The comparison of the metabolic syndrome (MS) definitions between International Diabetes Federation (IDF) and Chinese Diabetes Society(CDS) / 中国糖尿病杂志

ABSTRACT

221 subjects at risk for MS were enrolled and evaluated.The discovered mean number of MS components was little greater by IDF definition than by CDS one(2.33 vs 2.09,P>0.05).The concordance rate of both definitions was 80% in diagnosing MS.The female MS prevalence was higher by IDF (18/83) than by CDS (2/83)(P<0.05).But male MS prevalence was higher by CDS (18/138) than by IDF (7/138) (P<0.05).In those with normal glycaemia, more individuals were diagnosed to have MS by IDF definition (21/94,22.3%) than by CDS one (10/97,10.3%)(P<0.05).Of people with MS diagnosed on CDS definition, 11 (12%) were non-obese.Finally, 6% MS people was missed by IDF definition due to neglecting postprandial-challenge glycemia.In conclusions, the two definitions are comparable in identifying MS and its components, while from CDS to IDF definition some MS people drift in the way as follows from men to women, from dysglycemia to abnormal fat metabolism, and from non-obesity to obesity.