Clinical identification of the metabolic syndrome in Kinmen

Shao Yuan Chuang, Chen Huan Chen*, Shih Tzer Tsai, Pesus Chou

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

37 Scopus citations

Abstract

Background: Metabolic syndrome is important to the global burden of cardiovascular disease. This study estimated the prevalence of metabolic syndrome in Kinmen, according to the clinical criteria from the Third Report of the National Cholesterol Education Program (ATP III). Methods: A database of 8,320 men and women aged 30-92 years who participated in a community-based, cross-sectional survey was analyzed. According to ATP III, the diagnosis of the metabolic syndrome was made when Three or more of the following risk determinants were present: abdominal obesity (waist circumference: men 102; women > 88 cm), high triglycerides (150 mg/dL), low high-density lipoprotein cholesterol (men, < 40 mg/dL; women < 50 mg/dL), high blood pressure (130/85 mm Hg), and high fasting glucose (110 mg/dL). Results: The prevalence of metabolic syndrome was significantly higher in women (878/4,716, 18.62%) than in men (405/3,604, 11.24%, p = 0.001). The prevalence of the components of metabolic syndrome for men and women were: abdominal obesity, 3.72% and 28.52%, respectively (p = 0.001); high triglycerides, 13.37% and 10.45% (p = 0.001); low high-density lipoprotein cholesterol, 20.98% and 37.66% (p = 0.001); high blood pressure, 61.07% and 43.74% (p = 0.001); and high fasting glucose, 23.25% and 19.64%, (p = 0.001). When abdominal obesity was redefined according to the cut-offs of waist circumferences > 90 cm for men or > 80 cm for women, the prevalence of metabolic syndrome remained significantly higher in women than in men (23.77% vs 17.73%; p < 0.0001). Conclusion: The significant gender difference in the prevalence of metabolic syndrome in Kinmen is related to the higher prevalence of abdominal obesity and low high-density lipoprotein cholesterol in women than in men.

Original languageEnglish
Pages (from-to)16-23
Number of pages8
JournalActa Cardiologica Sinica
Volume18
Issue number1
StatePublished - 2002

Keywords

  • Insulin resistance
  • Metabolic syndrome
  • Population-based study

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