Use of different diagnostic criteria of metabolic syndrome in health check-up receivers from one state-owned enterprise in Beijing
10.3760/cma.j.issn.1674-0815.2010.03.012
- VernacularTitle:三种代谢综合征诊断标准在北京某国有企业体检员工中应用的比较
- Author:
Erman LI
;
Aijuan MA
;
Aiping LIU
;
Peiyu WANG
;
Ming LI
- Publication Type:Journal Article
- Keywords:
Metabolic syndrome X;
Hypercholesterolemia;
Diabetes mellitus;
Diagnosis
- From:
Chinese Journal of Health Management
2010;04(3):164-167
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the diagnostic criteria of metabolic syndrome(MS) developed by the International Diabetes Federation(IDF) in 2005,the 3th Report of National Cholesterol Education Program-Adult Treatment Panel Ⅲ(NCEP-ATP Ⅲ) in 2005,and the Chinese Diabetes Society(CDS) in 2004.Methors A total of 1039 adults aged 23 to 62 year-old were enrolled in this epidemiological investigation to assess the prevalence of MS by above three definitions.Results The MS prevalence rate was 14.8%,14.2% and 10.7% in ATPⅢ,IDF,and CDS,respectively.The diagnoses agreement of IDF with ATPⅢ was stronger(Kappa=0.912) than IDF with CDS(Kappa=0.466) and ATPⅢ with CDS (Kappa=0.504).CDS definition found 5.7% of non-MS individuals had risk factor accumulation.Those defined by ATPⅢ and IDF criteria were presented with central obesity + ypertriglyceridemia + abnormal blood pressure and central obesity + hypertriglyceridemia + low hish-density lipoprotein hyperlipidemia.However,those defined by CDS criterion were commonly presented with obesity + hypertriglyceridemia + abnormal blood pressure or obesity + hypertriglyceridemia + hyperglycemia.Conclusions The agreement of IDF and ATPⅢ definition was relatively stronger.For better screening sensitivity,those three criteria,or CDS and IDF criteria,or CDS and ATPⅢ criteria should be used together.
