Prevalence of the metabolic syndrome and its components: Findings from a Finnish general population sample and the Diabetes Prevention Study cohort

Prevalence of the metabolic syndrome and its components: Findings from a Finnish general population sample and the Diabetes Prevention Study cohort

To assess the prevalence of the metabolic syndrome (MetS) in two independent Finnish study cohorts. The prevalence of the MetS by modified World Health Organization criteria was analyzed in different categories of glucose tolerance in a cross-sectional, population-based sample of 2,049 individuals (...

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Published in:Diabetes care Vol. 27; no. 9; pp. 2135 - 2140
Main Authors: ILANNE-PARIKKA, Pirjo, ERIKSSON, Johan G, AUNOLA, Sirkka, SUNDVALL, Jouko, VALLE, Timo, LAHTELA, Jorma, UUSITUPA, Matti, TUOMILEHTO, Jaakko, LINDSTRÖM, Jaana, HÄMÄIÄINEN, Helena, KEINÄNEN-KIUKAANNIEMI, Sirkka, LAAKSO, Maori, LODHFRANTA, Anne, MANNELIN, Marjo, RASIAS, Merja, SALMINEN, Virpi
Format: Journal Article
Language:English
Published: Alexandria, VA American Diabetes Association 01-09-2004
Subjects:
Baby boom generation
Biological and medical sciences
Body Mass Index
Causes of
Cohort Studies
Diabetes
Diabetes Mellitus, Type 2 - epidemiology
Diabetes. Impaired glucose tolerance
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Female
Finland
Glucose
Glucose intolerance
Glucose Intolerance - epidemiology
Glucose Tolerance Test
Health aspects
Humans
Insulin Resistance
Male
Medical sciences
Metabolic diseases
Metabolic Syndrome - epidemiology
Metabolic syndrome X
Metabolism
Middle age
Middle Aged
Miscellaneous
Other metabolic disorders
Prevalence
Type 2 diabetes
Europe
Finland
Endocrinopathy
Human
Prevention
Prevalence
X Syndrome
Diabetes mellitus
Sample
Cohort study
Cardiovascular disease
Metabolic diseases
Epidemiology
Public health
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Summary:To assess the prevalence of the metabolic syndrome (MetS) in two independent Finnish study cohorts. The prevalence of the MetS by modified World Health Organization criteria was analyzed in different categories of glucose tolerance in a cross-sectional, population-based sample of 2,049 individuals (FINRISK) aged 45-64 years and in 522 participants of the Finnish Diabetes Prevention Study (DPS) with impaired glucose tolerance (IGT). In the FINRISK cohort, the MetS was present in 38.8% of the men and 22.2% of the women. The prevalence was 14.4 and 10.1% in subjects with normal glucose tolerance, 74.0 and 52.2% in subjects with impaired fasting glucose, 84.8 and 65.4% in subjects with IGT, and 91.5 and 82.7% in subjects with type 2 diabetes in men and women, respectively. Among women, the prevalence of the MetS increased with increasing age. In the DPS cohort, the MetS was present in 78.4% of the men and 72.2% of the women with IGT. The MetS was extremely common in middle-aged subjects The high prevalence in men was mostly due to their high waist-to-hip ratio. The prevalence of the MetS increased in both sexes with deterioration in glucose regulation. Approximately 75% of the subjects with IGT had the MetS. Because the syndrome includes the major risk factors for atherosclerotic vascular diseases and is the major antecedent for type 2 diabetes, concerted preventive action should be targeted to control all the features of the MetS.
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ISSN:0149-5992
1935-5548
DOI:10.2337/diacare.27.9.2135