prevent obesity and metabolic factors along with future periodic survey to monitor the problem is crucial.