首页    期刊浏览 2024年12月12日 星期四
登录注册

文章基本信息

  • 标题:Prevalence of metabolic syndrome in type 2 diabetic patients: A comparative study using WHO, NCEP ATP III, IDF and Harmonized definitions
  • 本地全文:下载
  • 作者:Mun Chieng Tan ; Ooi Chuan Ng ; Teck Wee Wong
  • 期刊名称:Health
  • 印刷版ISSN:1949-4998
  • 电子版ISSN:1949-5005
  • 出版年度:2013
  • 卷号:05
  • 期号:10
  • 页码:1689-1696
  • DOI:10.4236/health.2013.510227
  • 语种:English
  • 出版社:Scientific Research Publishing
  • 摘要:To determine the prevalence of metabolic syndrome (MetS) in Malaysian type 2 diabetic patients using WHO, NCEP ATP III, IDF and the new Harmonized definitions, and the concordance between these definitions. This study involved 313 patients diagnosed with type 2 diabetes mellitus (T2DM) at two Malaysian tertiary hospitals. Socio-demographic data were assessed using a pre-tested interviewer-administered structured questionnaire. Anthropometric measurements were carried out according to standard protocols. Clinical and laboratory characteristics were examined. Kappa (k) statistics were used for the agreement between the four MetS definitions. The overall prevalence rates of MetS (95% CI) were 95.8% (93.6-98.1), 96.1% (94.0-98.3), 84.8% (80.8-88.9) and 97.7% (96.1-99.4) according to the WHO, NCEP ATP III, IDF and the Harmonized definitions, respectively. The Kappa statistics demonstrated a slight to substantial agreement between the definitions (k = 0.179-0.875, p k = 0.875, p hest specificity (100%) in identifying MetS. In conclusion, the new Harmonized criteria established the highest prevalence of MetS among the four definitions applied. There was a very good concordance between the WHO and NCEP ATP III criteria. The extremely high prevalence of MetS observed in type 2 diabetic patients indicates an impending pandemic of CVD risk in Malaysia. Aggressive treatment of MetS components is required to reduce cardiovascular risk in T2DM.
  • 关键词:Metabolic Syndrome; Type 2 Diabetes Mellitus (T2DM); World Health Organization (WHO); Third Report of the National Cholesterol Education Expert Panel on Detection; Evaluation; Treatment of High Blood Cholesterol in Adults (NCEP ATP III); International Diabetes Federation (IDF); Harmonized Definition
国家哲学社会科学文献中心版权所有