Application of three diagnostic criteria for metabolic syndrome among the elderly in urban community of Beijing / 中华老年医学杂志

ABSTRACT

Objective To compare the application of three diagnostic criteria for metabolic syndrome(MS) among the elderly in community. Methods 773 elderly people in the community were diagnosed for MS by the Chinese Medical Association Diabetes Society (CDS),International Diabetes Federation (IDF) and revised National Cholesterol Education Prongram-Adult Treatment Panel(ATP Ⅲ* ) criteria,respectively.The diagnosis accordance rates were compared among the different diagnostic criteria. Results The MS prevalence rates in the elderly were 32.5％ (251/773),53.4％ (413/773) and 47.2％ (365/773) according to CDS,IDF and ATP Ⅲ* criteria,respectively and there were significant difference among the criteria (Q=173.10,P＜0.01 ).The MS prevalence was higher in women than in men especially by IDF [57.3％ (284/487)vs.45.1％ (129/286),x2=12.64,P＜0.01]and ATPⅢ* criteria [53.0％(258/487)vs. 37.4％ (107/286),x2=17.52,P＜0.01].The coincidences in the diagnosis of MS were 88.6％ (Kappa=0.773,P＜0.01)using IDF and ATPⅢ * definitions,75.7％ using CDS and ATPⅢ *,and 73.7％ using CDS and IDF.Conclusions The agreement in the diagnosis of MS using IDF and ATPⅢ* definitions is higher than using CDS and IDF or ATPⅢ * definitions.