title: Metabolic syndrome prevalence according to ATP III and IDF criteria and related factors in Turkish adults.
abstract: BACKGROUND
  The aim of this study is to investigate the prevalence of metabolic syndrome (MS) and its components according to Adult Treatment Panel III (ATP III) and International Diabetes Federation (IDF) criteria and the risk factors affecting MS. Metabolic syndrome prevalence was evaluated according to certain quintet age groups, altitude, location and demographic features.
  
  
  METHODS
  This study was a cross-sectional survey conducted in 24 provinces from the 7 regions of Turkey. A total of 4309 adults from 7 regions participated in the study (1947 males, 45.2%).
  
  
  RESULTS
  The mean age of participants was 47 ±14 years. Metabolic syndrome prevalence was found as 36.6% according to ATP III and 44.0% according to IDF. The MS rate was found to be higher in females compared to males in both groups (p < 0.01). According to both criteria, MS prevalence was found to be higher in subjects who lived in coastal regions when evaluated according to altitude and in subjects who lived in district centers when evaluated according to location. The MS risk is 1.62-fold higher in females compared to males. Metabolic syndrome risk increases as age increases and is highest in the 61-65 age group. Metabolic syndrome risk increases 2.75-fold in the overweight compared to normal weighing subjects and 7.80-fold in the obese.
  
  
  CONCLUSIONS
  Metabolic syndrome prevalence was found to be high in Turkey according to both criteria. Metabolic syndrome prevalence increases as age and body mass index (BMI) increase. Age, female gender and obesity are independent risk factors for MS development.
authors.affiliation: Department of Intensive Care, Faculty of Medicine, Erciyes University, Kayseri, Turkey.
authors.forename: Kursat
authors.initials: K
authors.lastname: Gundogan
authors.forename: Fahri
authors.initials: F
authors.lastname: Bayram
authors.forename: Vedia
authors.initials: V
authors.lastname: Gedik
authors.forename: Ahmet
authors.initials: A
authors.lastname: Kaya
authors.forename: Ahmet
authors.initials: A
authors.lastname: Karaman
authors.forename: Ozgür
authors.initials: O
authors.lastname: Demir
authors.forename: Tevfik
authors.initials: T
authors.lastname: Sabuncu
authors.forename: Derya
authors.initials: D
authors.lastname: Kocer
authors.forename: Ramazan
authors.initials: R
authors.lastname: Coskun
keywords: age groups; altitude; metabolic syndrome