Journal List > J Korean Diabetes Assoc > v.31(3) > 1062448

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Won, Park, Song, Lee, Koh, Nam-Goong, Han, Lee, Kim, and Lee: Changes in the Prevalence of Metabolic Syndrome in a Rural Area of Korea Defined by Two Criteria, Revised National Cholesterol Education Program and International Diabetes Federation
Original Article
The Journal of Korean Diabetes Association

The Journal of Korean Diabetes Association 2007; 31(3): 284-292.

Published online: 31 May 2007

DOI: https://doi.org/10.4093/jkda.2007.31.3.284

Changes in the Prevalence of Metabolic Syndrome in a Rural Area of Korea Defined by Two Criteria, Revised National Cholesterol Education Program and International Diabetes Federation

Jong Chul Won, Joong-Yeol Park3, Kee Ho Song1, Woo Je Lee2, Eun Hee Koh3, Il Sung Nam-Goong3, Sung Min Han3, Moo-Song Lee4, Min-Seon Kim3, Ki-Up Lee3

Department of Internal Medicine, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Korea.

1Department of Internal Medicine, Konkuk University School of Medicine, Korea.

2Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Korea.

3Department of Internal Medicine, University of Ulsan College of Medicine, Korea.

4Department of Preventive Medicine, University of Ulsan College of Medicine, Korea.

Received 26 March 2007       Accepted 19 April 2007

Copyright © 2007 Korean Diabetes Association

Abstract

Background

The prevalence of obesity is increasing in Korea, including rural areas. We examined the changes in the prevalence of metabolic syndrome (MetS), defined by revised National Cholesterol Education Program (NCEP) or International Diabetes Federation (IDF) criteria, in a rural area of Korea during the past 6 years.

Methods

A total of 1,119 subjects (424 men and 695 women) aged ≥ 30 years were initially recruited in 1997. Baseline clinical data and various laboratory values were obtained. Six years later, we performed a follow-up study in 814 subjects (316 men and 498 women) of which 558 were original participants and 256 subjects were new. The prevalence of MetS was assessed by the criteria of NCEP or IDF.

Results

The prevalence of central obesity and impaired fasting glucose increased in both sexes during the period between 1997 and 2003. The prevalence of MetS according to the IDF criteria also increased. In men, the age-adjusted prevalence of MetS was 10.9% in 1997 and 23.3% in 2003. In women, it was 42.2% in 1997 and 43.4% in 2003. However, the prevalence of MetS according to the NCEP criteria increased only in men.

Conclusion

There have been increases in the prevalence of central obesity and MetS according to the IDF criteria during the recent 6 years in a rural area of Korea.

Keywords: International Diabetes Federation (IDF), Metabolic syndrome, National Cholesterol Education Program (NCEP), Prevalence

Figures and Tables

Fig. 1
Changes in prevalence of the metabolic syndrome by age group, sex, and criteriaby modified NCEP ATP III (ATP) and IDF.
jkda-31-284-g001
Table 1
Anthropometric and biochemical characteristics in subjects with surveyed in 1997 and 2003 by sex.
jkda-31-284-i001

Data are means ± SD or % (95% CI). BMI, body mass index; BP, blood pressure; FPG, fasting plasma glucose; HDL, high-density lipoprotein; LDL, low-density lipoprotein; CHD, coronary heart disease. *P < 0.05 compared to me, †P < 0.05 compared to 1997 by t-test ot χ2 test.

Table 2
Characteristics of anthropometric and biochemical parameters of 558 follow up subjects by sex and year of examination
jkda-31-284-i002

Data are means ± SD or % (95% CI). BMI, body mass index; BP, blood pressure; FPG, fasting plasma glucose; HDL, high-density lipoprotein; LDL, low-density lipoprotein; CHD, coronary heart disease. *P < 0.05 compared to men, †P < 0.05 compared to 1997 by t-test ot χ2 test.

Table 3
Prevalence of metabolic syndrome by modified NCEP ATP III criteria in 1997 and 2003
jkda-31-284-i003

*Number of cases/total number of indicating age group.

Table 4
Prevalence of metabolic syndrome by IDF criteria in 1997 and 2003
jkda-31-284-i004

*Number of cases/total number of indicating age group.

Table 5
Prevalence of obesity and individual metabolic disorders by sex in 1997 and 2003 by sex
jkda-31-284-i005

BMI, body mass index; HDL, high-density lipoprotein. *P < 0.05 by χ2 test.

Table 6
Comparison of anthropometric and biochemical characteristics between ATP III and IDF criteria of the metabolic syndrome
jkda-31-284-i006

Data are means ± SD. Logarithmic transformed triglyceride. a, b, c, The superscript letters indicate no significant difference between groups analyzed by Bonferroni's test (P < 0.05). BMI, body mass index; BP, blood pressure; FPG, fasting plasma.

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