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Prevalence of the metabolic syndrome and its association with cardiovascular diseases in Korea.

Kim MH, Kim MK, Choi BY, Shin YJ - J. Korean Med. Sci. (2004)

Bottom Line: Although age-specific prevalence was higher in men than in women among the younger group, it became higher in women among the older group because of its steeper rise with age.In multiple logistic regression, the syndrome was found to be positively associated with cardiovascular diseases (adjusted odds ratios (ORs)1.97 by WC and 1.48 by WHR in men, and 1.54 and 1.31 in women).Moreover, its effect size exceeded that of total cholesterol (adjusted ORs 1.21 in men, and 1.08 in women) or LDL cholesterol (1.58 in men and 1.22 in women).

View Article: PubMed Central - PubMed

Affiliation: Department of Preventive Medicine, Eulji University School of Medicine, Daejeon, Korea.

ABSTRACT
This study aimed to estimate nationwide prevalence of the metabolic syndrome and to identify its association with cardiovascular diseases. The data on a national representative sample of 6,147 adults from 1998 Korea National Health and Nutrition Survey were analyzed. The syndrome was determined according to two kinds of modified definition from ATP III, in which abdominal obesity was determined by waist circumference (WC) standard for Asians and waist-to-hip ratio (WHR). Based on the former, prevalence was 22.1% in men and 27.8% in women. However, based on the latter, prevalence was 28.6% and 27.8%, respectively. Although age-specific prevalence was higher in men than in women among the younger group, it became higher in women among the older group because of its steeper rise with age. In multiple logistic regression, the syndrome was found to be positively associated with cardiovascular diseases (adjusted odds ratios (ORs)1.97 by WC and 1.48 by WHR in men, and 1.54 and 1.31 in women). Moreover, its effect size exceeded that of total cholesterol (adjusted ORs 1.21 in men, and 1.08 in women) or LDL cholesterol (1.58 in men and 1.22 in women). It is obvious that the metabolic syndrome prevails in Korea, and its importance regarding cardiovascular diseases is considerable. Prevention strategies should be implemented immediately to avoid cardiovascular epidemic in the near future.

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Age-specific prevalence of individual metabolic abnormalities of the metabolic syndrome among Korean adults aged ≥25 yr, from Korea National Health & Nutrition Survey in 1998. *Metabolic syndrome was defined by ATP III, of which criteria for abdominal obesity was replaced with waist circumference for Asians (WC), and waist to hip ratio (WHR).
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Figure 2: Age-specific prevalence of individual metabolic abnormalities of the metabolic syndrome among Korean adults aged ≥25 yr, from Korea National Health & Nutrition Survey in 1998. *Metabolic syndrome was defined by ATP III, of which criteria for abdominal obesity was replaced with waist circumference for Asians (WC), and waist to hip ratio (WHR).

Mentions: Fig. 2 shows the age-specific prevalence of the metabolic syndrome and its individual abnormalities. Prevalence of abdominal obesity by WHR, high BP, high TG, and high FBS was higher in men than in women among the age groups under 55 yr. However, its rise according to age was steeper in women. Therefore, among the groups over 55 yr, prevalence was much higher in women. Low HDL and abdominal obesity based on WC was more prevalent in women across all age groups. Age-specific prevalence of the metabolic syndrome in men increased to 54 yr old, followed by decrease or plateau. On the contrary, women had lower prevalence in the beginning, but the increase according to age continued on after 55 yr old (Fig. 2).


Prevalence of the metabolic syndrome and its association with cardiovascular diseases in Korea.

Kim MH, Kim MK, Choi BY, Shin YJ - J. Korean Med. Sci. (2004)

Age-specific prevalence of individual metabolic abnormalities of the metabolic syndrome among Korean adults aged ≥25 yr, from Korea National Health & Nutrition Survey in 1998. *Metabolic syndrome was defined by ATP III, of which criteria for abdominal obesity was replaced with waist circumference for Asians (WC), and waist to hip ratio (WHR).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2822298&req=5

Figure 2: Age-specific prevalence of individual metabolic abnormalities of the metabolic syndrome among Korean adults aged ≥25 yr, from Korea National Health & Nutrition Survey in 1998. *Metabolic syndrome was defined by ATP III, of which criteria for abdominal obesity was replaced with waist circumference for Asians (WC), and waist to hip ratio (WHR).
Mentions: Fig. 2 shows the age-specific prevalence of the metabolic syndrome and its individual abnormalities. Prevalence of abdominal obesity by WHR, high BP, high TG, and high FBS was higher in men than in women among the age groups under 55 yr. However, its rise according to age was steeper in women. Therefore, among the groups over 55 yr, prevalence was much higher in women. Low HDL and abdominal obesity based on WC was more prevalent in women across all age groups. Age-specific prevalence of the metabolic syndrome in men increased to 54 yr old, followed by decrease or plateau. On the contrary, women had lower prevalence in the beginning, but the increase according to age continued on after 55 yr old (Fig. 2).

Bottom Line: Although age-specific prevalence was higher in men than in women among the younger group, it became higher in women among the older group because of its steeper rise with age.In multiple logistic regression, the syndrome was found to be positively associated with cardiovascular diseases (adjusted odds ratios (ORs)1.97 by WC and 1.48 by WHR in men, and 1.54 and 1.31 in women).Moreover, its effect size exceeded that of total cholesterol (adjusted ORs 1.21 in men, and 1.08 in women) or LDL cholesterol (1.58 in men and 1.22 in women).

View Article: PubMed Central - PubMed

Affiliation: Department of Preventive Medicine, Eulji University School of Medicine, Daejeon, Korea.

ABSTRACT
This study aimed to estimate nationwide prevalence of the metabolic syndrome and to identify its association with cardiovascular diseases. The data on a national representative sample of 6,147 adults from 1998 Korea National Health and Nutrition Survey were analyzed. The syndrome was determined according to two kinds of modified definition from ATP III, in which abdominal obesity was determined by waist circumference (WC) standard for Asians and waist-to-hip ratio (WHR). Based on the former, prevalence was 22.1% in men and 27.8% in women. However, based on the latter, prevalence was 28.6% and 27.8%, respectively. Although age-specific prevalence was higher in men than in women among the younger group, it became higher in women among the older group because of its steeper rise with age. In multiple logistic regression, the syndrome was found to be positively associated with cardiovascular diseases (adjusted odds ratios (ORs)1.97 by WC and 1.48 by WHR in men, and 1.54 and 1.31 in women). Moreover, its effect size exceeded that of total cholesterol (adjusted ORs 1.21 in men, and 1.08 in women) or LDL cholesterol (1.58 in men and 1.22 in women). It is obvious that the metabolic syndrome prevails in Korea, and its importance regarding cardiovascular diseases is considerable. Prevention strategies should be implemented immediately to avoid cardiovascular epidemic in the near future.

Show MeSH
Related in: MedlinePlus