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

Xavier, N. P.; Chaim, Rita; Gimeno, Suely Godoy Agostinho; Ferreira, Sandra Roberta Gouvêa; Hirai, Amélia; Padovani, Carlos Roberto; Okoshi, Marina Politi; Okoshi, Katashi

doi:10.1089/met.2009.0028

Cited by 6 publications

(6 citation statements)

References 30 publications

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“…However, there is a tendency to define diagnostic criteria based on ethnicity and central obesity [19]. The American Heart Association/National Heart, Lung, and Blood Institute, had, already, recommended different values to Asian population [10], and in a recent study in a Japanese-Brazilian community it was observed that the MetS prevalence was higher using the NCEP criteria for Asians [20]. We believe that our data reinforce this idea, since the IDF criteria showed the higher MetS prevalence compared to the NCEP definition.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of the metabolic syndrome using two proposed definitions in a Japanese-Brazilians community

Foss‐Freitas

Gomes

Andrade³

et al. 2012

Diabetol Metab Syndr

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Metabolic Syndrome (MetS) is associated with increased risk of morbi-mortality, thus the characterization of the population magnitude of this syndrome is critical for allocating health care. However, prevalence estimates of MetS in the same population could differ depending on the definition used. Therefore, we compared the prevalence of the MetS using definitions proposed by: National Cholesterol Education Panel Revised (NCEP) and International Diabetes Federation (IDF) 2009 in a Japanese-Brazilians community (131 individuals, age 57 ± 16 years, 1st and 2nd generation). All individuals went through a clinical and laboratorial evaluation for assessment of weigh, height, waist circumference, blood pressure, triglycerides, HDL-cholesterol and fasting plasma glucose. The prevalence of MetS was 26.7% (n = 35) and 37.4% (n = 49) under the NCEP and IDF definitions, respectively. Despite higher blood pressure measurements, waist circumference and serum triglyceride levels and lower HDL cholesterol levels (p < 0.01), individuals identified with MetS did not show increased blood glucose levels. IDF definition classified 14 individuals (10.7%) with MetS that were not classified under the NCEP and 35 individuals were identified with MetS by both criteria. We observed, in this group, more severe lipid disorders, compared to individuals identified only under the IDF definition, and the BMI and waist circumference (p = 0.01; p = 0.006, respectively) were lower. In conclusion, the IDF revised criteria, probably because of the ethnic specific values of waist circumference, was able to identify a larger number of individuals with MetS. However, our data suggesting that additional studies are necessary to define best MetS diagnostic criteria in this population.

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Section: Discussionmentioning

confidence: 99%

Prevalence of the metabolic syndrome using two proposed definitions in a Japanese-Brazilians community

Foss‐Freitas

Gomes

Andrade³

et al. 2012

Diabetol Metab Syndr

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“…To date diabetes prevention strategies have focused on the high-risk approach, that is, identification of those at high risk followed by life-style or pharmacological interventions or both, strategies that have been shown to work in LMICs [139–145]. The alternative or parallel approach of shifting the risk-factor profile in the population—for example, reducing levels of obesity through multisectoral policies and initiatives—although formally untested is highly rational and also needs to be pursued [146].…”

Section: Diabetesmentioning

confidence: 99%

Management of NCD in Low- and Middle-Income Countries

et al. 2014

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Noncommunicable disease (NCD), comprising cardiovascular disease, stroke, diabetes, and chronic obstructive pulmonary disease, are increasing in incidence rapidly in low- and middle-income countries (LMICs). Some patients have access to the same treatments available in high-income countries, but most do not, and different strategies are needed. Most research on noncommunicable diseases has been conducted in high-income countries, but the need for research in LMICs has been recognized. LMICs can learn from high-income countries, but they need to devise their own systems that emphasize primary care, the use of community health workers, and sometimes the use of mobile technology. The World Health Organization has identified “best buys” it advocates as interventions in LMICs. Non-laboratory-based risk scores can be used to identify those at high risk. Targeting interventions to those at high risk for developing diabetes has been shown to work in LMICs. Indoor cooking with biomass fuels is an important cause of chronic obstructive pulmonary disease in LMICs, and improved cookstoves with chimneys may be effective in the prevention of chronic diseases.

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“…Comparing MS prevalence between Japanese-Brazilians and native Brazilian populations is also difficult because of the small number of studies using different criteria for defining MS, and lacking specific data for elderly people [24,25]. Considering the general Brazilian population, MS prevalence ranged between 17.9% and 25.4%, depending on defining criteria [24,25], while in 30- to 88-year-old Japanese-Brazilians MS prevalence ranged between 46.5% and 56.5% according to criteria used to establish MS diagnosis [22]. …”

Section: Discussionmentioning

confidence: 99%

“…Considering the Japanese genetic predisposition for visceral fat deposition, one could anticipate a high MS prevalence in elderly Japanese-Brazilians who have incorporated the dietary habits of a Western nation [21]. In fact, previous studies have shown that MS prevalence in Japanese-Brazilians of all ages was higher than Japanese living in Japan or native Brazilians [4,22–25]. We now present data on MS prevalence in a population of elderly Japanese-Brazilians according to the Joint Interim statement definition [20], using 3 different waist circumference cutoff values.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of metabolic syndrome in elderly Japanese-Brazilians

Xavier

Chaim²,

Gimeno

et al. 2012

Med Sci Monit

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SummaryBackgroundPrevalence of individuals with a high cardiovascular risk is elevated in elderly populations. Although metabolic syndrome (MS) increases cardiovascular risk, information is scarce on the prevalence of MS in the elderly. In this study we assessed MS prevalence in a population of elderly Japanese-Brazilians using different MS definitions according to waist circumference cutoff values.Material/MethodsWe studied 339 elderly subjects, 44.8% males, aged between 60 to 88 years (70.1±6.8). MS was defined according to criteria proposed by the Joint Interim Statement in 2009. As waist circumference cutoff point values remain controversial for Asian and Japanese populations, we employed 3 different cutoffs that are commonly used in Japanese epidemiological studies: 1) ≥90 cm for men and ≥80 cm for women; 2) ≥85 cm for men and ≥90 cm for women; 3) ≥85 cm for men and ≥80 cm for women.ResultsMS prevalence ranged from 59.9% to 65.8% according to the different definitions. We observed 90% concordance and no statistical difference (p>0.05) in MS prevalence between the 3 definitions. MS diagnosis according to all 3 cutoff values was found in 55.8% of our population, while in only 34.2% was MS discarded by all cutoffs. The prevalence of altered MS components was as follows: arterial blood pressure 82%, fasting glycemia 65.8%, triglyceride 43.4%, and HDL-C levels 36.9%.ConclusionsElderly Japanese-Brazilians present high metabolic syndrome prevalence independent of waist circumference cutoff values. Concordance between the 3 definitions is high, suggesting that all 3 cutoff values yield similar metabolic syndrome prevalence values in this population.

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

Cited by 6 publications

References 30 publications

Prevalence of the metabolic syndrome using two proposed definitions in a Japanese-Brazilians community

Prevalence of the metabolic syndrome using two proposed definitions in a Japanese-Brazilians community

Management of NCD in Low- and Middle-Income Countries

Prevalence of metabolic syndrome in elderly Japanese-Brazilians

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