Abstract:
:Metabolic syndrome (MetS) is a steering force for the cardiovascular diseases epidemic in Asia. This study aimed to compare the prevalence of MetS in Malaysian adults using NCEP-ATP III, IDF, and JIS definitions, identify the demographic factors associated with MetS, and determine the level of agreement between these definitions. The analytic sample consisted of 8,836 adults aged ≥30 years recruited at baseline in 2007-2011 from the Cardiovascular Risk Prevention Study (CRisPS), an ongoing, prospective cohort study involving 18 urban and 22 rural communities in Malaysia. JIS definition gave the highest overall prevalence (43.4%) compared to NCEP-ATP III (26.5%) and IDF (37.4%), P < 0.001. Indians had significantly higher age-adjusted prevalence compared to other ethnic groups across all MetS definitions (30.1% by NCEP-ATP III, 50.8% by IDF, and 56.5% by JIS). The likelihood of having MetS amongst the rural and urban populations was similar across all definitions. A high level of agreement between the IDF and JIS was observed (Kappa index = 0.867), while there was a lower level of agreement between the IDF and NCEP-ATP III (Kappa index = 0.580). JIS definition identified more Malaysian adults with MetS and therefore should be recommended as the preferred diagnostic criterion.
journal_name
Biomed Res Intjournal_title
BioMed research internationalauthors
Ramli AS,Daher AM,Nor-Ashikin MN,Mat-Nasir N,Ng KK,Miskan M,Ambigga KS,Ariffin F,Mazapuspavina MY,Abdul-Razak S,Abdul-Hamid H,Abd-Majid F,Abu-Bakar N,Nawawi H,Yusoff Kdoi
10.1155/2013/760963subject
Has Abstractpub_date
2013-01-01 00:00:00pages
760963eissn
2314-6133issn
2314-6141journal_volume
2013pub_type
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