title: Prevalence of the metabolic syndrome in Spain using regional cutoff points for waist circumference: the di@bet.es study.
abstract: The aim of the study is to assess the prevalence of metabolic syndrome (MetS) in Spain using specific cutoff points for waist circumference (WC) (>94.5 cm for men and >89.5 cm for women) and evaluating the influence of several socio-demographic and economic factors. Data on MetS were obtained from a national study of 4,727 subjects from 18 to 90 years of age, conducted in Spain between 2009 and 2010 (The di@bet.es study). MetS was defined applying the new Harmonized definition (evaluating the use of abdominal obesity (AO) as a obligatory criterion for MetS or not) as well as with other widely used criteria. Results were then compared with data from previous studies. Multiple logistic regression models were used to evaluate the influence of different social factors. The age-standardized MetS prevalence was 38.37 % (CI 35.74-40.99) in men and 29.62 % (CI 27.56-31.69) in women, when AO was required as a diagnostic criterion; 42.13 % (CI 39.37-44.89) and 32.31 % (CI 30.15-34.47) in men and women, respectively, if AO was not considered mandatory. Prevalence of MetS increased with age (p < 0.001 for trend). Women with a lower educational level were more likely to have MetS (OR 4.4; 95 % CI: 2.84-6.7) as compared with those with a higher educational level. Subjects with MetS had a worse physical quality of life. The combination of AO, hypertension and carbohydrate alterations was the most common MetS' pattern. A high prevalence of MetS was detected in the Spanish population especially in men, the elderly and women with a low educational level.
authors.affiliation: Department of Endocrinology and Nutrition, Madrid, Spain.
authors.forename: Clara
authors.initials: C
authors.lastname: Marcuello
authors.forename: Alfonso L
authors.initials: AL
authors.lastname: Calle-Pascual
authors.forename: Manuel
authors.initials: M
authors.lastname: Fuentes
authors.forename: Isabelle
authors.initials: I
authors.lastname: Runkle
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Rubio
authors.forename: Carmen
authors.initials: C
authors.lastname: Montañez
authors.forename: Gemma
authors.initials: G
authors.lastname: Rojo-Martinez
authors.forename: Federico
authors.initials: F
authors.lastname: Soriguer
authors.forename: Elena
authors.initials: E
authors.lastname: Bordiu
authors.forename: Albert
authors.initials: A
authors.lastname: Goday
authors.forename: Anna
authors.initials: A
authors.lastname: Bosch-Comas
authors.forename: Rafael
authors.initials: R
authors.lastname: Carmena
authors.forename: Roser
authors.initials: R
authors.lastname: Casamitjana
authors.forename: Luis
authors.initials: L
authors.lastname: Castaño
authors.forename: Conxa
authors.initials: C
authors.lastname: Castell
authors.forename: Miguel
authors.initials: M
authors.lastname: Catalá
authors.forename: Elias
authors.initials: E
authors.lastname: Delgado
authors.forename: Josep
authors.initials: J
authors.lastname: Franch
authors.forename: Sonia
authors.initials: S
authors.lastname: Gaztambide
authors.forename: Juan
authors.initials: J
authors.lastname: Girbés
authors.forename: Ramon
authors.initials: R
authors.lastname: Gomis
authors.forename: Ines
authors.initials: I
authors.lastname: Urrutia
authors.forename: Alfonso
authors.initials: A
authors.lastname: López-Alba
authors.forename: Maria T
authors.initials: MT
authors.lastname: Martínez-Larrad
authors.forename: Eldelmiro
authors.initials: E
authors.lastname: Menéndez
authors.forename: Inmaculada
authors.initials: I
authors.lastname: Mora-Peces
authors.forename: Emilio
authors.initials: E
authors.lastname: Ortega
authors.forename: Gemma
authors.initials: G
authors.lastname: Pascual-Manich
authors.forename: Manuel
authors.initials: M
authors.lastname: Serrano-Rios
authors.forename: Sergio
authors.initials: S
authors.lastname: Valdés
authors.forename: Jose A
authors.initials: JA
authors.lastname: Vázquez
authors.forename: Joan
authors.initials: J
authors.lastname: Vendrell
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001786:Blood Glucose; D005260:Female; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000175:diagnosis* / Q000453:epidemiology; D008875:Middle Aged; D056128:Obesity, Abdominal / Q000175:diagnosis* / Q000453:epidemiology; D013030:Spain / Q000453:epidemiology; D055105:Waist Circumference
chemical_list: D001786:Blood Glucose