title: Metabolic syndrome predicts hospitalization in hemodialysis patients: a prospective Asian cohort study.
abstract: OBJECTIVE
  Metabolic syndrome (MS) increases morbidity and mortality in the general population. The effects of individual components of MS differ in hemodialysis (HD) patients, but the composite effects of MS in this population are unknown.
  
  
  METHODS
  We performed a prospective, cohort study including 235 HD patients who were followed up for 3 years. We used modified Asian criteria of the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) to define the presence of MS, and compared the hospitalizations and deaths in patients with and without MS.
  
  
  RESULTS
  Patients with MS had a lower hospitalization-free ratio, greater annual hospitalization days and frequency than those without MS. The relative risk of the presence of MS was 1.669 in predicting first hospitalization for all causes.
  
  
  CONCLUSIONS
  The modified Asian criteria for MS successfully predicted the risk of hospitalization as compared with NCEP ATP III criteria in HD patients.
authors.affiliation: Department of Internal Medicine, Far Eastern Memorial Hospital, National Taiwan University, Taipei, Taiwan.
authors.forename: Shao-Yu
authors.initials: SY
authors.lastname: Yang
authors.forename: Chih-Kang
authors.initials: CK
authors.lastname: Chiang
authors.forename: Shih-Ping
authors.initials: SP
authors.lastname: Hsu
authors.forename: Yu-Sen
authors.initials: YS
authors.lastname: Peng
authors.forename: Mei-Fen
authors.initials: MF
authors.lastname: Pai
authors.forename: Tai-I
authors.initials: TI
authors.lastname: Ho
authors.forename: Kuan-Yu
authors.initials: KY
authors.lastname: Hung
authors.forename: Kwan-Dun
authors.initials: KD
authors.lastname: Wu
mesh_terms: D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000453:epidemiology; D002423:Cause of Death; D015331:Cohort Studies; D015897:Comorbidity; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007239:Infections / Q000453:epidemiology; D007676:Kidney Failure, Chronic / Q000097:blood / Q000453:epidemiology / Q000628:therapy; D016030:Kidney Transplantation / Q000706:statistics & numerical data; D008297:Male; D024821:Metabolic Syndrome / Q000453:epidemiology*; D008875:Middle Aged; D011446:Prospective Studies; D006435:Renal Dialysis; D012306:Risk; D016019:Survival Analysis; D013624:Taiwan / Q000453:epidemiology