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Prevalence of the metabolic syndrome among 40,698 Korean metropolitan subjects.
Diabetes Res Clin Pract. 2004 Aug; 65(2):143-9.DR

Abstract

INTRODUCTION

No published study has reported the prevalence of the metabolic syndrome in Asians using Adults Treatment Panel III (ATP III) criteria, comparing results with that using the obesity criteria of the Asia-Pacific region.

METHODS

We evaluated the components of the metabolic syndrome among 40,698 participants aged 20-82 years (26,528 men; 14,170 women) who underwent a medical checkup at a University hospital in Seoul during 2001.

RESULTS

Using ATP III criteria, the age-adjusted prevalence of the metabolic syndrome for Koreans was 6.8% in total (5.2% male, 9.0% female). Using the Asia-Pacific criteria for abdominal obesity based on waist circumference (APC-WC: >/=90 cm in men, >/=80 cm in women), prevalence rates were 10.9% (9.8% male, 12.4% female), and by the Asia-Pacific criteria for obesity based on body mass index (BMI) (APC-BMI: >/=25 kg/m2 in both sexes), rates were 13.1% (13.2% male, 13.1% female). Using BMI-adjusted logistic regression analysis, the odds ratio for the presence of the metabolic syndrome in those aged over 70 years against those aged 20-29 years was 13.8 (95% CI 8.2-23.2). Using age and BMI-adjusted logistic regression analysis, the odds ratio for the presence of the metabolic syndrome in women versus men was 1.4 (95% CI 1.2-1.5). The age-specific prevalence of the metabolic syndrome increased in both male and female participants, and females had higher prevalence rates than males in age groups older than 50 years. The highest prevalence rates were observed by applying APC-BMI criteria.

CONCLUSION

Use of ATP III criteria to define the metabolic syndrome is not appropriate to Asian populations. The CVD risk attached to the use of the Asia-Pacific criteria needs to be determined in different Asian populations.

Authors+Show Affiliations

Division of Endocrinology and Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 108 Pyung-Dong, Jongro-Ku, Seoul 110746, South Korea. drlwy@hanmail.netNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15223226

Citation

Lee, Won-Young, et al. "Prevalence of the Metabolic Syndrome Among 40,698 Korean Metropolitan Subjects." Diabetes Research and Clinical Practice, vol. 65, no. 2, 2004, pp. 143-9.
Lee WY, Park JS, Noh SY, et al. Prevalence of the metabolic syndrome among 40,698 Korean metropolitan subjects. Diabetes Res Clin Pract. 2004;65(2):143-9.
Lee, W. Y., Park, J. S., Noh, S. Y., Rhee, E. J., Kim, S. W., & Zimmet, P. Z. (2004). Prevalence of the metabolic syndrome among 40,698 Korean metropolitan subjects. Diabetes Research and Clinical Practice, 65(2), 143-9.
Lee WY, et al. Prevalence of the Metabolic Syndrome Among 40,698 Korean Metropolitan Subjects. Diabetes Res Clin Pract. 2004;65(2):143-9. PubMed PMID: 15223226.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of the metabolic syndrome among 40,698 Korean metropolitan subjects. AU - Lee,Won-Young, AU - Park,Jeong-Sik, AU - Noh,Sang-Young, AU - Rhee,Eun-Jung, AU - Kim,Sun-Woo, AU - Zimmet,Paul Z, PY - 2003/11/28/revised PY - 2003/12/12/accepted PY - 2004/6/30/pubmed PY - 2005/3/8/medline PY - 2004/6/30/entrez SP - 143 EP - 9 JF - Diabetes research and clinical practice JO - Diabetes Res Clin Pract VL - 65 IS - 2 N2 - INTRODUCTION: No published study has reported the prevalence of the metabolic syndrome in Asians using Adults Treatment Panel III (ATP III) criteria, comparing results with that using the obesity criteria of the Asia-Pacific region. METHODS: We evaluated the components of the metabolic syndrome among 40,698 participants aged 20-82 years (26,528 men; 14,170 women) who underwent a medical checkup at a University hospital in Seoul during 2001. RESULTS: Using ATP III criteria, the age-adjusted prevalence of the metabolic syndrome for Koreans was 6.8% in total (5.2% male, 9.0% female). Using the Asia-Pacific criteria for abdominal obesity based on waist circumference (APC-WC: >/=90 cm in men, >/=80 cm in women), prevalence rates were 10.9% (9.8% male, 12.4% female), and by the Asia-Pacific criteria for obesity based on body mass index (BMI) (APC-BMI: >/=25 kg/m2 in both sexes), rates were 13.1% (13.2% male, 13.1% female). Using BMI-adjusted logistic regression analysis, the odds ratio for the presence of the metabolic syndrome in those aged over 70 years against those aged 20-29 years was 13.8 (95% CI 8.2-23.2). Using age and BMI-adjusted logistic regression analysis, the odds ratio for the presence of the metabolic syndrome in women versus men was 1.4 (95% CI 1.2-1.5). The age-specific prevalence of the metabolic syndrome increased in both male and female participants, and females had higher prevalence rates than males in age groups older than 50 years. The highest prevalence rates were observed by applying APC-BMI criteria. CONCLUSION: Use of ATP III criteria to define the metabolic syndrome is not appropriate to Asian populations. The CVD risk attached to the use of the Asia-Pacific criteria needs to be determined in different Asian populations. SN - 0168-8227 UR - https://www.unboundmedicine.com/medline/citation/15223226/Prevalence_of_the_metabolic_syndrome_among_40698_Korean_metropolitan_subjects_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S016882270400018X DB - PRIME DP - Unbound Medicine ER -