Differential patterns of effects of age and sex on metabolic syndrome in Taiwan: Implication for the inadequate internal consistency of the current criteria

Wu, Tsan-Ming; Chan, Hsin-Lung; Hung, Chung‐Lieh; Lu, I-Jung; Wang, Shwun-De; Wang, Shih‐Wei; Wu, Yih‐Jer; Wang, Li-Yu; Yeh, Hung‐I; Wei, Yau‐Huei

doi:10.1016/j.diabres.2014.04.027

Cited by 23 publications

(27 citation statements)

References 34 publications

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“…For example, Wu et al have shown that, in men, the highest prevalence of MetS is in their middle age. However, in women, the prevalence of MetS persistently increase when they become older (Wu et al, 2014). Similar gender differences were previously noted in Korea.…”

Section: Discussionsupporting

confidence: 76%

The differences of metabolic syndrome in elderly subgroups: A special focus on young-old, old-old and oldest old

Chuang

Huang

Lee

et al. 2016

Archives of Gerontology and Geriatrics

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Section: Discussionsupporting

confidence: 76%

The differences of metabolic syndrome in elderly subgroups: A special focus on young-old, old-old and oldest old

Chuang

Huang

Lee

et al. 2016

Archives of Gerontology and Geriatrics

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“…The study subjects were from a community-based cohort enrolled by the Mitochondria-Aging in Northern Taiwan (MAGNET) study 10) . During September 2010 and May 2012, 1607 residents aged 40-to-74 years voluntarily provided informed consent and were enrolled 10) .…”

Section: Methodsmentioning

confidence: 99%

“…During September 2010 and May 2012, 1607 residents aged 40-to-74 years voluntarily provided informed consent and were enrolled 10) . One male had no blood pressure reading and another 10 males and 17 females were excluded due to the lack of good quality of recorded carotid ultrasound imaging, leaving 635 males and 944 females in the cIMT association study.…”

Section: Methodsmentioning

confidence: 99%

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Associations of Cardiovascular Risk Factors with Carotid Intima-Media Thickness in Middle-Age Adults and Elders

Hung

Liu

et al. 2017

J Atheroscler Thromb

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Aims: Elevated carotid intima-media thickness (cIMT) is a preclinical phenotype of atherosclerotic diseases. There are significant sex differences in the morbidities of cardiovascular diseases and their major determinants, and we explored the sex-specific effects of cardiovascular factors on cIMT by a community-based study.Methods: We measured the cIMT and cardiovascular profiles of 1579 residents aged 40–74 years in northern Taiwan. Multivariate regression analyses were used to assess the effects and contributions of these factors on cIMT.Results: Males had significantly higher mean (± SD) of cIMT than females (0.668 ± 0.113 vs. 0.632 ± 0.100 nm, p < 0.0001). The common factors of the best-fit regression models in both sexes were age, BMI, and LDL-/HDL-C ratio; however, their contributions and effects were different. The partial coefficients of determination (r2) were 17.9, 5.8, and 4.1%, respectively, for males and were 27.8, 1.4, and 1.2%, respectively, for females. Test statistics showed that the regression coefficients of BMI and LDL-/HDL-C ratio of males were significantly higher than those of females. As compared with females, per 1.0 SD increases of BMI and LDL-/HDL-C in males resulted in 0.0971 (p = 0.030) and 0.1177 (p = 0.0087), respectively, SD increases in cIMT. There was no difference in the means of cIMT between pre- and post-menopausal women of the same age groups.Conclusions: There was a significant sex difference in cIMT. The contributions and effects of LDL-/HDL-C ratio and BMI on cIMT were more profound in males. Our findings indicate that sex-specific factors, but possibly not menstrual status-related factors, contribute to thicker cIMT.

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“…Os critérios atuais que definem a SM aplicam os mesmos pontos de corte de seus componentes para todos os indivíduos, sem diferença entre as idades [51]. Wu et al [51] também sugerem a necessidade de se reconsiderar os pontos de corte para indivíduos de diferentes grupos etários.…”

Section: /9unclassified

Síndrome metabólica em idosos assistidos na atenção terciária à saúde em Curitiba, Paraná: prevalência e associação com saúde, capacidade funcional, estilo de vida e fatores sociodemográficos

Pereira

Gomes

Schwanke

2016

Sci Med

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Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. ABSTRACT Aims:To evaluate the prevalence of metabolic syndrome in elderly assisted in tertiary health care and the association between metabolic syndrome and health, functional capacity, life style, and demographic and socioeconomic factors. Methods: A cross-sectional study was conducted involving elderly assisted in an outpatient medical clinic of a university hospital in Curitiba, capital of Paraná State, Brazil. Metabolic syndrome was defined according to the National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATPIII). The variables evaluated were: metabolic syndrome and its components; demographic and socioeconomic factors (age, sex, education, family income); lifestyle (smoking, alcohol use, adherence to diet, physical activity); health profile (non-communicable diseases, continued use of medicines); and functional capacity, determined by Katz and Lawton scales. Results:The study included 133 elderly, with a mean age of 68.7±5.8 years (60-85 years), most of them women (66.9%). The prevalence of metabolic syndrome was 63.9%, being 71.8% in women and 28.2% in men (p=0.16). Metabolic syndrome was more frequent in individuals aged 60-69 years compared with those above that age (64.7% versus 35.3%; p=0.03). There was also association of metabolic syndrome with reporting five or more chronic diseases (60.0% versus 29.2%, p<0.001) and with using seven or more continuous medicines (36.5% versus 1.6%, p<0.001). Abdominal obesity was more frequent among women (98.4% versus 66.7%; p=0.001) and hyperglycemia was more frequent among men (95.8% versus 75.4%; p=0.03). Only 7.1% of the elderly with metabolic syndrome were considered dependent. Conclusions: Prevalence of metabolic syndrome was high in this sample of elderly assisted in tertiary health care setting. The distribution of two of the five components of metabolic syndrome was different between sexes (central obesity more frequent in women and hyperglycemia more frequent in men). Elderly people with metabolic syndrome were more often less than 70 years old, reported more chronic diseases and used more continuous medicines. There was no association of metabolic syndrome with sex, socioeconomic factors, lifestyle or functional capacity.

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Differential patterns of effects of age and sex on metabolic syndrome in Taiwan: Implication for the inadequate internal consistency of the current criteria

Cited by 23 publications

References 34 publications

The differences of metabolic syndrome in elderly subgroups: A special focus on young-old, old-old and oldest old

The differences of metabolic syndrome in elderly subgroups: A special focus on young-old, old-old and oldest old

Associations of Cardiovascular Risk Factors with Carotid Intima-Media Thickness in Middle-Age Adults and Elders

Síndrome metabólica em idosos assistidos na atenção terciária à saúde em Curitiba, Paraná: prevalência e associação com saúde, capacidade funcional, estilo de vida e fatores sociodemográficos

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