title: Prevalence of metabolic syndrome in non-diabetic, pregnant Angolan women according to four diagnostic criteria and its effects on adverse perinatal outcomes.
abstract: BACKGROUND
  Metabolic syndrome (MetS) is a cluster of risk factors for type 2 diabetes (Type2 DM) and cardiovascular diseases (CVD), and its prevalence varies based on region, population, and sex. Newborns of women with MetS have a greater risk of adverse perinatal outcomes. This study explores the prevalence of metabolic syndrome in non-diabetic, pregnant Angolan women and the adverse perinatal outcomes associated with it.
  
  
  METHODS
  This cross-sectional study collected the demographic, anthropometric and clinical data of 675 pregnant women in the maternity ward of General Hospital in Huambo, Angola. Metabolic syndrome was defined using four criteria: the third report of the National Cholesterol Education Program Adult Treatment Panel (ATPIII), the Joint Interim Statement (JIS), and definitions by both Bartha et al. and Chatzi et al.
  
  
  RESULTS
  The crude prevalence of metabolic syndrome was 36.6 % based on the JIS definition, 29.2 % based on NCEP ATPIII, 12.6 % based on Chatzi et al. and 1.8 % based on Bartha et al. In general, the prevalence of adverse perinatal outcomes was 14.1 %.
  
  
  CONCLUSIONS
  There was a high prevalence of metabolic syndrome, depending on the criteria used, and thus a great need to harmonize the criteria and cutoff points. Perinatal adverse outcomes were higher in pregnant women with metabolic syndrome.
authors.affiliation: Department of Gynecology and Obstetrics, Botucatu Medical School, UNESP-Univ Estadual Paulista, Botucatu, São Paulo Brazil.
authors.forename: Hamilton
authors.initials: H
authors.lastname: Dos Prazeres Tavares
authors.affiliation: Department of Gynecology and Obstetrics, Botucatu Medical School, UNESP-Univ Estadual Paulista, Botucatu, São Paulo Brazil.
authors.forename: Débora Cristina Damasceno Meirelles
authors.initials: DC
authors.lastname: Dos Santos
authors.affiliation: Department of Gynecology and Obstetrics, Botucatu Medical School, UNESP-Univ Estadual Paulista, Botucatu, São Paulo Brazil.
authors.forename: Joelcio Francisco
authors.initials: JF
authors.lastname: Abbade
authors.affiliation: Department of Gynecology and Obstetrics, Botucatu Medical School, UNESP-Univ Estadual Paulista, Botucatu, São Paulo Brazil.
authors.forename: Carlos Antonio
authors.initials: CA
authors.lastname: Negrato
authors.affiliation: Department of Gynecology and Obstetrics, Medical School, University Agostinho Neto (UAN), Luanda, Angola.
authors.forename: Paulo Adão
authors.initials: PA
authors.lastname: de Campos
authors.affiliation: Department of Gynecology and Obstetrics, Botucatu Medical School, UNESP-Univ Estadual Paulista, Botucatu, São Paulo Brazil.
authors.forename: Iracema Mattos Paranhos
authors.initials: IM
authors.lastname: Calderon
authors.affiliation: Department of Gynecology and Obstetrics, Botucatu Medical School, UNESP-Univ Estadual Paulista, Botucatu, São Paulo Brazil.
authors.forename: Marilza Vieira Cunha
authors.initials: MV
authors.lastname: Rudge
keywords: Angola; Metabolic syndrome; Pregnancy perinatal outcome; Prevalence