The online version of this article (https://doi.org/10.1007/s13300-018-0446-9) contains supplementary material, which is available to authorized users.
Fei Sun and Bin Gao contributed equally to this work.
To view enhanced digital features for this article go to https://doi.org/10.6084/m9.figshare.6264902.
The Joint Committee for Developing Chinese Guidelines (JCDCG) introduced the Chinese definition for metabolic syndrome (MS), which has been verified in southern Chinese people but not in northwestern Chinese people. We evaluated the MS definition proposed by the JCDCG in a northwestern Chinese population, in comparison with those of the revised National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATPIII) and the International Diabetes Federation (IDF).
This population-based cross-sectional study was a part of the China National Diabetes and Metabolic Disorders Study conducted in Shaanxi province. We included 3243 participants aged ≥ 20 years. The age-adjusted MS prevalence was assessed per the 2007 Chinese population structure. The agreement between different definitions was assessed by the kappa statistic.
The standardized prevalence of JCDCG-MS, revised ATPIII-MS, and IDF-MS was 22.4%, 29.4%, and 24.9%, respectively. Among women, the agreement of the JCDCG definition with the revised ATPIII and the IDF definition was not good (κ = 0.599 and 0.601, respectively); 54.6% of the revised ATPIII-MS and 56% of the IDF-MS were defined as MS according to the JCDCG definition. Among men, the agreement of JCDCG definition with the revised ATPIII and IDF definitions was very good (κ = 0.863) and substantial (κ = 0.741), respectively.
The agreement of the JCDCG definition with the revised ATPIII and IDF definitions was insufficient in women. Compared with the other two definitions, the JCDCG definition underestimates MS prevalence in northwestern women.
Supplementary material 1 (DOCX 20 kb)13300_2018_446_MOESM1_ESM.docx
Alberti KG, Eckel RH, Grundy SM, et al. Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation. 2009;120:1640–5. CrossRefPubMed
WHO. Definition, diagnosis and classification of diabetes mellitus and its complications. Geneva: World Health Organization; 1999.
National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA. 2001;285:2486–97. CrossRef
Joint Committee for Developing Chinese Guidelines. Chinese guidelines on prevention and treatment of dyslipidemia in adults. Zhonghua Xin Xue Guan Bing Za Zhi. 2007;2007(35):390–419.
Zhu Y, Zhang M, Hou X, et al. Cigarette smoking increases risk for incident metabolic syndrome in Chinese men-Shanghai diabetes study. Biomed Environ Sci. 2011;24:475–82. PubMed
Hu Z, Zhang R, Huang L, et al. A comparison of applicative effect with different diagnostic criteria of metabolic syndrome among the urban adult population. Zhonghua Yu Fang Yi Xue Za Zhi. 2014;48:507–11 (Chinese). PubMed
Dg A. Practical statistics for medical research. London: Chapman and Hall; 1991.
National Bureau of Statistics of China. China statistical yearbook–2007. Beijing: China Statistics Press. http://www.stats.gov.cn/tjsj/ndsj/2007/indexeh.htm.
Herrera-Enriquez K, Narvaez-Guerra O. Discordance of metabolic syndrome and abdominal obesity prevalence according to different criteria in Andean highlanders: a community-based study. Diabetes Metab Syndr. 2017;1:S359–64. CrossRef
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