title: High rates of the metabolic syndrome in a First Nations Community in western Canada: prevalence and determinants in adults and children.
abstract: OBJECTIVE
  Increasing type 2 diabetes in Aboriginal communities across North America raises concerns about metabolic syndrome in these populations. Some prevalence information for American Indians exists, but little has been available for Canada's First Nations.
  
  
  METHODS
  We screened 60% of the eligible population of a single First Nation in Alberta for diabetes, pre-diabetes, cardiovascular risk, and metabolic syndrome.
  
  
  METHODS
  NCEP/ATP III and IDF criteria were used to identify metabolic syndrome in participants aged > or = 18; modified NCEP/ATP III criteria were used for participants aged < 18. Logistic regression identified factors associated with the metabolic syndrome.
  
  
  RESULTS
  297 individuals were screened (176 adults, 84 children/adolescents, with complete data). 52.3% of adults had metabolic syndrome using NCEP/ATP III criteria, and 50% using IDF criteria. 40.5% of individuals aged < 18 had the condition. Waist circumference was the most prevalent correlate. Bivariate analysis suggested that age, BMI, weight, Alc, LDL-C, ADA risk score and activity pattern were associated with metabolic syndrome.
  
  
  CONCLUSIONS
  Our data represent the first available for Western Cree and are consistent with prevalence reported for Aboriginal populations in Ontario and Manitoba. High rates of obesity, pre-diabetes and metabolic syndrome for participants aged < 18 raise concerns about future prevalence of diabetes and cardiovascular disease.
authors.affiliation: Heritage Research Medical Center, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Sharndeep Norry
authors.initials: SN
authors.lastname: Kaler
authors.forename: Kelli
authors.initials: K
authors.lastname: Ralph-Campbell
authors.forename: Sheri
authors.initials: S
authors.lastname: Pohar
authors.forename: Malcolm
authors.initials: M
authors.lastname: King
authors.forename: Chief Rose
authors.initials: CR
authors.lastname: Laboucan
authors.forename: Ellen L
authors.initials: EL
authors.lastname: Toth
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000416:Alberta / Q000453:epidemiology; D001794:Blood Pressure; D001837:Body Weights and Measures; D002648:Child; D002675:Child, Preschool; D002784:Cholesterol / Q000097:blood; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D007198:Indians, North American / Q000706:statistics & numerical data*; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D024821:Metabolic Syndrome / Q000208:ethnology*; D008875:Middle Aged; D009043:Motor Activity; D015995:Prevalence; D012307:Risk Factors
chemical_list: D002784:Cholesterol; D006442:Glycated Hemoglobin