Prevalence of the metabolic syndrome in populations of Asian origin - Comparison of the IDF definition with the NCEP definition
Prevalence of the metabolic syndrome in populations of Asian origin - Comparison of the IDF definition with the NCEP definition
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DOI：
10.1016/j.diabres.2006.07.020
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发表时间：
2007-04-01
影响因子：
5.1
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中科院分区：
文献类型：
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目的：使用IDF与NCEP定义估计代谢综合征的患病率。人群：14222名非糖尿病患者和1516名糖尿病患者，年龄25-74岁。非糖尿病男性（女性）的IDF代谢综合征年龄标准化患病率为12.0%在中国人、日本人、印第安人和印第安土著人中，分别为15.0%、13.8%（2.5%）、12.8%（17.0%）和13.2%（20.3%）。在中国、日本、马来西亚和印度原住民男性（女性）中，IDF与NCEP的患病率比值分别为1.5（1.5）、2.7（0.4）、1.2（1.2）和1.0（1.3）。当对日本人使用与其他人相同的肥胖标准时，日本人的男女比例均为1.5。在所有符合这两个定义之一的受试者中，只有28%的男性和47%的女性同时符合这两个定义。中心性肥胖的患病率是52倍以上，使用IDF的定义比使用NCEP的定义在日本男性，但它是0.8倍，在日本women.Conclusions：IDF的定义带来了更高的患病率比NCEP的代谢综合征在所有日本妇女除外，但许多瘦高血压和/或血脂异常的主题是未检测到的这个定义。日本人的IDF中心性肥胖标准需要重新考虑。(c)2006爱思唯尔爱尔兰有限公司保留所有权利。
Aims: To estimate the prevalence of the metabolic syndrome using the IDF versus NCEP definition.Population: 14 222 non-diabetic and 1516 diabetic subjects, aged 25-74 years.Results: The age-standardized prevalence of the IDF metabolic syndrome in non-diabetic men (women) was 12.0% (15.0%), 13.8% (2.5%), 12.8% (17.0%), and 13.2% (20.3%), respectively, in Chinese, Japanese, Mauritian Indians, and native Indians. The prevalence ratio of IDF to NCEP was 1.5 (1.5), 2.7 (0.4), 1.2 (1.2), and 1.0 (1.3) in Chinese, Japanese, Mauritian, and Native Indian men (women), respectively. When the same obesity criteria for Japanese as for others were used the ratio for Japanese was 1.5 in both genders. Of all subjects fulfilling either of the two definitions, only 28% of men and 47% of women met the both. The prevalence of central obesity was 52 times greater using the IDF definition than using the NCEP definition in Japanese men but it was 0.8 times lower in Japanese women.Conclusions: The IDF definition brought a higher prevalence of the metabolic syndrome than the NCEP in all except for Japanese women but many lean subjects with hypertension and/or dyslipidemia were undetected by this definition. The IDF criterion for central obesity for Japanese needs to be reconsidered. (c) 2006 Elsevier Ireland Ltd. All rights reserved.