Analysis of criteria for metabolic syndrome in a population‐based study of Japanese‐Brazilians

Rosenbaum, Paulo; Gimeno, Suely Godoy Agostinho; Sañudo, Adriana; Franco, Laércio Joel; Ferreira, Sandra Roberta Gouvêa

doi:10.1111/j.1463-1326.2004.00402.x

Cited by 43 publications

(47 citation statements)

References 36 publications

(36 reference statements)

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“…However, it is known that the prevalence of PAD depends on the age of the population studied and the presence of other risk factors or other atherosclerotic events, such as coronary artery disease or cerebrovascular disease. Anyhow, in accordance with other studies, we found a correlation between HOMA-IR and MS (24), reflecting high risk for atherosclerotic disease in this population. We also found that HOMA-b decreases progressively depending on the evolution of glucose abnormalities.…”

Section: Discussionsupporting

confidence: 79%

Cardiovascular risk in Japanese-Brazilian subjects

Gomes

Andrade

Figueiredo

et al. 2012

Arq Bras Endocrinol Metab

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Objective:To evaluate the prevalence of risk factors for cardiovascular disease in Japanese--Brazilian subjects. Subjects and methods: One hundred thirty-one residents of the Mombuca community were studied. Statistical analysis was based on the X 2 test, Fisher's Exact test, Student's t test, and ANOVA, at a 5% significance level. Results: The average age was 56.7 years-old; 76.3% had dyslipidemia, 24.4% pre-diabetes (PDM), 10.7% type 2 diabetes mellitus (T2DM), 46.6% hypertension, 52.7% abdominal obesity, and 35.8% metabolic syndrome (MS). There were significant correlations between HOMA-IR and MS diagnosis and obesity, while HOMA-b levels were decreased in T2DM and PDM. The ankle-brachial index was positive for peripheral artery disease in 22.3% of the individuals. Electrocardiograms did not show increased evidence of myocardial ischemia. Conclusion: Subjects of this community are exposed to major cardiovascular risk factors, namely high prevalence of MS diagnoses and increased HOMA-IR.Arq Bras Endocrinol Metab. 2012;56(9):608-13 Keywords Metabolic syndrome; ankle-brachial index; HOMA; cardiovascular risk; Japanese-Brazilian subjects; Mombuca RESUMO Objetivo: Avaliar a presença de fatores de risco para doença cardiovascular em nipo-brasileiros. Sujeitos e métodos: Foram estudados 131 moradores de Mombuca. Utilizaram-se os testes do Qui-quadrado, Exato de Fisher, t de Student e ANOVA, com significância de 5%. Resultados: A média de idade foi de 56,7 anos; 76,3% tinham dislipidemia, 24,4% pré-diabetes (PDM), 10,7% diabetes melito tipo 2 (DM2), 46,6% hipertensão, 52,7% obesidade abdominal e 35,8% síndrome metabólica (SM). Houve correlação significativa do HOMA-IR com SM e obesidade, enquanto HOMA-b esteve reduzido na presença de DM2 e PDM. O índice tornozelo-braquial foi positivo para doença arterial periférica em 22,3% dos indivíduos. O eletrocardiograma não mostrou aumento de isquemia miocárdica. Conclusão: A comunidade está exposta aos fatores de risco maiores para doença cardiovascular, o que pode ser resumido pela alta prevalência de diagnós-tico de SM e valores elevados de HOMA-IR. Arq Bras Endocrinol Metab. 2012;56(9):608-13 Descritores

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Section: Discussionsupporting

confidence: 79%

Cardiovascular risk in Japanese-Brazilian subjects

Gomes

Andrade

Figueiredo

et al. 2012

Arq Bras Endocrinol Metab

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“…First, to the authors' best knowledge, the ATP III definition of the metabolic syndrome has not been previously validated in the Costa Rican population, and there has been a concern that the criteria used may not be applicable to all populations, such as Asians, for example. 33,34 However, the ATP III definition has been used prospectively in several diverse American cohorts, which have included Latin American subjects. 35,36 Additionally, although the association of arachidonic acid with the metabolic syndrome is suggestive, the cross-sectional nature of this study precludes any inference of causality.…”

Section: Discussionmentioning

confidence: 99%

Adipose tissue arachidonic acid and the metabolic syndrome in Costa Rican adults

Williams¹,

Baylin²,

Campos³

2007

Clinical Nutrition

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“…However, a prior study on metabolic syndrome prevalence in JapaneseBrazilians used metabolic syndrome defi nitions from both the 1998 WHO criteria and a modifi ed set of 2001 NCEP criteria. 10 The WHO criteria, besides requiring evidence of insulin resistance for metabolic syndrome diagnosis, also included microalbuminuria evaluation and different cutoff values for metabolic syndrome components. 11 Because measures of insulin resistance and microalbuminuria are laborious, these criteria have not been used in more recent metabolic syndrome defi nitions.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of Metabolic Syndrome in Japanese-Brazilians According to Specific Definitions for Ethnicity

Xavier

Chaim²,

Gimeno³

et al. 2010

Metabolic Syndrome and Related Disorders

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Background: The American Heart Association/National Heart, Lung, and Blood Institute (AHA/NHLBI), revising the National Cholesterol Evaluation Program for Adult Treatment Panel III (NCEP ATP III), and the International Diabetes Federation (IDF) have proposed defi nitions of metabolic syndrome that take into account waist circumference thresholds according to ethnicity. In this study we estimated the prevalence of metabolic syndrome in a Japanese-Brazilian population using NCEP defi nitions for Westerners (NCEPwe) and Asians (NCEPas), and IDF for Japanese (IDF). Methods: A total of 650 Japanese-Brazilians living in a developed Brazilian city and aged 30-88 years were included. Results: Metabolic syndrome prevalence according to NCEPwe, NCEPas, and IDF was, respectively, 46.5%, 56.5%, and 48.3%. Only 43.5% of subjects did not have metabolic syndrome by any of the 3 defi nitions, and 38.3% fulfi lled metabolic syndrome criteria for all 3 defi nitions. Ten percent of subjects were positive for metabolic syndrome based on NCEPas and IDF, but not for NCEPwe. Because IDF requires abdominal obesity as a criterion, the frequency of subjects without metabolic syndrome according to IDF, but with metabolic syndrome by NCEPwe and NCEPas was 8.2%. Conclusions: Independent of the metabolic syndrome defi nition, Japanese-Brazilians present an elevated metabolic syndrome prevalence, which was higher when using NCEP criteria for Asians, followed by the IDF defi nition for Japanese.

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Analysis of criteria for metabolic syndrome in a population‐based study of Japanese‐Brazilians

Cited by 43 publications

References 36 publications

Cardiovascular risk in Japanese-Brazilian subjects

Cardiovascular risk in Japanese-Brazilian subjects

Adipose tissue arachidonic acid and the metabolic syndrome in Costa Rican adults

Prevalence of Metabolic Syndrome in Japanese-Brazilians According to Specific Definitions for Ethnicity

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