Cargando…
The Prevalence of Metabolic Syndrome and Determination of the Optimal Waist Circumference Cutoff Points in a Rural South African Community
OBJECTIVE: To determine the prevalence of metabolic syndrome and to define optimal ethnic-specific waist-circumference cutoff points in a rural South African black community. RESEARCH DESIGN AND METHODS: This was a cross-sectional survey conducted by random-cluster sampling of adults aged >15 yea...
Autores principales: | , , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
American Diabetes Association
2011
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3064018/ https://www.ncbi.nlm.nih.gov/pubmed/21330644 http://dx.doi.org/10.2337/dc10-1921 |
_version_ | 1782200859088650240 |
---|---|
author | Motala, Ayesha A. Esterhuizen, Tonya Pirie, Fraser J. Omar, Mahomed A.K. |
author_facet | Motala, Ayesha A. Esterhuizen, Tonya Pirie, Fraser J. Omar, Mahomed A.K. |
author_sort | Motala, Ayesha A. |
collection | PubMed |
description | OBJECTIVE: To determine the prevalence of metabolic syndrome and to define optimal ethnic-specific waist-circumference cutoff points in a rural South African black community. RESEARCH DESIGN AND METHODS: This was a cross-sectional survey conducted by random-cluster sampling of adults aged >15 years. Participants had demographic, anthropometric, and biochemical measurements taken, including a 75-g oral glucose tolerance test. Metabolic syndrome was defined using the 2009 Joint Interim Statement (JIS) definition. RESULTS: Of 947 subjects (758 women) studied, the age-adjusted prevalence of metabolic syndrome was 22.1%, with a higher prevalence in women (25.0%) than in men (10.5%). Peak prevalence was in the oldest age-group (≥65 years) in women (44.2%) and in the 45- to 54-year age-group in men (25.0%). The optimal waist circumference cutoff point to predict the presence of at least two other components of the metabolic syndrome was 86 cm for men and 92 cm for women. The crude prevalence of metabolic syndrome was higher with the JIS definition (26.5%) than with the International Diabetes Federation (IDF) (23.3%) or the modified Third Report of the National Cholesterol Education Program Adult Treatment Panel (ATPIII) (18.5%) criteria; there was very good agreement with the IDF definition (κ = 0.90 [95% CI 0.87–0.94]) and good concordance with ATPIII criteria (0.77 [0.72–0.82]). CONCLUSIONS: There is a high prevalence of metabolic syndrome, especially in women, suggesting that this community, unlike other rural communities in Africa, already has entered the epidemic of metabolic syndrome. Waist circumference cutoff points differ from those currently recommended for Africans. |
format | Text |
id | pubmed-3064018 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | American Diabetes Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-30640182012-04-01 The Prevalence of Metabolic Syndrome and Determination of the Optimal Waist Circumference Cutoff Points in a Rural South African Community Motala, Ayesha A. Esterhuizen, Tonya Pirie, Fraser J. Omar, Mahomed A.K. Diabetes Care Original Research OBJECTIVE: To determine the prevalence of metabolic syndrome and to define optimal ethnic-specific waist-circumference cutoff points in a rural South African black community. RESEARCH DESIGN AND METHODS: This was a cross-sectional survey conducted by random-cluster sampling of adults aged >15 years. Participants had demographic, anthropometric, and biochemical measurements taken, including a 75-g oral glucose tolerance test. Metabolic syndrome was defined using the 2009 Joint Interim Statement (JIS) definition. RESULTS: Of 947 subjects (758 women) studied, the age-adjusted prevalence of metabolic syndrome was 22.1%, with a higher prevalence in women (25.0%) than in men (10.5%). Peak prevalence was in the oldest age-group (≥65 years) in women (44.2%) and in the 45- to 54-year age-group in men (25.0%). The optimal waist circumference cutoff point to predict the presence of at least two other components of the metabolic syndrome was 86 cm for men and 92 cm for women. The crude prevalence of metabolic syndrome was higher with the JIS definition (26.5%) than with the International Diabetes Federation (IDF) (23.3%) or the modified Third Report of the National Cholesterol Education Program Adult Treatment Panel (ATPIII) (18.5%) criteria; there was very good agreement with the IDF definition (κ = 0.90 [95% CI 0.87–0.94]) and good concordance with ATPIII criteria (0.77 [0.72–0.82]). CONCLUSIONS: There is a high prevalence of metabolic syndrome, especially in women, suggesting that this community, unlike other rural communities in Africa, already has entered the epidemic of metabolic syndrome. Waist circumference cutoff points differ from those currently recommended for Africans. American Diabetes Association 2011-04 2011-03-21 /pmc/articles/PMC3064018/ /pubmed/21330644 http://dx.doi.org/10.2337/dc10-1921 Text en © 2011 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details. |
spellingShingle | Original Research Motala, Ayesha A. Esterhuizen, Tonya Pirie, Fraser J. Omar, Mahomed A.K. The Prevalence of Metabolic Syndrome and Determination of the Optimal Waist Circumference Cutoff Points in a Rural South African Community |
title | The Prevalence of Metabolic Syndrome and Determination of the Optimal Waist Circumference Cutoff Points in a Rural South African Community |
title_full | The Prevalence of Metabolic Syndrome and Determination of the Optimal Waist Circumference Cutoff Points in a Rural South African Community |
title_fullStr | The Prevalence of Metabolic Syndrome and Determination of the Optimal Waist Circumference Cutoff Points in a Rural South African Community |
title_full_unstemmed | The Prevalence of Metabolic Syndrome and Determination of the Optimal Waist Circumference Cutoff Points in a Rural South African Community |
title_short | The Prevalence of Metabolic Syndrome and Determination of the Optimal Waist Circumference Cutoff Points in a Rural South African Community |
title_sort | prevalence of metabolic syndrome and determination of the optimal waist circumference cutoff points in a rural south african community |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3064018/ https://www.ncbi.nlm.nih.gov/pubmed/21330644 http://dx.doi.org/10.2337/dc10-1921 |
work_keys_str_mv | AT motalaayeshaa theprevalenceofmetabolicsyndromeanddeterminationoftheoptimalwaistcircumferencecutoffpointsinaruralsouthafricancommunity AT esterhuizentonya theprevalenceofmetabolicsyndromeanddeterminationoftheoptimalwaistcircumferencecutoffpointsinaruralsouthafricancommunity AT piriefraserj theprevalenceofmetabolicsyndromeanddeterminationoftheoptimalwaistcircumferencecutoffpointsinaruralsouthafricancommunity AT omarmahomedak theprevalenceofmetabolicsyndromeanddeterminationoftheoptimalwaistcircumferencecutoffpointsinaruralsouthafricancommunity AT motalaayeshaa prevalenceofmetabolicsyndromeanddeterminationoftheoptimalwaistcircumferencecutoffpointsinaruralsouthafricancommunity AT esterhuizentonya prevalenceofmetabolicsyndromeanddeterminationoftheoptimalwaistcircumferencecutoffpointsinaruralsouthafricancommunity AT piriefraserj prevalenceofmetabolicsyndromeanddeterminationoftheoptimalwaistcircumferencecutoffpointsinaruralsouthafricancommunity AT omarmahomedak prevalenceofmetabolicsyndromeanddeterminationoftheoptimalwaistcircumferencecutoffpointsinaruralsouthafricancommunity |