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Diabetes Care. 2003 Mar;26(3):575-81.

A comparison of the prevalence of the metabolic syndrome using two proposed definitions.

Author information

1
Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. esf2@cdc.gov

Abstract

OBJECTIVE:

To compare the prevalence of the metabolic syndrome using two definitions: one proposed by the Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III [ATP III]) and one by the World Health Organization (WHO).

RESEARCH DESIGN AND METHODS:

We used data from a nationally representative sample of the noninstitutionalized civilian population of the U.S. from the Third National Health and Nutrition Examination Survey, a cross-sectional health examination survey (1988-1994).

RESULTS:

Among 8608 participants aged >or=20 years, the age-adjusted prevalence was 23.9% using the ATP III definition and 25.1% using the WHO definition. Among all participants, 86.2% were classified as either having or not having the metabolic syndrome under both definitions. Estimates differed substantially for some subgroups, however. For example, in African-American men, the WHO estimate was 24.9%, compared with the ATP III estimate of 16.5%.

CONCLUSIONS:

A universally accepted definition of the metabolic syndrome is needed.

PMID:
12610004
DOI:
10.2337/diacare.26.3.575
[Indexed for MEDLINE]

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