Increasing prevalence of the metabolic syndrome among u.s. Adults.
Abstract:OBJECTIVE The prevalence of the metabolic syndrome is high among U.S. adults. Our purpose was to determine whether the prevalence of this syndrome has changed since 1988-1994. RESEARCH DESIGN AND METHODS A total of 6,436 men and women aged > or = 20 years from the National Health and Nutrition Examination Survey (NHANES) III (1988-1994) and 1,677 participants from NHANES 1999-2000 were included in the analyses. We used the definition of the metabolic syndrome developed by the Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. RESULTS The unadjusted prevalence of the metabolic syndrome was 23.1% in NHANES III and 26.7% in NHANES 1999-2000 (P = 0.043), and the age-adjusted prevalences were 24.1 and 27.0% (P = 0.088), respectively. The age-adjusted prevalence increased by 23.5% among women (P = 0.021) and 2.2% among men (P = 0.831). Increases in high blood pressure, waist circumference, and hypertriglyceridemia accounted for much of the increase in the prevalence of the metabolic syndrome, particularly among women. CONCLUSIONS The increased prevalence of the metabolic syndrome is likely to lead to future increases in diabetes and cardiovascular disease.
暂无分享,去 创建一个
[1] L. Majem,et al. Prevalencia del sndrome metablico en la poblacin de la Comunidad Canaria , 2003 .
[2] Lawrence D. Frank,et al. How Land Use and Transportation Systems Impact Public Health , 2000 .
[3] Physical activity trends--United States, 1990-1998. , 2001, MMWR. Morbidity and mortality weekly report.
[4] B. Swinburn,et al. Preventive strategies against weight gain and obesity , 2002, Obesity reviews : an official journal of the International Association for the Study of Obesity.
[5] H. Resnick. Metabolic syndrome in American Indians. , 2002, Diabetes care.
[6] A. Onat,et al. Metabolic syndrome: major impact on coronary risk in a population with low cholesterol levels--a prospective and cross-sectional evaluation. , 2002, Atherosclerosis.
[7] A. Mokdad,et al. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. , 2003, JAMA.
[8] L. Serra Majem,et al. [Prevalence of the metabolic syndrome in the population of Canary Islands, Spain]. , 2003, Medicina clinica.
[9] I. Kullo,et al. Relation of low cardiorespiratory fitness to the metabolic syndrome in middle-aged men. , 2002, The American journal of cardiology.
[10] R. D'Agostino,et al. Prevalence and characteristics of the metabolic syndrome in the San Antonio Heart and Framingham Offspring Studies. , 2003, Diabetes.
[11] P. Fratino,et al. Weight Loss after Swedish Adjustable Gastric Banding: Relationships to Insulin Resistance and Metabolic Syndrome , 2002, Obesity surgery.
[12] J. Shaw,et al. Follow-up report on the diagnosis of diabetes mellitus. , 2003, Diabetes care.
[13] L. Niskanen,et al. Metabolic syndrome and development of diabetes mellitus: application and validation of recently suggested definitions of the metabolic syndrome in a prospective cohort study. , 2002, American journal of epidemiology.
[14] B. Howard,et al. Insulin resistance, the metabolic syndrome, and risk of incident cardiovascular disease in nondiabetic american indians: the Strong Heart Study. , 2003, Diabetes care.
[15] G. Reaven. Metabolic Syndrome: Pathophysiology and Implications for Management of Cardiovascular Disease , 2002, Circulation.
[16] B. Ainsworth,et al. Physical activity and the metabolic syndrome in a tri-ethnic sample of women. , 2002, Obesity research.
[17] K. Flegal,et al. Prevalence and trends in obesity among US adults, 1999-2000. , 2002, JAMA.
[18] W. Dietz,et al. Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. , 2002, JAMA.
[19] E. Barrett-Connor,et al. Type 2 diabetes and metabolic syndrome in Filipina-American women : a high-risk nonobese population. , 2002, Diabetes care.
[20] Claude Lenfant,et al. Definition of Metabolic Syndrome: Report of the National Heart, Lung, and Blood Institute/American Heart Association Conference on Scientific Issues Related to Definition , 2004, Arteriosclerosis, thrombosis, and vascular biology.
[21] Jukka T Salonen,et al. The metabolic syndrome and total and cardiovascular disease mortality in middle-aged men. , 2002, JAMA.
[22] G. Mensah,et al. Serum Total Cholesterol Concentrations and Awareness, Treatment, and Control of Hypercholesterolemia Among US Adults: Findings From the National Health and Nutrition Examination Survey, 1999 to 2000 , 2003, Circulation.
[23] P. Fratino,et al. Prevalence of metabolic syndrome among HIV patients. , 2002, Diabetes care.