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Causes of Different Estimates of the Prevalence of Metabolic Syndrome in Korea

Authors
 Hyeon Chang Kim  ;  Dae Jung Kim 
Citation
 KOREAN JOURNAL OF INTERNAL MEDICINE, Vol.26(4) : 440-448, 2011 
Journal Title
KOREAN JOURNAL OF INTERNAL MEDICINE
ISSN
 1226-3303 
Issue Date
2011
MeSH
Adult ; Aged ; Body Mass Index ; Cholesterol, HDL/blood ; Cholesterol, HDL/metabolism ; Cholesterol, LDL/blood ; Cholesterol, LDL/metabolism ; Epidemiologic Methods ; Female ; Health Surveys ; Humans ; Korea/epidemiology ; Male ; Metabolic Syndrome/epidemiology* ; Middle Aged ; Prevalence ; Risk Assessment/methods ; Triglycerides/blood ; Triglycerides/metabolism ; Young Adult
Keywords
Epidemiology ; Korea ; Metabolic syndrome ; Prevalence ; Trends
Abstract
BACKGROUND/AIMS: Reports of the prevalence of and trends in metabolic syndrome in Korea have been inconsistent. Thus, we investigated the reasons underlying these inconsistencies. METHODS: We estimated the prevalence of metabolic syndrome using different diagnostic criteria, exclusion criteria, and sampling weights among 5,509 respondents, aged 20-79, who participated in the 2001 Korean National Health and Nutrition Examination Surveys (KNHANES). Trends in metabolic syndrome were assessed by examining the 1998 (n = 6,747), 2001 (n = 4,337), and 2005 (n = 5,139) KNHANES. RESULTS: The estimated prevalence of metabolic syndrome in 2001 ranged from 1.6 to 29.6% in males and from 10.1 to 32.8% in females, depending on the diagnostic criteria used. The exclusion criteria and sampling weights did not significantly affect the prevalence estimates. The prevalence of metabolic syndrome first significantly increased and then decreased between 1998, 2001, and 2005 in males (26.2, 29.6, and 27.2%, respectively) and females (29.2, 32.8, and 24.7%, respectively). Among the individual metabolic variables, triglyceride levels in 2001 were significantly higher than in 1998 and 2005, whereas other variables remained relatively constant during the same period. The exceptionally high triglyceride levels in 2001 might have contributed to the increased prevalence of metabolic syndrome between 1998 and 2001. CONCLUSIONS: Different diagnostic criteria for metabolic syndrome represent a major cause of the inconsistent estimates of prevalence, and the absence of standardized laboratory methods might have affected the trend estimates.
Files in This Item:
T201104602.pdf Download
DOI
10.3904/kjim.2011.26.4.440
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyeon Chang(김현창) ORCID logo https://orcid.org/0000-0001-7867-1240
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/94741
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