SEARCHCROSS-SECTIONALepidemiology, public health

cross-sectional·epidemiology, public health, endocrinology, cardiology, internal medicine·PMC10048927

Comparison of Three Diagnostic Definitions of Metabolic Syndrome and Estimation of Its Prevalence in Mongolia

International Journal of Environmental Research and Public Health · 7 authors, 4 centres

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TL;DR

The study recommends the JIS definition as the preferred provisional definition for Mongolia.

Full summary

791 CHARS

The study calculated prevalence rates and used Cohen's kappa to measure agreement between MS components for each definition. Results showed MS prevalence was 19.4% for NCEP ATP III, 23.6% for IDF, and 25.4% for JIS. Agreement analysis indicated moderate agreement for specific components: for men, NCEP ATP III with waist circumference and JIS with fasting glucose and triglycerides; for women, NCEP ATP III and JIS with HDL cholesterol. Logistic regression identified age and marital status as factors significantly associated with MS based on the JIS definition. The authors recommend the JIS definition as it identifies a higher proportion of at-risk individuals. Limitations include the cross-sectional design, inability to use imaging for central obesity, and potential sampling errors.

STUDY TYPE

cross-sectional

SPECIALTY

epidemiology

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100% · A

ORIGINAL PAPER

PMC10048927

Comparison of Three Diagnostic Definitions of Metabolic Syndrome and Estimation of Its Prevalence in Mongolia

International Journal of Environmental Research and Public Health

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ABSTRACT

We sought to estimate the prevalence of metabolic syndrome (MS) in the urban population of Mongolia and suggest a preferred definition. This cross-sectional study comprised 2076 representative samples, which were randomly selected to provide blood samples. MS was defined by the National Cholesterol Education Program’s Adults Treatment Panel III (NCEP ATP III), the International Diabetes Federation (IDF), and the Joint Interim Statement (JIS). The Cohen’s kappa coefficient (κ) was analyzed to determine the agreement between the individual MS components using the three definitions. The prevalence of MS in the 2076 samples was 19.4% by NCEP ATP III, 23.6% by IDF, and 25.4% by JIS criteria. For men, moderate agreement was found between the NCEP ATP III and waist circumference (WC) (κ = 0.42), and between the JIS and fasting blood glucose (FBG) (κ = 0.44) and triglycerides (TG) (κ = 0.46). For women, moderate agreement was found between the NCEP ATP III and high-density lipoprotein cholesterol (HDL-C) (κ = 0.43), and between the JIS and HDL-C (κ = 0.43). MS is highly prevalent in the Mongolian urban population. The JIS definition is recommended as the provisional definition.

CITATION EXPORT

Enkhtuguldur Myagmar-Ochir, Yasuo Haruyama, Nobuko Takaoka et al.. Comparison of Three Diagnostic Definitions of Metabolic Syndrome and Estimation of Its Prevalence in Mongolia. International Journal of Environmental Research and Public Health. (2023). https://doi.org/10.3390/ijerph20064956

AUTHORS

7 · 4 CENTRES

Enkhtuguldur Myagmar-Ochir, Yasuo Haruyama, Nobuko Takaoka, Kyo Takahashi, Naranjargal Dashdorj, Myagmartseren Dashtseren, Gen Kobashi

1Department of Public Health, School of Medicine, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsuga-gun, Tochigi 321-0293, Japan; [email protected] (N.T.); [email protected] (K.T.); [email protected] (G.K.)
2Integrated Research Faculty for Advanced Medical Sciences, School of Medicine, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsuga-gun, Tochigi 321-0293, Japan; [email protected]
3Onom Foundation, Onom Foundation Central Office, 3 Bogd Javzandamba 15 Khoroo, Ulaanbaatar 17011, Mongolia; [email protected]
4Department of Family Medicine, School of Medicine, Mongolian National University of Medical Sciences, Jamyan Street 3, Ulaanbaatar 14210, Mongolia; [email protected]

EDITOR / REVIEWER

Li-Tung Huang