Objective To compare the prevalence of metabolic syndrome (MS) disease cluster under different diagnostic criteria of International Diabetes Federation (IDF, 2005), Adult Treatment Panel Ⅲ(ATPⅢ, 2001) of the U.S. National Cholesterol Education Program, and Chinese Diabetes Society (CDS, 2004).
Methods A cross-sectional survey was conducted in Shanghai among 7 414 35-74-year-old adults selected by stratified cluster random sampling method.
Results According to definitions in IDF, ATPⅢ and CDS, the prevalence of MS was 25.75% (21.45%), 19.81% (16.21%) and 22.23% (17.78%) respectively (agestandardized prevalence shown in the parenthesis). MS prevalence was higher in female than in male under IDF and ATPⅢ definitions, and was higher in urban residents than in rural ones. Kappa test showed that the agreement among three definitions was high and the highest Kappa coefficient was 0.593 between CDS and ATPⅢ.
Conclusion MS is becoming a major public health problem in Shanghai. All the three definitions may apply to Shanghai adults, however, each need to be further evaluated and studied for better application.
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