women using the new International Diabetes Federation (IDF) criteria, and to compare this with the prevalence using the 1999 World Health Organization (WHO) and 2001 National Cholesterol Education Program Adult Treatment Panel III (NECP ATPIII) definitions. Methods The study involved 863 subjects (343 men and 520 women) aged >= 40 years living in Tunis, Tunisia, taken from an initially randomized, population sample. Results The prevalence of the metabolic syndrome using the IDF criteria was found to be 45.5%; 55.8% in women and 30.0% in men (P < 0.001), higher than the rates of 28.7% (WHO) and 24.3% (NECP ATPIII) using the previous definitions. Using all the definitions, the prevalence was higher in women than in men predominantly because of significant differences in central obesity and high-density lipoprotein (HDL) cholesterol and, to a lesser extent, hypertension. Conclusion The increased prevalence using the IDF criteria compared with the 1999 WHO criteria and the 2001 NCEP ATPIII definitions is striking and has huge implications for public health worldwide. The major reason for the higher rate using the new definition seems to be the predominant focus placed on central obesity. Using tighter criteria for fasting glycaemia has also played a factor. The question remains as yet unanswered as to whether the new IDF criteria are better at predicting hard outcomes such as diabetes mellitus and cardiovascular diseases.
机构:
Hamad Med Corp, Weill Cornell Med Coll, Dept Med Stat & Epidemiol, WHO, Doha, Qatar
Univ Manchester, Sch Epidemiol & Hlth Sci, Dept Evidence Populat Hlth Unit, Manchester, Lancs, EnglandHamad Med Corp, Weill Cornell Med Coll, Dept Med Stat & Epidemiol, WHO, Doha, Qatar
Bener, Abdulbari
Zirie, Mahmoud
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Hamad Med Corp, Hamad Gen Hosp, Dept Endocrinol, Doha, QatarHamad Med Corp, Weill Cornell Med Coll, Dept Med Stat & Epidemiol, WHO, Doha, Qatar
Zirie, Mahmoud
Musallam, Manal
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Hamad Med Corp, Hamad Gen Hosp, Dept Endocrinol, Doha, QatarHamad Med Corp, Weill Cornell Med Coll, Dept Med Stat & Epidemiol, WHO, Doha, Qatar
Musallam, Manal
Khader, Yousef S.
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Jordan Univ Sci & Technol, Dept Community Med Publ Hlth & Family Med, Irbid, JordanHamad Med Corp, Weill Cornell Med Coll, Dept Med Stat & Epidemiol, WHO, Doha, Qatar
Khader, Yousef S.
Al-Hamaq, Abdulla O. A. A.
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Qatar Diabet Assoc, Doha, Qatar
Qatar Fdn, Doha, QatarHamad Med Corp, Weill Cornell Med Coll, Dept Med Stat & Epidemiol, WHO, Doha, Qatar