Metabolic syndrome in newly diagnosed type 2 diabetes mellitus using NCEP-ATP III, the Nnewi experience

Abstract

The study shows that metabolic syndrome is highly prevalent in newly diagnosed type 2 diabetes patients and the most common risk factor is hypertension.

Metabolic Syndrome among Apparently Healthy Nigerians with the Harmonized Criteria: Prevalence and Concordance with the International Diabetes Federation (IDF) and Third Report of the National Cholesterol Education Programme - Adult Treatment Panel III (NCEP-ATP III) Criteria

“…14 Studies have also shown consistently that the prevalence of MS increases with age 23,27,31,32,43 Some Nigerian studies found a prevalence of between 10%-35.42% among the general populace. 18,20,21 Specifically, Ulasi et al 18 and Similayi et al 21 using IDF and ATP criteria found a prevalence of between 10.0%-23.19% in suburban centres.…”

“…[15][16][17][18][19] The prevalence was also higher in the urban compared to the rural areas. 17,[18][19][20] Among patients with type 2 diabetes, prevalence of MS ranged between 59.1%-87.1%, [21][22][23][24] while in patients with hypertension, the prevalence ranged between 24.7%-40.74%. [17][18][19][20][21][22][23][24][25] These Nigerian authors used the WHO, IDF, and Adult Treatment Panel (ATP-III) criteria in their studies.…”

“…17,[18][19][20] Among patients with type 2 diabetes, prevalence of MS ranged between 59.1%-87.1%, [21][22][23][24] while in patients with hypertension, the prevalence ranged between 24.7%-40.74%. [17][18][19][20][21][22][23][24][25] These Nigerian authors used the WHO, IDF, and Adult Treatment Panel (ATP-III) criteria in their studies. Prevalence rates for MS in Ghana, 26 Cameroon, 27 South Africa, 28 India, 29 America, 30,31 United Kingdom 32 and Europe 33 ranged between 0% to 49.2% depending on the population studied and the criteria used.…”

“…Generally, the prevalence was higher among women than men, 15-19-23-26 and with the IDF definition. [18][19][20][21][22][23][24][25][26] In order to make comparison among various studies possible, a new criterion which harmonizes the previous definitions was proposed. 34 However, there is scanty report on the prevalence of MS with the harmonized criteria Nigeria.…”

High Prevalence of Abdominal Obesity Increases the Risk of the Metabolic Syndrome in Nigerian Type 2 Diabetes Patients: Using the International Diabetes Federation Worldwide Definition

“…However, after reviewing all the definitions from the WHO, EGIR, and NCEP ATP III, [22][23][24] the International Diabetes Federation (IDF) came out with a new worldwide definition for the metabolic syndrome that placed abdominal obesity as central to the pathogenesis of the metabolic syndrome. 21 Although several Nigerian studies have reported on the prevalence of the metabolic syndrome and some of its components, [25][26][27][28][29] none has addressed the central role of abdominal obesity in the prevalence of the metabolic syndrome in this population. Given that several Nigerian studies have identified abdominal obesity in both adults and children in this population, [14][15][16][17][18][19][20] this study is aimed at assessing the prevalence of the components of the metabolic syndrome in type 2 diabetes mellitus (T2DM) patients using the IDF worldwide definition that was based on abdominal obesity.…”