The modified NCEP ATP III criteria maybe better than the IDF criteria in diagnosing Metabolic Syndrome among Malays in Kuala Lumpur

Background: Metabolic Syndrome is associated with increased risk for type 2 diabetes and cardiovascular diseases. However, different diagnostic criteria have been recommended by different expert groups. In Malaysia, there is a lack of research comparing these different diagnostic criteria. Therefore...

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Main Authors: Moy, Foong Ming, Bulgiba, Awang
Format: Article
Language:English
Published: BioMed Central 2010
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Online Access:http://eprints.um.edu.my/3068/1/The_modified_NCEP_ATP_III_criteria_maybe_better_than_the_IDF_criteria_in_diagnosing.pdf
http://eprints.um.edu.my/3068/
https://doi.org/10.1186/1471-2458-10-678
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spelling my.um.eprints.30682019-11-11T08:33:57Z http://eprints.um.edu.my/3068/ The modified NCEP ATP III criteria maybe better than the IDF criteria in diagnosing Metabolic Syndrome among Malays in Kuala Lumpur Moy, Foong Ming Bulgiba, Awang R Medicine Background: Metabolic Syndrome is associated with increased risk for type 2 diabetes and cardiovascular diseases. However, different diagnostic criteria have been recommended by different expert groups. In Malaysia, there is a lack of research comparing these different diagnostic criteria. Therefore, it is our aim to study the concordance between the IDF and the modified NCEP ATP III definitions of Metabolic Syndrome among a Malay cohort in Kuala Lumpur; and to demonstrate if all participants have the same cardiometabolic risks. Methods: This was an analytical cross sectional study. Ethics approval was obtained and informed consent was given by all participants. Anthropometric measurements, blood pressure, fasting blood glucose and lipid profile were taken following standard protocols. Results: Metabolic Syndrome was diagnosed in 41.4 and 38.2 participants using the modified NCEP and IDF criteria respectively. Among those diagnosed with Metabolic Syndrome by modified NCEP, 7.6 were missed by the IDF criteria. Participants diagnosed by the modified NCEP criteria had lower BMI and waist circumference but had higher cardiometabolic risks than those diagnosed with both criteria. Their blood pressure, glucose, total cholesterol and triglyceride were more adverse than the IDF group. This demonstrated that central obesity may not be a prerequisite for the development of increased cardiometabolic risks within this Malay cohort. Conclusion: Metabolic syndrome is common in this Malay cohort regardless of the criterion used. The modified NCEP ATP III criteria may be more suitable in diagnosis of metabolic syndrome for this Malay cohort. BioMed Central 2010 Article PeerReviewed application/pdf en http://eprints.um.edu.my/3068/1/The_modified_NCEP_ATP_III_criteria_maybe_better_than_the_IDF_criteria_in_diagnosing.pdf Moy, Foong Ming and Bulgiba, Awang (2010) The modified NCEP ATP III criteria maybe better than the IDF criteria in diagnosing Metabolic Syndrome among Malays in Kuala Lumpur. BMC Public Health, 10. p. 678. ISSN 1471-2458 https://doi.org/10.1186/1471-2458-10-678 doi:10.1186/1471-2458-10-678
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
language English
topic R Medicine
spellingShingle R Medicine
Moy, Foong Ming
Bulgiba, Awang
The modified NCEP ATP III criteria maybe better than the IDF criteria in diagnosing Metabolic Syndrome among Malays in Kuala Lumpur
description Background: Metabolic Syndrome is associated with increased risk for type 2 diabetes and cardiovascular diseases. However, different diagnostic criteria have been recommended by different expert groups. In Malaysia, there is a lack of research comparing these different diagnostic criteria. Therefore, it is our aim to study the concordance between the IDF and the modified NCEP ATP III definitions of Metabolic Syndrome among a Malay cohort in Kuala Lumpur; and to demonstrate if all participants have the same cardiometabolic risks. Methods: This was an analytical cross sectional study. Ethics approval was obtained and informed consent was given by all participants. Anthropometric measurements, blood pressure, fasting blood glucose and lipid profile were taken following standard protocols. Results: Metabolic Syndrome was diagnosed in 41.4 and 38.2 participants using the modified NCEP and IDF criteria respectively. Among those diagnosed with Metabolic Syndrome by modified NCEP, 7.6 were missed by the IDF criteria. Participants diagnosed by the modified NCEP criteria had lower BMI and waist circumference but had higher cardiometabolic risks than those diagnosed with both criteria. Their blood pressure, glucose, total cholesterol and triglyceride were more adverse than the IDF group. This demonstrated that central obesity may not be a prerequisite for the development of increased cardiometabolic risks within this Malay cohort. Conclusion: Metabolic syndrome is common in this Malay cohort regardless of the criterion used. The modified NCEP ATP III criteria may be more suitable in diagnosis of metabolic syndrome for this Malay cohort.
format Article
author Moy, Foong Ming
Bulgiba, Awang
author_facet Moy, Foong Ming
Bulgiba, Awang
author_sort Moy, Foong Ming
title The modified NCEP ATP III criteria maybe better than the IDF criteria in diagnosing Metabolic Syndrome among Malays in Kuala Lumpur
title_short The modified NCEP ATP III criteria maybe better than the IDF criteria in diagnosing Metabolic Syndrome among Malays in Kuala Lumpur
title_full The modified NCEP ATP III criteria maybe better than the IDF criteria in diagnosing Metabolic Syndrome among Malays in Kuala Lumpur
title_fullStr The modified NCEP ATP III criteria maybe better than the IDF criteria in diagnosing Metabolic Syndrome among Malays in Kuala Lumpur
title_full_unstemmed The modified NCEP ATP III criteria maybe better than the IDF criteria in diagnosing Metabolic Syndrome among Malays in Kuala Lumpur
title_sort modified ncep atp iii criteria maybe better than the idf criteria in diagnosing metabolic syndrome among malays in kuala lumpur
publisher BioMed Central
publishDate 2010
url http://eprints.um.edu.my/3068/1/The_modified_NCEP_ATP_III_criteria_maybe_better_than_the_IDF_criteria_in_diagnosing.pdf
http://eprints.um.edu.my/3068/
https://doi.org/10.1186/1471-2458-10-678
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score 13.211869