Socio-demographic factors and the prevalence of metabolic syndrome among filipinos from the LIFECARE cohort.
BACKGROUND
Metabolic syndrome(MetS) is an aggregation of multiple metabolic risk factors shown to lead to the development of cardiovascular disease. The International Diabetes Federation(IDF) and the modified National Cholesterol Education Program Adult Treatment Panel Ⅲ(mNCEP) criteria are used in identifying MetS. This report will determine the prevalence of MetS and its component risk factors of the Philippine cohort of the LIFE course study in CARdiovascular disease Epidemiology(LIFECARE).


METHODS
Our study recruited 3,072 participants aged 20-50 years old from Metro Manila and four nearby provinces. Baseline anthropometric and clinical parameters were measured. Prevalence of MetS and its component factors were determined. Associations with socio-demographic factors were determined.


RESULTS
The prevalence of MetS was 19.7% and 25.6% by IDF and mNCEP, respectively(kappa 0.83). Both were associated with increasing age, urban residence, and employed status. It was higher in females by IDF and in males by mNCEP. IDF missed 40% of males and 10% of females identified with MetS by mNCEP. More males were identified by the mNCEP as MetS despite relatively normal waist circumference.


CONCLUSIONS
MetS is common in the Philippines among older, educated, and urban residents. The mNCEP criteria identified more MetS than the IDF criteria.
Department of Medicine, University of the Philippines (U.P.) - Philippine General Hospital (P.G.H.).
Rody G
RG
Sy
Elmer Jasper B
EJ
Llanes
Paul Ferdinand M
PF
Reganit
Nina
N
Castillo-Carandang
Felix Eduardo R
FE
Punzalan
Olivia T
OT
Sison
Nang Ei Ei
NE
Khaing
Richie
R
Poulton
Mark
M
Woodward
E Shyong
ES
Tai
D000328:Adult; D015331:Cohort Studies; D003710:Demography; D005260:Female; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000453:epidemiology*; D008875:Middle Aged; D010679:Philippines / Q000453:epidemiology; D015995:Prevalence; D012959:Socioeconomic Factors; D055815:Young Adult