1.Prevalence of Metabolic Syndrome Among Staff in a Malaysian Public University Based on Harmonised, International Diabetes Federation and National Cholesterol Education Program Definitions
Heng KS ; Hejar AR ; Rushdan AZ ; Loh SP
Malaysian Journal of Nutrition 2013;19(1):77-86
Introduction: Metabolic syndrome (MetSyn) as defined by the latest Harmonised
definition and the agreement between the Harmonised definition and other
definitions is poorly studied among Malaysians. This study was conducted to
determine and compare the prevalence of MetSyn according to the Harmonised,
International Diabetes Federation (IDF) and National Cholesterol Education
Program (NCEP ATPIII) definitions among Malay staff of Universiti Putra
Malaysia (UPM). Methods: Subjects aged between 20 to 65 years were recruited
by convenient sampling. Waist circumference, blood pressure, lipid profiles and
fasting plasma glucose levels were assessed. The agreement between the
Harmonised and other definitions was determined by Kappa statistics. Results:
A total of 227 subjects with a mean ± SD age of 37.9±9.6 years participated in the
study. The overall prevalence of MetSyn was 38.3%, 38.8% and 33.5% according
to Harmonised, IDF and NCEP ATP III definitions, respectively. Generally, men
had higher prevalence of MetSyn than women. The prevalence increased with
age in both genders with a more progressive trend in women. Men in the age
group of 20-39 years had a high prevalence of metabolic syndrome. A strong
agreement was found between the Harmonised and the IDF definitions (Kappa
index=0.991), and between the Harmonised and the NCEP ATP III definitions
(Kappa index=0.857). Conclusion: Regardless of definitions used, the prevalence
of metabolic syndrome in the study, especially in young men, was high and
warrants further investigation. The Harmonised definition is suitable for
diagnosing metabolic syndrome in any population with similar sociodemographic
characteristics.