The prevalence of the metabolic syndrome using the National Cholesterol Educational Program and International Diabetes Federation definitions

Abstract

MetS could be considered as a 'normal' variant if it was present in the majority of the population. Moreover, the vascular risk associated with IDF-defined MetS could be low, raising cost-effectiveness issues. Alternatively, the new IDF definition may realistically reflect the current MetS epidemic. More studies are required to support or refute those interpretations.

Prevalence of the metabolic syndrome among Korean adults using the new International Diabetes Federation definition and the new abdominal obesity criteria for the Korean people

“…Among the Korean adults in our study, the overall prevalence of the IDF-defined metabolic syndrome was lower than that of the NCEP-defined metabolic syndrome, which appeared to be inconsistent with the studies reported in Greece [15], Australia [16], the US [17] and Mexico [18]. However, the comparison with other studies should be made with caution.…”

“…Hypertension and diabetes were more strongly associated with the NCEP-defined metabolic syndrome in both men and women, whereas coronary heart disease or stroke was more strongly associated with the IDFdefined metabolic syndrome only in women. In the Greek study, the calculated vascular event risk is low in individuals with the IDF-defined metabolic syndrome, compared with those with the NCEP-defined metabolic syndrome [15]. In contrast, in the US study, the participants with hypertension, diabetes, hypercholesterolemia, or coronary heart disease have higher prevalence of the IDF-defined metabolic syndrome than the NCEPdefined metabolic syndrome [17].…”

Diet, Exercise and the Metabolic Syndrome

“…In this context, the ATTICA Study, comprising 1,500 women and men from Greece, estimated the prevalence of the metabolic syndrome at 25% in men and 15% in women [14]. Recently, Athyros et al, who considered a Northern Greek population, reported that the ageadjusted prevalence of the NCEP ATP III-defined metabolic syndrome was 25% whereas the IDFdefined prevalence was 43% [15]. Furthermore, the prevalence of the metabolic syndrome in a Portuguese population was 27% in women and 19% in men [16].…”

The Metabolic Syndrome Is a Risk Indicator of Microvascular and Macrovascular Complications in Diabetes

“…The latter requires abdominal obesity to be present and lowers the diagnostic thresholds for abdominal obesity (26). It is unknown whether the newly included individuals actually share the same cardiovascular risk as the individuals found to be affected by the metabolic syndrome according to the NCEP Adult Treatment Panel III criteria.…”