[Study on the comparison of three diagnostic criteria of metabolic syndrome in Jiangsu population].
OBJECTIVE
To compare the significance of the application in Jiangsu population using the diagnostic criteria for metabolic syndrome(MS) proposed by the IDF in 2005, ATP III in 2005 and CDS in 2004.


METHODS
Based on the populations in Jiangsu province from a project of Multiple Metabolic Disorders and MS, the study was conducted including 5888 cases, with data of plasma glucose, lipid profile, blood pressure, serum insulin etc. MS was diagnosed and compared according to these three definitions respectively.


RESULTS
The age-adjusted MS prevalence rates were 17.48%, 21.95% and 9.59% according to the IDF(2005), ATP III (2005) and CDS (2004) respectively. The agreement in the diagnosis of MS using ATP III (2005) and CDS(2004) definitions was 85.11%, and the agreement in the diagnosis of MS using IDF(2005) and CDS definitions was 87.35%. The agreement in the diagnosis of MS using IDF (2005) and ATP III (2005) definitions was 95.14%. The MS subjects diagnosed by the ATP III (2005) was 1.26 higher than subjects diagnosed by the IDF(2005) definition. The ratios of prevalence rates of high waist circumference(WC), MS_IDF (2005) and MS_ATP III (2005) was 2.17, 1.99 and 1.54 in sex ratio (woman to man).


CONCLUSIONS
The agreement in the diagnosis of MS using the IDF(2005) and ATP III (2005) definition was higher than using CDS(2004) and other two definitions. For diagnosing MS, the cut off of WC in IDF(2005) and ATP III (2005) seemed not appropriate and the diagnostic criteria used for ATP III (2005) (waist circumference of man 85 cm, woman 80 cm) could identify more MS.
Zhou
Hui
H
School of Radiological Medicine and Public Health, Soochow University, Suzhou 215123, China.
Hu
Xiao-shu
XS
Guo
Zhi-rong
ZR
Shi
Zu-min
ZM
Wu
Ming
M
Zhang
Jun
J
Sun
Guo-xiang
GX
Zhou
Zheng-yuan
ZY
Yao
Cai-liang
CL
D001786:Blood Glucose; D001794:Blood Pressure; D002681:China; D006801:Humans; D007328:Insulin / Q000097:blood; D008055:Lipids / Q000097:blood; D024821:Metabolic Syndrome / Q000175:diagnosis*; D012016:Reference Values; D055105:Waist Circumference
D001786:Blood Glucose; D007328:Insulin; D008055:Lipids