Discordance of metabolic syndrome and abdominal obesity prevalence according to different criteria in Andean highlanders: A community-based study

Karela Herrera-Enriquez; Offdan Narvaez-Guerra

doi:10.1016/j.dsx.2017.03.016

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Discordance of metabolic syndrome and abdominal obesity prevalence according to different criteria in Andean highlanders: A community-based study

Journal article

Peer reviewed

Discordance of metabolic syndrome and abdominal obesity prevalence according to different criteria in Andean highlanders: A community-based study

Karela Herrera-Enriquez and Offdan Narvaez-Guerra

Diabetes & metabolic syndrome clinical research & reviews, Vol.11 Suppl 1, pp.S359-S364

11/01/2017

DOI: 10.1016/j.dsx.2017.03.016

PMID: 28284909

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Abstract

There is no consensus as to which Metabolic Syndrome (MetS) definition to use for South-American populations. The aim of this study is to compare the prevalence of MetS and abdominal obesity using different criteria in Andean adults aged 40 and older living permanently at high altitude. We conducted a cross-sectional study in Chivay (Andean highlands). 237 participants were included. Anthropometric measurements, glucose and lipid assessments were done in all subjects. Adult Treatment Panel III (ATPIII) and International Diabetes Federation (IDF) criteria for MetS were used. Abdominal obesity prevalence was determined using the American Diabetes Association (ADA), IDF, and PREVENCION Study criteria. Cohen's Kappa coefficient (κ) was analyzed to assess agreement level between different criteria. Multiple regression analyses were performed to find predictors for waist circumference. MetS was identified in 28.7% (95%CI=23.8-33.5) using ATPIII criteria, and 37.9% (95%CI=32.7-43.0) using IDF criteria, with higher prevalence in women. The κ statistics for agreement between both criteria was 0.775 (95%CI=0.690-0.859). Abdominal obesity prevalence according to ADA, IDF, and PREVENCION criteria was 35.9% (95%CI=29.7-42.0), 75.9% (95%CI=70.5-81.4), and 42.6% (95%CI=36.3-49.0), respectively. Agreement between ADA and PREVENCION criteria was highest (κ=0.859, 95%CI=0.792-0.925). The strongest predictors for higher waist circumference values were triglycerides and BMI in women, and systolic blood pressure, triglycerides, fasting plasma glucose, and HDL-cholesterol in men. MetS according to ATP III and IDF criteria was highly prevalent. IDF criteria identified a larger number of subjects with MetS. Different abdominal obesity criteria tended to show variation when applied to our sample population.

Adult

Aged

Aged, 80 and over

Blood Pressure

Community-Based Participatory Research

Cross-Sectional Studies

Female

Follow-Up Studies

Humans

Lipids - blood

Male

Metabolic Syndrome - blood

Metabolic Syndrome - epidemiology

Metabolic Syndrome - pathology

Middle Aged

Obesity, Abdominal - blood

Obesity, Abdominal - epidemiology

Obesity, Abdominal - pathology

Peru - epidemiology

Prevalence

Prognosis

Triglycerides - blood

Waist Circumference

Details

Title: Subtitle: Discordance of metabolic syndrome and abdominal obesity prevalence according to different criteria in Andean highlanders: A community-based study
Creators: Karela Herrera-Enriquez - Department of Preventive Medicine, Integral Occupational Medicine Center CEMOIN, Arequipa, Peru
Offdan Narvaez-Guerra - Department of Preventive Medicine, Integral Occupational Medicine Center CEMOIN, Arequipa, Peru. Electronic address: offdannarvaez@gmail.com
Resource Type: Journal article
Publication Details: Diabetes & metabolic syndrome clinical research & reviews, Vol.11 Suppl 1, pp.S359-S364
DOI: 10.1016/j.dsx.2017.03.016
PMID: 28284909
NLM abbreviation: Diabetes Metab Syndr
ISSN: 1871-4021
eISSN: 1878-0334
Language: English
Date published: 11/01/2017
Academic Unit: Internal Medicine
Record Identifier: 9984845468202771

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