The Prevalence of Metabolic Syndrome and Determination of the Optimal Waist Circumference Cutoff Points in a Rural South African Community
To determine the prevalence of metabolic syndrome and to define optimal ethnic-specific waist-circumference cutoff points in a rural South African black community. This was a cross-sectional survey conducted by random-cluster sampling of adults aged >15 years. Participants had demographic, anthro...
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| Veröffentlicht in: | Diabetes care 2011-04, Vol.34 (4), p.1032-1037 |
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| creator | MOTALA, Ayesha A ESTERHUIZEN, Tonya PIRIE, Fraser J OMAR, Mahomed A. K |
| description | To determine the prevalence of metabolic syndrome and to define optimal ethnic-specific waist-circumference cutoff points in a rural South African black community.
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.
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]).
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. |
| doi_str_mv | 10.2337/dc10-1921 |
| format | Article |
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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.
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]).
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.</description><identifier>ISSN: 0149-5992</identifier><identifier>EISSN: 1935-5548</identifier><identifier>DOI: 10.2337/dc10-1921</identifier><identifier>PMID: 21330644</identifier><identifier>CODEN: DICAD2</identifier><language>eng</language><publisher>Alexandria, VA: American Diabetes Association</publisher><subject>Adult ; Africa - epidemiology ; African Continental Ancestry Group ; Aged ; Biological and medical sciences ; Cardiovascular disease ; Cholesterol ; Cross-Sectional Studies ; Dextrose ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Epidemiology ; Female ; Glucose ; Glucose metabolism ; Glucose tolerance tests ; Humans ; Male ; Medical sciences ; Metabolic diseases ; Metabolic Syndrome - epidemiology ; Middle Aged ; Miscellaneous ; Obesity ; Original Research ; Other metabolic disorders ; Prevalence studies (Epidemiology) ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Sex Factors ; Studies ; Surveys ; Waist Circumference - physiology ; Womens health</subject><ispartof>Diabetes care, 2011-04, Vol.34 (4), p.1032-1037</ispartof><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2011 American Diabetes Association</rights><rights>Copyright American Diabetes Association Apr 2011</rights><rights>2011 by the American Diabetes Association.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c536t-8cb93a79e600ff8deffffe05d07227f6d2d1c331f008d8106ab173971c28fbbc3</citedby><cites>FETCH-LOGICAL-c536t-8cb93a79e600ff8deffffe05d07227f6d2d1c331f008d8106ab173971c28fbbc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24124305$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21330644$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MOTALA, Ayesha A</creatorcontrib><creatorcontrib>ESTERHUIZEN, Tonya</creatorcontrib><creatorcontrib>PIRIE, Fraser J</creatorcontrib><creatorcontrib>OMAR, Mahomed A. K</creatorcontrib><title>The Prevalence of Metabolic Syndrome and Determination of the Optimal Waist Circumference Cutoff Points in a Rural South African Community</title><title>Diabetes care</title><addtitle>Diabetes Care</addtitle><description>To determine the prevalence of metabolic syndrome and to define optimal ethnic-specific waist-circumference cutoff points in a rural South African black community.
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.
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]).
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.</description><subject>Adult</subject><subject>Africa - epidemiology</subject><subject>African Continental Ancestry Group</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular disease</subject><subject>Cholesterol</subject><subject>Cross-Sectional Studies</subject><subject>Dextrose</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Glucose</subject><subject>Glucose metabolism</subject><subject>Glucose tolerance tests</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Metabolic Syndrome - epidemiology</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Obesity</subject><subject>Original Research</subject><subject>Other metabolic disorders</subject><subject>Prevalence studies (Epidemiology)</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Sex Factors</subject><subject>Studies</subject><subject>Surveys</subject><subject>Waist Circumference - physiology</subject><subject>Womens health</subject><issn>0149-5992</issn><issn>1935-5548</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkt-O1CAUxhujccfRC1_AEI0xXnSFQlt6YzKpf5M1u3HXeEkoPcywaWEEusm8gk8tdcbVNQMJJPA7H-ccvix7SvBpQWn9plcE56QpyL1sQRpa5mXJ-P1sgQlr8rJpipPsUQjXGGPGOH-YnRSEUlwxtsh-Xm0AXXi4kQNYBchp9AWi7NxgFLrc2d67EZC0PXoHEfxorIzG2ZmLKfJ8G80oB_RdmhBRa7yaRg3-t1Q7Rac1unDGxoCMRRJ9nXyCL90UN2ilvVHSotaN42RN3D3OHmg5BHhy2JfZtw_vr9pP-dn5x8_t6ixXJa1izlXXUFk3UGGsNe9BpwG47HFdFLWu-qInilKiMeY9J7iSHalpUxNVcN11ii6zt3vd7dSN0CuwMWUltj5V4nfCSSPu3lizEWt3I-aWYcKTwKuDgHc_JghRjCYoGAZpwU1B8LJhTUXTWGbP_yOv3eRtqk7wCvMmLXWCXuyhdfoDYax26VU1S4pVUVLOGClZovIj1BospBSdBW3S8R3-9AifZg-jUUcDXu8DlHcheNC3HSFYzDYTs83EbLPEPvu3hbfkH18l4OUBkEHJQXtplQl_OUYKRnFJfwGoVdpf</recordid><startdate>20110401</startdate><enddate>20110401</enddate><creator>MOTALA, Ayesha A</creator><creator>ESTERHUIZEN, Tonya</creator><creator>PIRIE, Fraser J</creator><creator>OMAR, Mahomed A. 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K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c536t-8cb93a79e600ff8deffffe05d07227f6d2d1c331f008d8106ab173971c28fbbc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Africa - epidemiology</topic><topic>African Continental Ancestry Group</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular disease</topic><topic>Cholesterol</topic><topic>Cross-Sectional Studies</topic><topic>Dextrose</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Glucose</topic><topic>Glucose metabolism</topic><topic>Glucose tolerance tests</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Metabolic Syndrome - epidemiology</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Obesity</topic><topic>Original Research</topic><topic>Other metabolic disorders</topic><topic>Prevalence studies (Epidemiology)</topic><topic>Public health. Hygiene</topic><topic>Public health. 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K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Prevalence of Metabolic Syndrome and Determination of the Optimal Waist Circumference Cutoff Points in a Rural South African Community</atitle><jtitle>Diabetes care</jtitle><addtitle>Diabetes Care</addtitle><date>2011-04-01</date><risdate>2011</risdate><volume>34</volume><issue>4</issue><spage>1032</spage><epage>1037</epage><pages>1032-1037</pages><issn>0149-5992</issn><eissn>1935-5548</eissn><coden>DICAD2</coden><abstract>To determine the prevalence of metabolic syndrome and to define optimal ethnic-specific waist-circumference cutoff points in a rural South African black community.
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.
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]).
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.</abstract><cop>Alexandria, VA</cop><pub>American Diabetes Association</pub><pmid>21330644</pmid><doi>10.2337/dc10-1921</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0149-5992 |
| ispartof | Diabetes care, 2011-04, Vol.34 (4), p.1032-1037 |
| issn | 0149-5992 1935-5548 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3064018 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete |
| subjects | Adult Africa - epidemiology African Continental Ancestry Group Aged Biological and medical sciences Cardiovascular disease Cholesterol Cross-Sectional Studies Dextrose Diabetes. Impaired glucose tolerance Endocrine pancreas. Apud cells (diseases) Endocrinopathies Epidemiology Female Glucose Glucose metabolism Glucose tolerance tests Humans Male Medical sciences Metabolic diseases Metabolic Syndrome - epidemiology Middle Aged Miscellaneous Obesity Original Research Other metabolic disorders Prevalence studies (Epidemiology) Public health. Hygiene Public health. Hygiene-occupational medicine Sex Factors Studies Surveys Waist Circumference - physiology Womens health |
| title | The Prevalence of Metabolic Syndrome and Determination of the Optimal Waist Circumference Cutoff Points in a Rural South African Community |
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